The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa

Rheeder, Paul; Morris-Paxton, Angela A.; Ewing, Rose-Marie G.; Woods, Dillon

doi:10.4102/phcfm.v9i1.1466

Cited by 15 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study reports on the findings of cross-sectional, descriptive data collected after the initial household screening survey, 20 the clinic visits and the follow-up of patients. The period of screening relevant to the study was conducted by a dedicated team of community health outreach workers (CHOWs) from June 2013 to August 2016.…”

Section: Research Methods and Designmentioning

confidence: 99%

“…The development and implementation of the HiEH programme by the DWF has been reported elsewhere, prior to this report. 20 The study was conducted using anonymous data gathered from seven clinic catchment areas of the Mbashe sub-district of the Amathole District and three clinic catchment areas of the King Sabata Dalindyebo sub-district of the OR Tambo District (Eastern Cape Province), South Africa.…”

Section: Research Methods and Designmentioning

confidence: 99%

See 1 more Smart Citation

Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

Morris-Paxton¹,

Rheeder²,

Ewing³

et al. 2018

Afr. j. prim. health care fam. med.

Self Cite

View full text Add to dashboard Cite

BackgroundNon-communicable diseases, mainly cardiovascular diseases, diabetes, cancer and chronic respiratory diseases, are responsible for approximately 63% of all deaths occurring worldwide in any given year. The majority of these deaths have occurred in low- and middle-income countries (LMICs). The latest World Health Organization (WHO) report shows that the increase in diabetes is also most pronounced in the LMICs. The South African Labour and Development Research Unit estimated a 9% prevalence within the adult population in 2016. In the Eastern Cape Province, hypertensive heart disease has become the second most common cause of death, followed by diabetes, the third most common cause of death.Aim and settingThe aim of this study was to report on the follow-up of patients in the community with known hypertension or diabetes or who were deemed at-risk (as identified during a prior community-wide survey).MethodsData were collected via a household primary health screening, monitoring and follow-up process, which included taking anthropometric measurements, blood pressure (BP) and blood glucose and referring to clinics for further testing and treatment where necessary.ResultsOf the 1885 participants followed up by the community health outreach workers, 1702 were known to be hypertensive and 183 were deemed at-risk [of these, only 24 (13.2%) had normal or high normal systolic BP readings]. There were 341 participants with diabetes and 34 at-risk of diabetes [of these, 28 (82%) had levels of 11 mmol/l or higher at follow-up]. There was a significant improvement in BP and glucose control over repeated visits.ConclusionIn this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.

show abstract

Section: Research Methods and Designmentioning

confidence: 99%

Section: Research Methods and Designmentioning

confidence: 99%

Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

Morris-Paxton¹,

Rheeder²,

Ewing³

et al. 2018

Afr. j. prim. health care fam. med.

Self Cite

View full text Add to dashboard Cite

show abstract

“… 2 This rapid increase of NCDs may be because of an ageing population, rapid urbanisation, changes in environmental factors and lifestyle changes. 3 , 4 South Africa is confronted with a large burden of disease from both chronic infections and NCDs. 5 ‘People living with chronic communicable diseases such as tuberculosis (TB) and human immunodeficiency virus (HIV) are most likely to develop comorbidity with NCDs’.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa

Peltzer

2018

Afr. j. prim. health care fam. med.

View full text Add to dashboard Cite

BackgroundLittle is known about the prevalence of non-communicable disease (NCD) multimorbidity among tuberculosis (TB) patients in Africa.Aim and settingThe aim of this study was to assess the prevalence of NCD multimorbidity, its pattern and impact on adverse health outcomes among patients with TB in public primary care in three selected districts of South Africa.MethodsIn a cross-sectional survey, new TB and TB retreatment patients were interviewed, and medical records assessed in consecutive sampling within 1 month of anti-TB treatment. The sample included 4207 (54.5% men and 45.5% women) TB patients from 42 primary care clinics in three districts. Multimorbidity was measured as the simultaneous presence of two or more of 10 chronic conditions, including myocardial infarction or angina pectoris, arthritis, asthma, chronic lung disease, diabetes mellitus, hypertension, dyslipidaemia, malignant neoplasms, tobacco and alcohol-use disorder.ResultsThe prevalence of comorbidity (with one NCD) was 26.9% and multimorbidity (with two or more NCDs) was 25.3%. We identified three patterns of multimorbidity: (1) cardio-metabolic disorders; (2) respiratory disorders, arthritis and cancer; and (3) substance-use disorders. The likelihood of multimorbidity was higher in older age, among men, and was lower in those with higher education and socio-economic status. The prevalence of physical health decreased, and common mental disorders and post-traumatic stress disorder increased with an increase in the number of chronic conditions.ConclusionHigh NCD comorbidity and multimorbidity were found among TB patients predicted by socio-economic disparity.

show abstract

“…This is corroborated by other studies, which noted that as people grow older, they are more predisposed to diseases and less disposed to rebuilding of their body cells which will strengthen their immune system against various diseases. In addition, most NCDs are usually associated with ageing populations than with younger populations [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

“…It has been noted that sex differences in NCD risk factors need to be considered when evaluating one's probability of developing NCD [23]. Earlier studies had reported that elderly people in South Africa have more NCD risk factors than younger people [24,25] while other studies found that self-reported NCD multi morbidity was more common among women, at older ages, those having no or low levels of education, being separated, divorced or widowed, having higher household incomes, and among those from urban areas [26].…”

mentioning

confidence: 99%

The prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa

Ajaero

Wet

Atama

et al. 2021

Preprint

View full text Add to dashboard Cite

Background The socioeconomic conditions of different environments manifest in varying experiences of illnesses. Even as migrants do transit across these different environments for various reasons, including settlement, they are bound to have peculiar experiences of diseases, which could be traced to lifestyle, gender, adaptation, and reactions to specific social, economic, psychological and climatic conditions. Paying attention to such unique scenarios, our study examines the prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa. Methods Data was from the National Income Dynamics Study (NIDS), waves 5 of 2017, which comprised of 28,055 respondents aged 15–64 years made up of 22,849 inter-provincial non-migrants and 5,206 inter-provincial migrants. A composite dependent/outcome variable of non-communicable diseases (NCDs) was generated for the study and data analysis involved descriptive statistics, chi Square analysis and multilevel logistic regression analysis Results More migrants (19.81%) than non-migrants (16.69%) reported prevalence of NCDs. With the exception of household size for migrants and smoking for non-migrants, the prevalence of NCDs showed significant differences in all the community, behavioral, and individual variables. The factors in the full model, which significantly increased odds of NCDs among the migrants and the non-migrants, were older populations, the non-Blacks, and those with higher education levels. On the one hand, being married, having a household with 4–6 persons, and being residents of urban areas significantly increased odds of NCDs among the migrant population. While on the other, living in coastal provinces, being a female, and belonging to the category of those who earn more than 10,000 Rands were significantly associated with increased odds of NCDs among the non-migrants. Conclusions These findings, therefore, among other things underscore the need for increased education and awareness campaigns, especially among the older populations on the preventive and mitigative strategies for NCDs. In addition, changes in lifestyles with regard to smoking and physical exercises should be more emphasized in specific contextual situations for the migrant and non-migrant populations, as highlighted by the results of this study.

show abstract

The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa

Cited by 15 publications

References 20 publications

Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa

The prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa

Contact Info

Product

Resources

About