Initial burden of disease estimates for South Africa, 2000


Show simple item record Bradshaw, Debbie Groenewald, Pam Laubscher, Ria Nannan, Nadine Nojilana, Beatrice Norman, Rosana Pieterse, Desiréé Schneider, Michelle Bourne, David E Ian M Timæus Dorrington, Rob Johnson, Leigh 2018-01-22T07:20:01Z 2018-01-22T07:20:01Z 2003
dc.identifier.citation Bradshaw, D., Groenewald, P., Laubscher, R., Nannan, N., Nojilana, B., Norman, R.,Pieterse, D. ; Schneider, M. ;Bourne, D.E. Timaeus, I.M. ; Dorrington, R., & Johnson, L. (2003). Initial burden of disease estimates for south africa, 2000 : Original article. South African Medical Journal, 93(9), p.682-688.
dc.description.abstract Background. This paper describes the first national burden of disease study for South Africa. The main focus is the burden due to premature mortality, i.e. years of life lost (YLLs). In addition, estimates of the burden contributed by morbidity, i.e. the years lived with disability (YLDs), are obtained to calculate disability-adjusted life years (DALYs); and the impact of AIDS on premature mortality in the year 2010 is assessed. Method. Owing to the rapid mortality transition and the lack of timely data, a modelling approach has been adopted. The total mortality for the year 2000 is estimated using a demographic and AIDS model. The non-AIDS cause-of-death profile is estimated using three sources of data: Statistics South Africa, the National Department of Home Affairs, and the National Injury Mortality Surveillance System. A ratio method is used to estimate the YLDs from the YLLestimates. Results. The top single cause of mortality burden was HIV/AIDS followed by homicide, tuberculosis, road traffic accidents and diarrhoea. HIV/AIDS accounted for 38% of total YLLs, which is proportionately higher for females (47%) than for males (33%). Pre-transitional diseases, usually associated with poverty and underdevelopment, accounted for 25%, non-communicable diseases 21% and injuries 16% of YLLs. The DALY estimates highlight the fact that mortality alone underestimates the burden of disease, especially with regard to unintentional injuries, respiratory disease, and nervous system, mental and sense organ disorders. The impact of HIV/AIDS is expected to more than double the burden of premature mortality by the year 2010 Conclusion. This study has drawn together data from a range of sources to develop coherent estimates of premature mortality by cause. South Africa is experiencing a quadruple burden of disease comprising the pre-transitional diseases, the emerging chronic diseases, injuries, and HIV/AIDS. Unless interventions that reduce morbidity and delay morbidity become widely available, the burden due to HIV/AIDS can be expected to grow very rapidly in the next few years. An improved base of information is needed to assess the morbidity impact more accurately
dc.source South African Medical Journal
dc.subject.other South Africa
dc.subject.other Burden of disease
dc.subject.other Morbidity
dc.subject.other Mortality
dc.subject.other HIV / AIDS
dc.subject.other Age factors
dc.subject.other Sex factors
dc.title Initial burden of disease estimates for South Africa, 2000 2016-01-15T14:00:50Z
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
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