Influence of key health related indicators on adult mortality: Result from UN member countries

Chhabi Lal Ranabhat, Myung Bae Park, Chun Bae Kim, Chang Soo Kim, Hyoung Sun Jeong, Sang Baek Koh, Sei Jin Chang

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Background: Adult mortality is associated with different demographic and behavioral risk factors including approaches to health care financing. Adult mortality rate significantly reflects the effectiveness of public health-related program and intervention. The aim of this study was to find strength of association between key health's related indicators and adult mortality rate. Methods: This cross-sectional study used 5 sets of data combined into one from different organizations of 193 countries using record linkage theory. Eleven key health-related indicators were taken as independent variables and adult mortality of male and female were dependent variables from 2010 to 2013. Average mortality for male and female was shown by means and standard deviations, raw association by Pearson correlation and strength of association by hierarchical linear regression. Results: The average adult mortality rate (AMR) of male was 0.209±0.106 and of female, 0.146 ±0.105 in years. In raw correlation, almost all health indicators were associated with AMR of male and female. In regression analysis, Universal Health Coverage (UHC) significantly reduced (male ~0.43, female ~0.30) adult mortality, in contrast, population growth significantly increased (male ~ 0.37, female ~0.43). Alcohol consumption per year increased AMR in male by 0.41 (P<0.01) and vaccination coverage (DPT 3) significantly reduced the AMR (0.26) in female. Conclusion: It is necessary to extend the UHC in remaining countries and still a need to control the population where there is high population growth. Effectively control of alcoholic drink in male and full coverage of vaccination in childhood mitigates adult mortality. The UHC is ambitious goal for SDG and special attention should be provided nationally and globally.

Original languageEnglish
Pages (from-to)794-802
Number of pages9
JournalIranian Journal of Public Health
Issue number6
Publication statusPublished - 2018 Jun

Bibliographical note

Funding Information:
This research is supported by Korean Medical Association (RIHP-2015-02) and National Research Foundation of Korea (NRF-2016S1A5B892520). We also thank Editage for editing the English content of this paper.

Publisher Copyright:
© 2018, Iranian Journal of Public Health. All rights reserved.

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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