Reliable mortality statistics for Turkey: Are we there yet?

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dc.authoridDinc Horasan, Gonul/0000-0001-9999-4102
dc.authoridOcek, Zeliha Asli/0000-0002-5806-7035
dc.authoridRao, Chalapati/0000-0002-9554-0581
dc.contributor.authorOzdemir, Raziye
dc.contributor.authorRao, Chalapati
dc.contributor.authorOcek, Zeliha
dc.contributor.authorHorasan, Gonul Dinc
dc.date.accessioned2024-09-29T16:05:11Z
dc.date.available2024-09-29T16:05:11Z
dc.date.issued2015
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground: The Turkish government has implemented several reforms to improve the Turkish Statistical Institute Death Reporting System (TURKSTAT-DRS) since 2009. However, there has been no assessment to evaluate the impact of these reforms on causes of death statistics. This study attempted to analyse the impact of these reforms on the TURKSTAT-DRS for Turkey, and in the case of Izmir, one of the most developed provinces in Turkey. Methods: The evaluation framework comprised three main components each with specific criteria. Firstly, data from TURKSTAT for Turkey and Izmir for the periods 2001-2008 and 2009-2013 were assessed in terms of the following dimensions that represent quality of mortality statistics (a. completeness of death registration, b. trends in proportions of deaths with ill-defined causes). Secondly, the quality of information recorded on individual death certificates from Izmir in 2010 was analysed for a. missing information, b. timeliness of death notifications and c. characteristics of deaths with ill-defined causes. Finally, TURKSTAT data were analysed to estimate life tables and summary mortality indicators for Turkey and Izmir, as well as the leading causes-of-death in Turkey in 2013. Results: Registration of adult deaths in Izmir as well as at the national level for Turkey has considerably improved since the introduction of reforms in 2009, along with marked decline in the proportions of deaths assigned ill-defined causes. Death certificates from Izmir indicated significant gaps in recorded information for demographic as well as epidemiological variables, particularly for infant deaths, and in the detailed recording of causes of death. Life expectancy at birth estimated from local data is 3-4 years higher than similar estimates for Turkey from international studies, and this requires further investigation and confirmation. Conclusion: The TURKSTAT-DRS is now an improved source of mortality and cause of death statistics for Turkey. The reliability and validity of TURKSTAT data needs to be established through a detailed research program to evaluate completeness of death registration and validity of registered causes of death. Similar evaluation and data analysis of mortality indicators is required at regular intervals at national and sub-national level, to increase confidence in their utility as primary data for epidemiology and health policy.en_US
dc.identifier.doi10.1186/s12889-015-1904-1
dc.identifier.issn1471-2458
dc.identifier.pmid26058703en_US
dc.identifier.scopus2-s2.0-84938950767en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s12889-015-1904-1
dc.identifier.urihttps://hdl.handle.net/20.500.14619/6539
dc.identifier.volume15en_US
dc.identifier.wosWOS:000356175100002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Public Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTurkish Statistical Instituteen_US
dc.subjectDeath Reporting Systemen_US
dc.subjectVital Registrationen_US
dc.subjectMortality statisticsen_US
dc.subjectIzmiren_US
dc.subjectTurkeyen_US
dc.titleReliable mortality statistics for Turkey: Are we there yet?en_US
dc.typeArticleen_US

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