Publications by authors named "Andrea Verhulst"

Introduction: Estimates for cause-specific mortality for neonates are generally available for all countries for neonates overall (0 to 28 days). However, cause-specific mortality is generally not being estimated at higher age resolution for neonates, despite evidence of heterogeneity in the causes of deaths during this period. We aimed to use the adapted log quadratic model in a setting where verbal autopsy was the primary means of determining cause of death.

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The average age of infant deaths, a10, and the average number of years lived-in the age interval-by those dying between ages 1 and 5, a41, are important quantities allowing the construction of any life table including these ages. In many applications, the direct calculation of these parameters is not possible, so they are estimated using the infant mortality rate-or the death rate from 0 to 1-as a predictor. Existing methods are general approximations that do not consider the full variability in the age patterns of mortality below the age of 5.

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Introduction: Countries without complete civil registration and vital statistics systems rely on retrospective full pregnancy history surveys (FPH) to estimate incidence of pregnancy and mortality outcomes, including stillbirth and neonatal death. Yet surveys are subject to biases that impact demographic estimates, and few studies have quantified these effects. We compare data from an FPH vs.

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Article Synopsis
  • Infant and neonatal mortality estimates often rely on retrospective surveys, which may suffer from biases like under-reporting and age misreporting, leading to inaccurate data.
  • This study analyzed data from 11 population-based cohort studies, finding that rigorous protocols and frequent follow-ups significantly enhance the accuracy of mortality data, particularly in capturing birth outcomes and reducing missed deaths.
  • Results showed that neonatal mortality rates were generally consistent with existing Demographic and Health Survey data in certain regions, while disparities were evident in others, highlighting the potential of prospective studies to provide better insights into infant mortality trends in low- and middle-income countries.
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  • * The study analyzed data from various sources, including 277 Demographic and Health Surveys and other systems, covering child mortality from 1966 to 2020, breaking death rates into specific age groups for assessment.
  • * Findings revealed that in south Asia and sub-Saharan Africa, under-5 mortality rates were significantly higher than predicted, particularly for infants under 28 days and children over 6 months, indicating critical age-specific health challenges in 17 identified countries.
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  • The study investigates the higher neonatal mortality rates in boys compared to girls within the first 28 days of life in a low-income setting in Nepal, revealing a consistent pattern of increased mortality in boys during the first week.
  • Data from neonates born between 1999 and 2017 were analyzed, showing that while boys have higher mortality during the early days, this trend reverses by the fourth week, with girls facing significantly higher mortality rates.
  • The findings suggest that gender discrimination might contribute to these discrepancies, emphasizing the need for interventions addressing social norms to reduce female neonatal mortality.
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Information about how the risk of death varies with age within the 0-5 age range represents critical evidence for guiding health policy. This study proposes a new model for summarizing regularities about how under-5 mortality is distributed by detailed age. The model is based on a newly compiled database that contains under-5 mortality information by detailed age in countries with high-quality vital registration systems, covering a wide array of mortality levels and patterns.

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Background: The infant mortality rate (IMR) is a critical indicator of population health, but its measurement is subject to response bias in countries without complete vital registration systems who rely instead on birth histories collected via sample surveys. One of the most salient bias is the fact that child deaths in these birth histories tend to be reported with a large amount of heaping at age 12 months. Because of this issue, analysts and international agencies do not directly use IMR estimates based on surveys such as Demographic and Health Surveys (DHS); they rely instead on mortality models such as model life tables.

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Background: There is growing empirical evidence supporting theories of developmental origins of health and disease (DOHaD). However, the implications of DOHaD conjectures for aggregate population patterns of human disease, disability, mortality and aging are poorly understood.

Objective: We empirically test two predictions derived from a formal model of aggregate population-level impacts of DOHaD.

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