Rising adult mortality is an essential feature of the mortality transition. Vulnerability to disease and infection decreases with age, and adult mortality is more likely to be from unnatural causes such as suicide, homicide and road traffic accidents. This study aimed to assess the patterns of unnatural deaths in India as a whole and for various population subgroups. Data were obtained from the fourth wave of the National Family Health Survey (NFHS-4) conducted in 2015–16 in 29 states and 7 union territories of India. The survey collected information on deaths in households occurring in the 3 years before the survey. Rate of unnatural mortality and years of life lost were calculated separately for males and females as well as for urban and rural populations. Unnatural mortality in India was found to make up 10.3% of total deaths, and was greater among the population aged 10 to 45 years. The unnatural mortality rate in India was 0.67 per 1000 population: 0.84 per 1000 among the male population and 0.49 per 1000 among the female population. A strict positive association was found between the unnatural mortality rate and a state’s development level. In addition, a substantial loss of person-years of life due to unnatural mortality was observed. The results serve as a reminder of the need to adopt measures to reduce this avoidable loss of life in India. Prevention strategies should be targeted at the most vulnerable populations to limit young-age fatality, with its resulting loss of productive years of life.

中文翻译：

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印度的非自然死亡

成人死亡率上升是死亡率转变的一个基本特征。对疾病和感染的脆弱性随着年龄的增长而降低，成人死亡率更有可能是由自杀、凶杀和道路交通事故等非自然原因造成的。本研究旨在评估整个印度和不同人口亚群的非自然死亡模式。数据来自于 2015-16 年在印度 29 个州和 7 个联邦领土进行的第四次全国家庭健康调查 (NFHS-4)。调查收集了调查前 3 年发生的家庭死亡信息。男性和女性以及城市和农村人口的非自然死亡率和寿命损失年数分别计算。印度的非自然死亡率占总死亡人数的 10.3%，并且在 10 至 45 岁的人群中更大。印度的非自然死亡率为每千人 0.67 人：男性每千人 0.84 人，女性每千人 0.49 人。非自然死亡率与国家发展水平之间存在严格的正相关关系。此外，观察到由于非自然死亡导致大量人寿损失。结果提醒人们需要采取措施减少印度这种可避免的生命损失。预防策略应针对最脆弱的人群，以限制年轻时的死亡率，从而减少生产性生命年限。女性人口中每 1000 人中有 49 人。非自然死亡率与国家发展水平之间存在严格的正相关关系。此外，观察到由于非自然死亡导致大量人寿损失。结果提醒人们需要采取措施减少印度这种可避免的生命损失。预防策略应针对最脆弱的人群，以限制年轻时的死亡率，从而减少生产性生命年限。女性人口中每 1000 人中有 49 人。非自然死亡率与国家发展水平之间存在严格的正相关关系。此外，观察到由于非自然死亡导致大量人寿损失。结果提醒人们需要采取措施减少印度这种可避免的生命损失。预防策略应针对最脆弱的人群，以限制年轻时的死亡率，从而减少生产性生命年限。