| Journal: | Belize journal of medicine |
| Database: | PERIÓDICA |
| System number: | 000418970 |
| ISSN: | 2225-8116 |
| Authors: | Morey, Francis1 Hambleton, Ian R2 Samuels, Alafia3 |
| Institutions: | 1Ministry of Health, Belize City. Belice 2University of the West Indies, Chronic Diseases Research Centre, Kingston. Jamaica 3University of the West Indies, Cave Hill. Barbados |
| Year: | 2013 |
| Season: | Jul |
| Volumen: | 2 |
| Number: | 2 |
| Pages: | 13-15 |
| Country: | Belice |
| Language: | Inglés |
| Document type: | Estadística o encuesta |
| Approach: | Caso clínico |
| English abstract | Belize is a lower middle income country with Gross National Income per capita in 2010 of US$3,939 [1]. Life expectancy at birth is 76.3 years [2]. Located in Central America, it has a population of 323,359 based on the 2010 census. There are distinct ethnic groups and cultures. Continuous international research has confirmed the relationship between socioeconomic status and health. We have identified few studies on the social determinants of health in the Caribbean, thus the importance of disease surveillance [3]. We have not identified any studies of the social determinants and health status in Belize. OBJECTIVE.To describe social determinants of mortality in Belize. METHODS. A cross sectional descriptive study of mortality utilized the entire Belize population (2010 census data), multiplied by three to correspond with deaths over 3 years, ICD10 (WHO International Classification of Diseases 10th Revision) mortality classification of 2008 – 2010 to calculate deaths, all-cause, sex and cervical cancer mortality rates. Poisson regression compared death rates between ethnicities, using the largest population group, the Mestizos as reference. RESULTS. There were 4,312 deaths in Belize 2008 – 2010. Men had a 40% higher risk of death (IRR –Incidence Risk Ratio 1.4, 95% CI 1.3, 1.5). Crude death rate was 4.4/1,000 population, with highest rates among the dark skinned peoples of the Garifuna (7.9) and Creole (7.5) compared to light-skinned Mestizo (3.2) and Maya (3.3/1000) P-value<0.001. Compared to the Mestizo population, and adjusted for age and sex, Creole all cause mortality IRR was 2.1 (95% CI 1.9, 2.2) and Garifuna was 2.2 (95% CI 1.9, 2.4) Cervical cancer mortality /100,000 women ≥20 years was 9.5 (n=42) ranging from 6.3 to 16.1 among the Mestizo and Maya respectively. Compared to Mestizo women and adjusted for age, the IRR for cervical cancer mortality in Maya women 2.7 (95%CI 1.1, 6.7) |
| Disciplines: | Medicina, Antropología, Demografía |
| Keyword: | Oncología, Etnología y antropología social, Características de la población, Belice, Tasa de mortalidad, Etnicidad, Mortalidad, Cáncer cervical |
| Keyword: | Oncology, Ethnology and social anthropology, Demographics, Belize, Mortality rate, Ethnicity, Mortality, Cervical cancer |
| Full text: | Texto completo (Ver PDF) |
