Social autopsy for identifying causes of adult mortality
Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has be...
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| Veröffentlicht in: | PloS one 2018-05, Vol.13 (5), p.e0198172-e0198172 |
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| creator | Gupta, Mamta Kaur, Manmeet Lakshmi, P V M Prinja, Shankar Singh, Tarundeep Sirari, Titiksha Kumar, Rajesh |
| description | Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has been limited. Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014. Quantitative analysis described the socio-demographic characteristics of the deceased, number and type of consultations from health care providers, and type of care received during illness. Qualitative data was analyzed to find out social causes of death by thematic analysis. The median duration of illness from symptom onset till death was 9 days (IQR = 1-45 days). At the onset of illness, 72 (12%) deceased utilized home remedies and 424 (70.7%)received care from a clinic/hospital, and 104 (17.3%) died withoutreceiving any care. The number of medical consultations varied from one to six (median = 2). The utilization of government health facilities and qualified allopathic doctor increased with each consultation (p value |
| doi_str_mv | 10.1371/journal.pone.0198172 |
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Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has been limited. Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014. Quantitative analysis described the socio-demographic characteristics of the deceased, number and type of consultations from health care providers, and type of care received during illness. Qualitative data was analyzed to find out social causes of death by thematic analysis. The median duration of illness from symptom onset till death was 9 days (IQR = 1-45 days). At the onset of illness, 72 (12%) deceased utilized home remedies and 424 (70.7%)received care from a clinic/hospital, and 104 (17.3%) died withoutreceiving any care. The number of medical consultations varied from one to six (median = 2). The utilization of government health facilities and qualified allopathic doctor increased with each consultation (p value<0.05). The top five social causes of adult deaths in a rural area of Punjab in India. (1) Non availability of medical practitioner in the vicinity, (2) communication gaps between doctor and patient on regular intake of medication, (3) delayed referral by service provider, (4) poor communication with family on illness, and (5) perception of illness to be 'mild' by the family or care taker. To conclude, social autopsy tool should be integrated with verbal autopsy tool for identification of individual, community, and health system level factors associated with adult mortality.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198172</identifier><identifier>PMID: 29851982</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adults ; Alcohol ; Alcohol use ; Ambulatory care ; Analysis ; Autopsies ; Autopsy ; Biology and Life Sciences ; Cancer ; Censuses ; Consultation ; Control programs ; Data processing ; Demographics ; Disease control ; Ethics ; Fatalities ; Global health ; Health ; Health care ; Health care facilities ; Health education ; Hospital facilities ; Identification methods ; India ; Intervention ; Medical research ; Medicine and Health Sciences ; Methods ; Mortality ; People and Places ; Prevention ; Public health ; Qualitative analysis ; Quantitative analysis ; Registration ; Rural areas ; Social Sciences ; Training ; Vital statistics</subject><ispartof>PloS one, 2018-05, Vol.13 (5), p.e0198172-e0198172</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Gupta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Gupta et al 2018 Gupta et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-34ece9d0f9047dfc3459cfb77640c4b1645d168bd43f1daf170130d54bee3e423</citedby><cites>FETCH-LOGICAL-c692t-34ece9d0f9047dfc3459cfb77640c4b1645d168bd43f1daf170130d54bee3e423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5978887/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5978887/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2106,2932,23875,27933,27934,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29851982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>van Wouwe, Jacobus P.</contributor><creatorcontrib>Gupta, Mamta</creatorcontrib><creatorcontrib>Kaur, Manmeet</creatorcontrib><creatorcontrib>Lakshmi, P V M</creatorcontrib><creatorcontrib>Prinja, Shankar</creatorcontrib><creatorcontrib>Singh, Tarundeep</creatorcontrib><creatorcontrib>Sirari, Titiksha</creatorcontrib><creatorcontrib>Kumar, Rajesh</creatorcontrib><title>Social autopsy for identifying causes of adult mortality</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has been limited. Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014. Quantitative analysis described the socio-demographic characteristics of the deceased, number and type of consultations from health care providers, and type of care received during illness. Qualitative data was analyzed to find out social causes of death by thematic analysis. The median duration of illness from symptom onset till death was 9 days (IQR = 1-45 days). At the onset of illness, 72 (12%) deceased utilized home remedies and 424 (70.7%)received care from a clinic/hospital, and 104 (17.3%) died withoutreceiving any care. The number of medical consultations varied from one to six (median = 2). The utilization of government health facilities and qualified allopathic doctor increased with each consultation (p value<0.05). The top five social causes of adult deaths in a rural area of Punjab in India. (1) Non availability of medical practitioner in the vicinity, (2) communication gaps between doctor and patient on regular intake of medication, (3) delayed referral by service provider, (4) poor communication with family on illness, and (5) perception of illness to be 'mild' by the family or care taker. To conclude, social autopsy tool should be integrated with verbal autopsy tool for identification of individual, community, and health system level factors associated with adult mortality.</description><subject>Adults</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Ambulatory care</subject><subject>Analysis</subject><subject>Autopsies</subject><subject>Autopsy</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Censuses</subject><subject>Consultation</subject><subject>Control programs</subject><subject>Data processing</subject><subject>Demographics</subject><subject>Disease control</subject><subject>Ethics</subject><subject>Fatalities</subject><subject>Global health</subject><subject>Health</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health education</subject><subject>Hospital facilities</subject><subject>Identification 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One</addtitle><date>2018-05-31</date><risdate>2018</risdate><volume>13</volume><issue>5</issue><spage>e0198172</spage><epage>e0198172</epage><pages>e0198172-e0198172</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has been limited. Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014. Quantitative analysis described the socio-demographic characteristics of the deceased, number and type of consultations from health care providers, and type of care received during illness. Qualitative data was analyzed to find out social causes of death by thematic analysis. The median duration of illness from symptom onset till death was 9 days (IQR = 1-45 days). At the onset of illness, 72 (12%) deceased utilized home remedies and 424 (70.7%)received care from a clinic/hospital, and 104 (17.3%) died withoutreceiving any care. The number of medical consultations varied from one to six (median = 2). The utilization of government health facilities and qualified allopathic doctor increased with each consultation (p value<0.05). The top five social causes of adult deaths in a rural area of Punjab in India. (1) Non availability of medical practitioner in the vicinity, (2) communication gaps between doctor and patient on regular intake of medication, (3) delayed referral by service provider, (4) poor communication with family on illness, and (5) perception of illness to be 'mild' by the family or care taker. To conclude, social autopsy tool should be integrated with verbal autopsy tool for identification of individual, community, and health system level factors associated with adult mortality.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29851982</pmid><doi>10.1371/journal.pone.0198172</doi><tpages>e0198172</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adults Alcohol Alcohol use Ambulatory care Analysis Autopsies Autopsy Biology and Life Sciences Cancer Censuses Consultation Control programs Data processing Demographics Disease control Ethics Fatalities Global health Health Health care Health care facilities Health education Hospital facilities Identification methods India Intervention Medical research Medicine and Health Sciences Methods Mortality People and Places Prevention Public health Qualitative analysis Quantitative analysis Registration Rural areas Social Sciences Training Vital statistics |
| title | Social autopsy for identifying causes of adult mortality |
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