@article{fdi:010094986,
  title = {{A}dult mortality and nutrition in rural {S}enegal : evidence of an epidemiologic transition},
  author = {{V}anhoutte, {L}. and {P}avard, {S}. and {C}ohen, {E}. and {F}leury, {L}aurence and {D}uthe, {G}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {G}lobal mortality transitions are driven by the epidemiologic transition, resulting in a rise in non-communicable diseases ({NCD}s), which are partly shaped by the nutrition transition and associated chronic conditions. {I}n low- and middle-income countries, these shifts are often viewed as primarily urban phenomena. {R}ural populations may therefore be overlooked in efforts to prevent and manage {NCD}s, despite facing critical public health challenges. {O}bjective {T}his study examines changing patterns of adult mortality and causes of death in rural {S}enegal to illustrate ongoing mortality, epidemiologic, and nutrition transitions.{M}ethods{U}sing data from three rural sites in the {S}enegalese {H}ealth and {D}emographic {S}urveillance {S}ystem, we analysed adult mortality from 1985 to 2020. {W}e calculated all-cause and cause-specific mortality rates among individuals aged 15 to 70 years, based on causes of death determined through verbal autopsy. {R}esults {M}ortality declined across all age groups. {D}eaths from communicable diseases, maternal conditions, and undernutrition decreased substantially. {NCD}s have surpassed communicable diseases as the leading cause of death. {C}auses of death associated with undernutrition have declined, while diet-related {NCD}s have increased.{C}onclusions{A}dult mortality is declining in the three rural {S}enegalese sites studied, due to a decline in epidemics. {H}owever, {NCD}s now pose a major rural health threat, consistent with epidemiologic transition theory. {T}he reversal between mortality patterns associated with undernutrition and diet-related {NCD}s may signal an ongoing nutrition transition. {S}trong health systems are crucial for both preventing and treating {NCD}s, and robust health information systems are needed to support deeper analysis of this issue.},
  keywords = {{N}utrition transition ; verbal autopsy ; {H}ealth and {D}emographic ; {S}urveillance {S}ystem ({HDSS}) ; non-communicable diseases ({NCD}s) ; health transition ; {N}iakhar ; {M}lomp ; {B}andafassi ; sub-{S}aharan {A}frica ; global health ; {SENEGAL} ; {NIAKHAR}},
  booktitle = {},
  journal = {{G}lobal {H}ealth {A}ction},
  volume = {18},
  numero = {1},
  pages = {2547493 [16 p.]},
  year = {2025},
  DOI = {10.1080/16549716.2025.2547493},
  URL = {https://www.documentation.ird.fr/hor/fdi:010094986},
}