Male deaths spike in AP's 25-44 age group: CSR data

Time of India

21 hours ago

Visakhapatnam: Days after the Union govt released the 2021 civil registration system (CRS) data, it unveiled the 2022 CRS figures this week. An analysis of CRS datasets spanning the past decade reveals that male deaths in the 15-54-year age group have consistently outnumbered female deaths in AP, with the gap widening over time.
In 2015, the male-to-female death ratio was relatively low at approximately 1:07, indicating near parity. By 2022, it increased to about 1:5, with male deaths in certain age groups — particularly 25-34 and 35-44 — more than doubling those of females.
While a general excess in male mortality is common across age groups, the magnitude and persistence of this disparity in the working-age population, particularly within the 25-44 bracket, are significantly greater than in other cohorts.
This distinct pattern strongly suggests that the underlying causes of mortality during these productive years disproportionately affect males.
While there was no significant difference in 2015, a marked shift began in 2016 and continued thereafter. By 2022, males aged 35-44 were dying at a rate 2.52 times that of females, while the 25-34 group recorded a ratio of 2.42. The 15-24 age group also experienced a moderate increase in disparity, rising from 1.07 in 2015 to 1.87 in 2022.
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However, the sharpest divergence was observed among 25-44-year-olds, where male deaths began consistently doubling female deaths. For instance, the 25-34 age group exhibited a male-to-female death ratio exceeding 2:1 from 2017 onwards—approximately 2.1 in 2018, 2.4 in 2021, and 2.42 in 2022—making it one of the most disproportionately affected demographics. This sustained ratio above 2:1 is a significant and alarming trend, indicating that for every female death, more than two males die in this crucial age group.
Similarly, the 35–44 age group maintained a consistently high male-to-female death ratio, often exceeding 2:1, with figures around 2.36 in 2018 and 2.52 in 2022. In contrast, the 44-54 age group, while still showing elevated male mortality, had slightly lower ratios—2.01 in 2018, 1.73 in 2021, and 1.88 in 2022.
Dr K Rambabu, director of Visakha Institute of Medical Sciences, said that the persistent high male mortality among younger adults, particularly in the 25–34 age group, likely reflects increased trauma cases, suicides, occupational hazards, and external causes such as road accidents.
"Early-onset non-communicable diseases further compound male health risks, as cardiovascular and metabolic disorders typically manifest about a decade earlier in men than in women, driving higher mortality in the 35–44 age group.
These outcomes are exacerbated by behavioural and systemic factors, including greater risk-taking, lower health-seeking behaviour, and higher dropout rates from primary healthcare, which intensify the burden of otherwise treatable conditions among men," Dr.
Rambabu added.
General secretary of Praja Arogya Vedika, an association working for the healthcare needs of the public, T Kameshwar Rao urged the state govt to review and analyse the data and investigate the possible causes of the increased male mortality in the middle-aged groups.
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