Initial burden of disease estimates for South Africa, 2000
dc.contributor.author | Bradshaw, Debbie | |
dc.contributor.author | Groenewald, Pam | |
dc.contributor.author | Laubscher, Ria | |
dc.contributor.author | Nannan, Nadine | |
dc.contributor.author | Nojilana, Beatrice | |
dc.contributor.author | Rosana, Norman | |
dc.contributor.author | Pieterse, Desiréé | |
dc.contributor.author | Schneider, Michelle | |
dc.contributor.author | Bourne, David E | |
dc.contributor.author | Timæus, Ian M | |
dc.contributor.author | Dorrington, Rob | |
dc.contributor.author | Johnson, Leigh | |
dc.date.accessioned | 2019-03-11T13:41:09Z | |
dc.date.available | 2019-03-11T13:41:09Z | |
dc.date.issued | 2003 | |
dc.date.updated | 2019-03-11T10:42:34Z | |
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 accurate. | |
dc.identifier.apacitation | Bradshaw, D., Groenewald, P., Laubscher, R., Nannan, N., Nojilana, B., Rosana, N., ... Johnson, L. (2003). Initial burden of disease estimates for South Africa, 2000. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/29915 | en_ZA |
dc.identifier.chicagocitation | Bradshaw, Debbie, Pam Groenewald, Ria Laubscher, Nadine Nannan, Beatrice Nojilana, Norman Rosana, Desiréé Pieterse, et al "Initial burden of disease estimates for South Africa, 2000." <i>South African Medical Journal</i> (2003) http://hdl.handle.net/11427/29915 | en_ZA |
dc.identifier.citation | Bradshaw, Debbie; Groenewald, Pam; Laubscher, Ria; Nannan, Nadine; Nojilana, Beatrice; Rosana, Norman; Pieterse, Desiréé; Schneider, Michelle; Bourne, David E; Timæus, Ian M; Dorrington, Rob; Johnson, Leigh. (2003). Initial burden of disease estimates for South Africa, 2000, 93: 682-688 | |
dc.identifier.ris | TY - AU - Bradshaw, Debbie AU - Groenewald, Pam AU - Laubscher, Ria AU - Nannan, Nadine AU - Nojilana, Beatrice AU - Rosana, Norman AU - Pieterse, Desiréé AU - Schneider, Michelle AU - Bourne, David E AU - Timæus, Ian M AU - Dorrington, Rob AU - Johnson, Leigh AB - 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 accurate. DA - 2003 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2003 T1 - Initial burden of disease estimates for South Africa, 2000 TI - Initial burden of disease estimates for South Africa, 2000 UR - http://hdl.handle.net/11427/29915 ER - | en_ZA |
dc.identifier.uri | http://hdl.handle.net/11427/29915 | |
dc.identifier.vancouvercitation | Bradshaw D, Groenewald P, Laubscher R, Nannan N, Nojilana B, Rosana N, et al. Initial burden of disease estimates for South Africa, 2000. South African Medical Journal. 2003; http://hdl.handle.net/11427/29915. | en_ZA |
dc.language.iso | eng | |
dc.publisher.department | Department of Chemical Engineering | |
dc.publisher.faculty | Faculty of Engineering and the Built Environment | |
dc.source | South African Medical Journal | |
dc.source.uri | http://www.samj.org.za | |
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 | |
dc.type | Journal Article |