The Causes of Death and Their Influence in Life Expectancy of Children Aged 5-14 Years in Low- and Middle-Income Countries From 1990 to 2019.

Abstract

IntroductionAlthough child and adolescent health is the core of the global health agenda, the cause of death and its expected contribution to life expectancy (LE) among those aged 5–14 are under-researched across countries, especially in low- and middle-income countries (LMICs).MethodsDeath rates per 10 years age group including a 5–14-year-old group were calculated by the formula, which used the population and the number of deaths segmented by the cause of death and gender from the 2019 Global Burden of Disease (GBD) study. LE and cause-eliminated LE in 10-year intervals were calculated by using life tables.ResultsIn 2019, the global mortality rate for children and adolescents aged 5–14 years was 0.522 (0.476–0.575) per 1,000, and its LF was 71.377 years. In different-income regions, considerable heterogeneity remains in the ranking of cause of death aged 5–14 years. The top three causes of death in low-income countries (LICs) are enteric infections [0.141 (0.098–0.201) per 1,000], other infectious diseases [0.103 (0.073–0.148) per 1,000], and neglected tropical diseases and malaria [0.102 (0.054–0.172) per 1,000]. Eliminating these mortality rates can increase the life expectancy of the 5–14 age group by 0.085, 0.062, and 0.061 years, respectively. The top three causes of death in upper-middle income countries (upper MICs) are unintentional injuries [0.066 (0.061–0.072) per 1,000], neoplasm [0.046 (0.041–0.050) per 1,000], and transport injuries [0.045 (0.041–0.049) per 1,000]. Eliminating these mortality rates can increase the life expectancy of the 5–14 age group by 0.045, 0.031, and 0.030 years, respectively.ConclusionThe mortality rate for children and adolescents aged 5–14 years among LMICs remains high. Considerable heterogeneity was observed in the main causes of death among regions. According to the main causes of death at 5–14 years old in different regions and countries at different economic levels, governments should put their priority in tailoring their own strategies to decrease preventable mortality.