Abstract:
BACKGROUND:South Africa's maternal mortality ratio remains high although it has substantially declined in the past few years. Numerous studies undertaken in South Africa on maternal mortality have not paid much attention to how the causes are distributed in different socio-demographic groups. This study assesses and analyses the causes of maternal mortality according to sociodemographic factors in South Africa. METHODS:The causes of maternal deaths were assessed with respect to age, province, place of death, occupation, education and marital status. Data were obtained from the vital registration database of Statistics South Africa. About 14,892 maternal deaths of women from 9 to 55 years of age were analysed using frequency tables, cross-tabulations and logistic regression. Maternal mortality ratio (MMR), by year, age group, and province for the years 2007-2015 was calculated. RESULTS:The 2007-2015 MMR was 139.3 deaths per 100,000 live births (10,687,687 total live births). The year 2009 had the highest MMR during this period. Specific province MMR for three triennia (2007-2009; 2010-2012; 2013-2015) shows that the Free State province had the highest MMR (297.9/100000 live births; 214.6/100000 live births; 159/100000 live births) throughout this period. MMR increased with age. Although the contribution of the direct causes of death (10603) was more than double the contribution of indirect causes (4289) maternal mortality showed a steady decline during this period. CONCLUSIONS:The study shows evidence of variations in the causes of death among different socio-demographic subgroups. These variations indicate that more attention has to be given to the role played by socio-demographic factors in maternal mortality.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Bomela NJdoi
10.1186/s12889-020-8179-xsubject
Has Abstractpub_date
2020-02-01 00:00:00pages
157issue
1issn
1471-2458pii
10.1186/s12889-020-8179-xjournal_volume
20pub_type
杂志文章abstract:BACKGROUND:Evidence from randomized control trials suggest that coupled with smoking cessation interventions, CVD events can be reduced significantly if hypertension and diabetes patients are properly managed, raising practical what-if questions at the population level. This research aims to develop a dynamic simulatio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7429-2
更新日期:2019-08-14 00:00:00
abstract:BACKGROUND:Non-adherence to tuberculosis (TB) treatment threatens the success of treatment, increases the risk of TB spread, and leads to the development of drug resistance. The present study assessed non-adherence to anti-TB treatment among internal migrants with pulmonary TB living in Shenzhen, China, and examined ri...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1789-z
更新日期:2015-05-08 00:00:00
abstract:BACKGROUND:The Body Mass Index (BMI) has long been used as an anthropometric measurement. Waist circumference (WC) and waist-to-height ratio (WHtR) have been proposed as alternatives to BMI. Recently, two new anthropometric indices, the A Body Shape Index (ABSI) and Body Roundness Index (BRI) have been developed as pos...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2150-2
更新日期:2015-08-19 00:00:00
abstract:BACKGROUND:Spatial analytical techniques and models are often used in epidemiology to identify spatial anomalies (hotspots) in disease regions. These analytical approaches can be used to not only identify the location of such hotspots, but also their spatial patterns. METHODS:In this study, we utilize spatial autocorr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-464
更新日期:2009-12-14 00:00:00
abstract:BACKGROUND:The increasing prevalence of type 2 diabetes poses both clinical and public health challenges. Cost-effective approaches to prevent progression of the disease in primary care are needed. Evidence suggests that intensive multifactorial interventions including medication and behaviour change can significantly ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-211
更新日期:2011-04-04 00:00:00
abstract:BACKGROUND:Both smoking and obesity are separately associated with sickness absence. Unhealthy lifestyle habits and health conditions may occur concurrently yet studies focusing on their joint association are few. This study examined the joint associations of smoking and obesity with sickness absence (SA). METHODS:A m...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4997-x
更新日期:2017-12-28 00:00:00
abstract:BACKGROUND:The UK government claims that between 10 and 30% of pubs and bars will be exempt from proposed legislation to achieve smokefree enclosed public places across England. This arises from the contentious inclusion that pubs and bars that do not prepare and serve food and private members clubs, will be able to al...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-91
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Organizational changes in modern corporate life have become increasingly common and there are indications that they often fail to achieve their ends. An earlier study of 24,036 employees showed that those who had repeatedly been exposed to large increases in staffing during 1991-1996 had an excess risk of bo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-318
更新日期:2011-05-16 00:00:00
abstract:BACKGROUND:Rates of obesity among children ages zero to five are rapidly increasing. Greater efforts are needed to promote healthy behaviors of young children. Mothers are especially important targets for promoting health as mothers' views play a vital role in helping their children foster healthy habits from an early ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4503-5
更新日期:2017-06-19 00:00:00
abstract:BACKGROUND:Measuring the quality of life (QoL) of women with breast cancer is an important aspect of measuring treatment success. In Croatia, no QoL studies have been carried out with a focus on patients after mastectomy. The aim of this study was to examine QoL 1 month and 1 year after mastectomy. METHODS:This cross-...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5929-0
更新日期:2018-08-10 00:00:00
abstract:BACKGROUND:Chronic hepatitis B virus infection (HBV) is an important health problem in the Turkish community in the Netherlands, and promotion of screening for HBV in this risk group is necessary. An individually tailored intervention and a culturally tailored intervention have been developed to promote screening in fi...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-674
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-12-277
更新日期:2012-06-11 00:00:00
abstract:BACKGROUND:Prevention of alcohol, drug and tobacco misuse by young people is a key public health priority. There is a need to develop the evidence base through rigorous evaluations of innovative approaches to substance misuse prevention. The Strengthening Families Programme 10-14 is a universal family-based alcohol, dr...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-49
更新日期:2014-01-17 00:00:00
abstract:BACKGROUND:In July 2011, the Malawi national HIV program implemented the integrated antiretroviral therapy (ART) and prevention of mother-to-child transmission (PMTCT) guidelines. Among the principle goals of the guidelines were increasing ART uptake among TB/HIV co-infected patients and treating TB/HIV patients with a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-183
更新日期:2014-02-20 00:00:00
abstract:BACKGROUND:Breast cancer (BC) is a major public health problem, with rising incidence in many regions of the globe. Although mortality has recently dropped in developed countries, death rates are still increasing in some developing countries, as seen in Brazil. Among the reasons for this phenomenon are the lack of stru...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-83
更新日期:2009-03-13 00:00:00
abstract:BACKGROUND:The course of alcohol consumption and cognitive dimensions of behavior change (readiness to change, importance of changing and confidence in ability to change) in primary care patients are not well described. The objective of the study was to determine changes in readiness, importance and confidence after a ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-9-101
更新日期:2009-04-09 00:00:00
abstract:BACKGROUND:The Screen Time Weight-loss Intervention Targeting Children at Home (SWITCH) trial tested a family intervention to reduce screen-based sedentary behaviour in overweight children. The trial found no significant effect of the intervention on children's screen-based sedentary behaviour. To explore these null fi...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3124-8
更新日期:2016-05-26 00:00:00
abstract:BACKGROUND:Early initiation of sexual activity affects the sexual and reproductive health of the young population. The youth are at a high risk of risky sexual behaviours, including multiple partners and inconsistent condom use. There has been limited research on the level and determinants of early sexual initiation in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6682-8
更新日期:2019-04-04 00:00:00
abstract:BACKGROUND:A number of companies publish corporate social responsibility (CSR) reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004-2012) trend of occupational safety and health (OSH) activities as described in CSR reporting (by industry sector and comp...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4356-y
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Sunburns during childhood are strongly associated with development of melanoma in later life. While parents play an important role in children's sun protection, insight in possible shifts in behavioral responsibility from parents towards their children and the possible effect of children's sex is important f...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7382-0
更新日期:2019-08-05 00:00:00
abstract:BACKGROUND:The objective of this study is to investigate the magnitude and nature of health inequalities between indigenous (Scheduled Tribes) and non-indigenous populations, as well as between different indigenous groups, in a rural district of Kerala State, India. METHODS:A health survey was carried out in a rural c...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-390
更新日期:2012-05-29 00:00:00
abstract:BACKGROUND:Parental support is an important element in overweight prevention programs for children. The purpose of this study was to examine everyday life situations in which mothers encounter difficulties encouraging healthy energy balance-related behavior in their school-age children. METHODS:We formed four focus gr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6826-x
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:Determining what constitutes "good practice" in the measurement of the costs and effects of health promotion and disease prevention measures is of particular importance. The aim of this paper was to gather expert knowledge on (economic) evaluations of health promotion and prevention measures for children and...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4773-y
更新日期:2017-10-02 00:00:00
abstract:BACKGROUND:In the last decade Poland has successfully carried out effective anti-tobacco campaigns and introduced tobacco control legislation. This comprehensive strategy has focused on the general population and has led to a considerable decrease in tobacco consumption. Prisoners constitute a relatively small part of ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-181
更新日期:2006-07-07 00:00:00
abstract:BACKGROUND:This study examines variations in breast cancer screening among primary care clinicians by geographic location of clinical practice. METHODS:A cross-sectional survey design was used to examine approaches to breast cancer screening among physicians, nurse practitioners, and physician assistants involved in p...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-3-9
更新日期:2003-02-04 00:00:00
abstract:BACKGROUND:Respiratory tract infections (RTIs) are a major morbidity factor contributing largely to health care costs and individual quality of life. The aim of the study was to test whether obesity (BMI ≥ 30 kg/m2) is one of the risk factors underlying frequent RTIs in the German adult population. METHODS:We recruite...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5172-8
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:The disclosure of widespread sexual abuse committed by professional educators and clergymen in institutions in Germany ignited a national political debate, in which special attention was paid to church-run institutions. We wanted to find out whether the nature of the abuse and its effect on victims differed ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-282
更新日期:2014-03-27 00:00:00
abstract:BACKGROUND:Digital rectal examination (DRE) is one of the most common strategies for prostate cancer early detection. However, the use for screening purposes has a controversial benefit and potential harms can occur due to false-positive results, overdiagnosis and overtreatment. The objective of this study is to calcul...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7946-z
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Pre-exposure prophylaxis (PrEP) is an effective biomedical strategy to prevent transmission of HIV infection, although medication adherence remains a challenge. We present the protocol for a multicentre randomised controlled trial to measure the effectiveness of a real-time monitoring and just-in-time interv...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12889-020-08709-2
更新日期:2020-07-24 00:00:00
abstract:BACKGROUND:The aim of this pilot study was to assess the feasibility of a large-scale epidemiologic investigation elucidating the quantitative association between occupational exposure to asbestos and ovarian cancer in former German asbestos workers. METHODS:Between December 2017 and May 2018, a random sample of one t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7590-7
更新日期:2019-10-22 00:00:00