Burden of Digestive Diseases

 

Digestive diseases, such as peptic ulcer, cirrhosis of the liver, appendicitis, gastritis and duodenitis, inflammatory bowel disease, and pancreatitis, have a high impact on morbidity and disability. They are causes of a high level of premature mortality in low- and middle-income countries.

This data visualization presents estimates of the burden of digestive diseases, including mortality and disability measures, for all digestive diseases and 9 underlying causes of mortality and disability by age, sex, and country in the Region of the Americas from 2000 to 2019. 

Mortality

Regionwide in 2019, digestive disorders accounted for:

  • 375,170 deaths, 215,168 deaths in men, and 160,002 deaths in women
  • a crude rate of 37.2 deaths per 100,000 population (43.3 deaths/100,000 in men and 31.3 deaths/100,000 in women)
  • an age-standardized death rate of 28.4 deaths per 100,000 population (36.6 deaths/100,000 in men and 21.1 deaths/100,000 in women) 

From 2000 to 2019:

  • the number of deaths and the crude death rates per population increased
  • the age-standardized death rate decreased from 31.5 deaths/100,000 population in 2000 to 28.4 deaths/100,000 population informing that the increase in both the absolute number of deaths and the crude rate is mainly due to the population aging. 

Countries with the highest age-standardized death rates:

  1. Honduras
  2. Guatemala
  3. Bolivia
  4. Haití
  5. Guyana
  6. Mexico
  7. Nicaragua
Suggested citation

PAHO. The burden of digestive diseases in the Region of the Americas, 2000-2019. Pan American Health Organization. 2021.

DATA CLASSIFICATION

In the map and horizontal bar chart, the data is presented in five classes created using the quantile classification method. Each class contains 20% of countries, which is easy to interpret. The quintile intervals are labeled sequentially from Quintile 1, also called the bottom quintile which includes the lowest fifth (0 to 20%) of data points to Quintile 5 (or top quintile), which includes the top fifth (80% to 100%) of data points.

INDICATOR DEFINITION

Measure: Death, Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLDs), and Years of Life Lost (YLLs) due to premature death.  

Metric: Rate

Unit of Measure: For mortality measures: deaths per 100,000 population. For measures of burden of disease: years per 100,000 population 

Topic: Mortality and burden of disease

Rationale: Measuring how many people die each year and why they died is one of the most important means – along with gauging how diseases and injuries are affecting people – for assessing the effectiveness of a country’s health system. Statistics of causes of death and disability help inform public health policy and planning.

Definitions:

Cardiovascular disease death rate: Number of deaths due to cardiovascular diseases in a year, divided by the population and multiplied by 100 000.

DALY rate: Number of DALYs due to cardiovascular diseases in a year, divided by the population and multiplied by 100 000.

YLD rate: Number of YLD due to cardiovascular diseases in a year, divided by the population and multiplied by 100 000.

YLL rate: Number of YLL due to cardiovascular diseases in a year, divided by the population and multiplied by 100 000.

Disaggregation: Age, Sex, Country, and Year.

The categories "All-ages, and Age-standardized included in the dimension Age, have the following meaning:

  • All-ages indicate that the death rate was computed by the aggregation of deaths from every age group, and the rate is crude (without removing the effect of age distribution across population groups or geographies).
  • Age-standardized indicates that the death rate refers to all ages but it has been age-standardized by the direct method using the WHO world standard population.

Method of estimation: Mortality and burden of disease measures by cause, age, sex, and location (countries, the region of the Americas, and subregions) were computed based on estimates of the absolute number of deaths, disability-adjusted life years (DALYs), years lived with disability (YLDs), and years of life lost (YLLs) due to premature mortality from the World Health Organization (WHO) Global Health Estimates 2019 (GHE). These data represent the best and most updated estimates of the WHO which have been computed using standard categories, definitions, and methods to ensure cross-country comparability, and may not be the same as official national estimates. 

Methodological details:

Data sources and methods for estimating causes of deaths and burden of diseases are described in the following documents

Method of estimation of the regional and subregional aggregates: Calculated by aggregating the country values (both numerator and the population) using population estimates from the World Population Prospects 2019, produced by the UN Population Division, as denominators.

Preferred data sources: Civil Registration and Vital Statistics (CRVS) systems with complete coverage and medical certification of cause of death.

  1. WHO. WHO methods and data sources for country-level causes of death 2000-2019. Geneva: World Health Organization; 2020. Available online (accessed 1 February 2021).
  2. WHO. WHO methods and data sources for global burden of disease estimates, 2000-2019. Geneva: World Health Organization, 2020. Available online (accessed 1 February 2021).
  3. PAHO. Methodological Notes, NMH Data Portal. Pan American Health Organization. 2021.