Adult mortality rate is a critical indicator used to assess the level of national development in most sub-Saharan African countries. However, estimation of adult mortality rates requires comprehensive and accurate reporting of adult deaths, which is one of the challenges faced by most sub-Saharan African countries. Using data from Demographic and Health Surveys conducted between 1990 and 2014 in 25 countries in sub-Saharan Africa, we examine trends in all-cause prime adult mortality (measured by the probability of dying between exact ages 15 and 50) and sex differences in adult mortality by region. Our paper provides a basis for tracking progress in reducing adult mortality and improving overall health. The median probability of dying was 173 per 1000 for women in the latest surveys, an increase from 166 per 1000 during the initial surveys. The median value for men was 177 per 1000; a decrease from the initial surveys which was 202 per 1000. Across all countries, the average annual increase in the probability of dying was higher for women (1.08%) than men (0.49%). Intensive efforts are needed to improve adult survival and ensure that sub-Saharan Africa achieves the Sustainable Development Goals by 2030. In particular, efforts to mitigate the premature risk of dying among women need to be intensified.

中文翻译：

---

撒哈拉以南非洲成年人的成年死亡率：审查1990年至2014年进行的人口与健康调查趋势

成人死亡率是评估大多数撒哈拉以南非洲国家国家发展水平的关键指标。但是，估计成人死亡率需要全面，准确地报告成人死亡，这是大多数撒哈拉以南非洲国家面临的挑战之一。使用1990年至2014年之间在撒哈拉以南非洲25个国家进行的人口与健康调查数据，我们研究了全因成人的主要死亡率（以15岁至50岁之间死亡的概率衡量）和成人性别差异的趋势地区死亡率。我们的论文为跟踪降低成人死亡率和改善整体健康的进展提供了基础。在最近的调查中，女性的平均死亡概率为173/1000，这比最初的调查中的每千166增加了。男性中位数为千分之177。与最初的调查（每千人中有202例）相比有所下降。在所有国家中，妇女（1.08％）的死亡概率年均增长高于男性（0.49％）。需要加倍努力，以提高成年人的生存率，并确保撒哈拉以南非洲在2030年前实现可持续发展目标。特别是，需要加大力度减轻妇女过早死亡的风险。