Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study

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dc.contributor.authorOni, Tolu
dc.contributor.authorYoungblood, Elizabeth
dc.contributor.authorBoulle, Andrew
dc.contributor.authorMcGrath, Nuala
dc.contributor.authorWilkinson, Robert J
dc.contributor.authorLevitt, Naomi S
dc.date.accessioned2015-01-20T13:22:15Z
dc.date.available2015-01-20T13:22:15Z
dc.date.issued2015-01-17
dc.date.updated2015-01-19T19:05:12Z
dc.description.abstractBackground: Many low and middle-income countries are experiencing colliding epidemics of chronic infectious (ID) and non-communicable diseases (NCD). As a result, the prevalence of multiple morbidities (MM) is rising. Methods: We conducted a study to describe the epidemiology of MM in a primary care clinic in Khayelitsha. Adults with at least one of HIV, tuberculosis (TB), diabetes (DM), and hypertension (HPT) were identified between Sept 2012-May 2013 on electronic databases. Using unique patient identifiers, drugs prescribed across all facilities in the province were linked to each patient and each drug class assigned a condition. Results: These 4 diseases accounted for 45% of all prescription visits. Among 14364 chronic disease patients, HPT was the most common morbidity (65%). 22.6% of patients had MM, with an increasing prevalence with age; and a high prevalence among younger antiretroviral therapy (ART) patients (26% and 30% in 18-35 yr and 36–45 year age groups respectively). Among these younger ART patients with MM, HPT and DM prevalence was higher than in those not on ART. Conclusions: We highlight the co-existence of multiple ID and NCD. This presents both challenges (increasing complexity and the impact on health services, providers and patients), and opportunities for chronic diseases screening in a population linked to care. It also necessitates re-thinking of models of health care delivery and requires policy interventions to integrate and coordinate management of co-morbid chronic diseases.en_ZA
dc.identifier.apacitationOni, T., Youngblood, E., Boulle, A., McGrath, N., Wilkinson, R. J., & Levitt, N. S. (2015). Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study. <i>BMC Infectious Diseases</i>, http://hdl.handle.net/11427/12269en_ZA
dc.identifier.chicagocitationOni, Tolu, Elizabeth Youngblood, Andrew Boulle, Nuala McGrath, Robert J Wilkinson, and Naomi S Levitt "Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study." <i>BMC Infectious Diseases</i> (2015) http://hdl.handle.net/11427/12269en_ZA
dc.identifier.citationBMC Infectious Diseases. 2015 Jan 17;15(1):20en_ZA
dc.identifier.issn1471-2334en_ZA
dc.identifier.ris TY - Journal Article AU - Oni, Tolu AU - Youngblood, Elizabeth AU - Boulle, Andrew AU - McGrath, Nuala AU - Wilkinson, Robert J AU - Levitt, Naomi S AB - Background: Many low and middle-income countries are experiencing colliding epidemics of chronic infectious (ID) and non-communicable diseases (NCD). As a result, the prevalence of multiple morbidities (MM) is rising. Methods: We conducted a study to describe the epidemiology of MM in a primary care clinic in Khayelitsha. Adults with at least one of HIV, tuberculosis (TB), diabetes (DM), and hypertension (HPT) were identified between Sept 2012-May 2013 on electronic databases. Using unique patient identifiers, drugs prescribed across all facilities in the province were linked to each patient and each drug class assigned a condition. Results: These 4 diseases accounted for 45% of all prescription visits. Among 14364 chronic disease patients, HPT was the most common morbidity (65%). 22.6% of patients had MM, with an increasing prevalence with age; and a high prevalence among younger antiretroviral therapy (ART) patients (26% and 30% in 18-35 yr and 36–45 year age groups respectively). Among these younger ART patients with MM, HPT and DM prevalence was higher than in those not on ART. Conclusions: We highlight the co-existence of multiple ID and NCD. This presents both challenges (increasing complexity and the impact on health services, providers and patients), and opportunities for chronic diseases screening in a population linked to care. It also necessitates re-thinking of models of health care delivery and requires policy interventions to integrate and coordinate management of co-morbid chronic diseases. DA - 2015-01-17 DB - OpenUCT DO - 10.1186/s12879-015-0750-1 DP - University of Cape Town J1 - BMC Infectious Diseases LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 SM - 1471-2334 T1 - Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study TI - Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study UR - http://hdl.handle.net/11427/12269 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12879-015-0750-1
dc.identifier.urihttp://hdl.handle.net/11427/12269
dc.identifier.urihttp://hdl.handle.net/11427/12269
dc.identifier.urihttp://dx.doi.org/10.1186/s12879-015-0750-1
dc.identifier.vancouvercitationOni T, Youngblood E, Boulle A, McGrath N, Wilkinson RJ, Levitt NS. Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study. BMC Infectious Diseases. 2015; http://hdl.handle.net/11427/12269.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDivision of Public Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderOni et al.; licensee BioMed Central.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Infectious Diseasesen_ZA
dc.source.urihttp://www.biomedcentral.com/1471-2334
dc.subject.otherHIVen_ZA
dc.subject.otherTuberculosisen_ZA
dc.subject.otherHypertensionen_ZA
dc.subject.otherDiabetesen_ZA
dc.subject.otherMultimorbidityen_ZA
dc.titlePatterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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