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Emerging Trends in Non-Communicable Disease Mortality in South Africa; 1997 - 2010
Bradshaw, D; Dorrington, R. E; Groenewald, P; Joubert, J. D; Laubscher, R; Msemburi, W; Nojilana, B; Pillay-Van Wyk, V; Somdyala, N. I.
Affiliation
  • Bradshaw, D; s.af
  • Dorrington, R. E; s.af
  • Groenewald, P; s.af
  • Joubert, J. D; s.af
  • Laubscher, R; s.af
  • Msemburi, W; s.af
  • Nojilana, B; s.af
  • Pillay-Van Wyk, V; s.af
  • Somdyala, N. I; s.af
S. Afr. med. j. (Online) ; 106(5): 477-484, 2016.
Article in En | AIM | ID: biblio-1271093
Responsible library: CG1.1
ABSTRACT

OBJECTIVES:

National trends in age-standardised death rates (ASDRs) for non-communicable diseases (NCDs) in South Africa (SA) were identified between 1997 and 2010.

METHODS:

As part of the second National Burden of Disease Study; vital registration data were used after validity checks; proportional redistribution of missing age; sex and population group; demographic adjustments for registration incompleteness; and identification of misclassified AIDS deaths. Garbage codes were redistributed proportionally to specified codes by age; sex and population group. ASDRs were calculated using mid-year population estimates and the World Health Organization world standard.

RESULTS:

Of 594 071 deaths in 2010; 38.9% were due to NCDs (42.6% females). ASDRs were 287/100 000 for cardiovascular diseases (CVDs); 114/100 000 for cancers (malignant neoplasms); 58/100 000 for chronic respiratory conditions and 52/100 000 for diabetes mellitus. An overall annual decrease of 0.4% was observed resulting from declines in stroke; ischaemic heart disease; oesophageal and lung cancer; asthma and chronic respiratory disease; while increases were observed for diabetes; renal disease; endocrine and nutritional disorders; and breast and prostate cancers. Stroke was the leading NCD cause of death; accounting for 17.5% of total NCD deaths. Compared with those for whites; NCD mortality rates for other population groups were higher at 1.3 for black Africans; 1.4 for Indians and 1.4 for coloureds; but varied by condition.

CONCLUSIONS:

NCDs contribute to premature mortality in SA; threatening socioeconomic development. While NCD mortality rates have decreased slightly; it is necessary to strengthen prevention and healthcare provision and monitor emerging trends in cause-specific mortality to inform these strategies if the target of 2% annual decline is to be achieved
Subject(s)
Full text: 1 Main subject: Chronic Disease Language: En Journal: S. Afr. med. j. (Online) Year: 2016 type: Article
Full text: 1 Main subject: Chronic Disease Language: En Journal: S. Afr. med. j. (Online) Year: 2016 type: Article