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Mortality in Tonga over three triennia, 2010-2018
Carah Figueroa1, Christine Linhart1, Latu Fusimalohi2
1School of Population Health, University of New South Wales, UNSW Sydney, Sydney, Australia.
BMC Public Health
|January 7, 2021
Summary
Tongan infant and under-five mortality rates remained low but life expectancy was static due to high adult mortality. Empirical data revealed lower life expectancy and higher adult mortality than international estimates.
Area of Science:
- Demography
- Public Health
- Epidemiology
Background:
- Tonga, a South Pacific Island nation, has a population of 100,651 (2016 Census).
- This study focuses on mortality trends in Tonga from 2010 to 2018.
Purpose of the Study:
- To examine Tongan infant mortality rates (IMR), under-five mortality rates (U5MR), adult mortality, and life expectancy (LE) at birth.
- To compare empirical mortality data with previously published estimates.
Main Methods:
- Consolidated routinely collected mortality data (2010-2018) from multiple sources.
- Assessed data completeness using capture-recapture analysis (>95% complete).
- Estimated IMR, U5MR, adult mortality, and LE using the hypothetical cohort method and Poisson regression.
Main Results:
- Infant mortality rates (12-14/1000) and under-five mortality rates (15-19/1000) showed minimal variation.
- Life expectancy at birth was 64-65 years for males and 69-70 years for females.
- Adult mortality risks were higher in men; significant increases in adult mortality were observed in women (18-21%).
Conclusions:
- Life expectancy in Tonga remains low and static, significantly impacted by premature adult mortality.
- Empirical data suggest lower LE and higher adult mortality than international agency estimates.
- Improving mortality data systems is crucial for accurate health monitoring and planning in Tonga.
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