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- Prabhdeep Kaur, P K Borah, Pankaj V Uike, P K Mohapatra, Nabajit Kr Das, Pooja Gaigaware, Karma Jigme Tobgay, Aonungdok Tushi, ZorinsangiHealth & Family Welfare Department, Government of Mizoram, Aizwal, Mizoram, India., Gautam Mazumdar, Bibha Marak, Dirang Pizi, Tapas Chakma, A P Sugunan, P Vijayachari, Rakesh R Bhardwaj, Probin C Arambam, Tridip Kutum, Anand Sharma, Piyalee Pal, P C Shanmugapriya, Prathab Manivel, Neelakandan Kaliyamoorthy, Joy Chakma, Prashant Mathur, R S Dhaliwal, J Mahanta, and Sanjay M Mehendale.
- Division of Non-communicable Diseases, ICMR-National Institute of Epidemiology, Chennai, Tamil Nadu, India.
- Indian J Med Res. 2022 Aug 1; 156 (2): 250259250-259.
Background & ObjectivesNon-communicable diseases (NCDs) are the leading cause of death in India. Although studies have reported a high prevalence of NCD in tribal populations, there are limited data pertaining mortality due to NCDs. Therefore, in this study we estimated the proportion of deaths due to NCDs among 15 yr and older age group in tribal districts in India.MethodsWe conducted a community-based survey in 12 districts (one per State) with more than 50 per cent tribal population. Data were collected using a verbal autopsy tool from the family member of the deceased. The estimated sample size was 452 deaths per district. We obtained the list of deaths for the reference period of one year and updated it during the survey. The cause of death was assigned using the International Classification of Diseases-10 classification and analyzed the proportions of causes of death. The age-standardized death rate (ASRD) was also estimated.ResultsWe surveyed 5292 deaths among those above 15 years of age. Overall, NCDs accounted for 66 per cent of the deaths, followed by infectious diseases (15%) and injuries (11%). Cardiovascular diseases were the leading cause of death in 10 of the 12 sites. In East Garo Hills (18%) and Lunglei (26%), neoplasms were the leading cause of death. ASRD due to NCD ranged from 426 in Kinnaur to 756 per 100,000 in East Garo Hills.Interpretation & ConclusionsThe findings of this community-based survey suggested that NCDs were the leading cause of death among the tribal populations in India. It is hence suggested that control of NCDs should be one of the public health priorities for tribal districts in India.
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