Determinants of sex differentials in mortality: an assessment of household- level factors in South Africa
Population studies
33
Issue: 1
(02 - 2019)
Background: Increasingly high male mortality hinders progress towards improving overall life
expectancy.
Data Source & Method: The study used data from South Africa's 2016 Community Survey to examine the
household-level determinants of male mortality. Chi square tests and binary logistic regression
were used.
Results: Out of the 30,022 deaths in the sample, males comprised 52.8%. Male deaths were high at
all ages except for age group 75 + years. Odds of male mortality were higher (OR:2.08; CI: I .98-2.
18) among those that lived in female headed households or White-headed households (OR: I .50;CI: I
.29- 1 .73). There was less Iil‹eIihood of male deaths (OR:0.9 I ;CI:0.87-0.97) in households that
were not involved in agriculture.
Conclusion: Overall, mortality differentials were largely explained by household demographics
including age, race and gender dynamics of heads of households. We recommend a multi-sectoral
policy and programme implementation that promotes deliberate inclusiveness of household
characteristics in their delivery.
Keywords: South Africa, mortality, longevity, logistic regression, households
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