Document Detail


Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa.
MedLine Citation:
PMID:  23364087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: South Africa is experiencing a demographic and epidemiological transition with an increase in population aged 50 years and older and rising prevalence of non-communicable diseases. This, coupled with high HIV and tuberculosis prevalence, puts an already weak health service under greater strain.
OBJECTIVE: To measure self-reported chronic health conditions and chronic disease risk factors, including smoking and alcohol use, and to establish their association with health care use in a rural South African population aged 50 years or older.
METHODS: The Study on Global Ageing and Adult Health (SAGE), in collaboration with the INDEPTH Network and the World Health Organization, was implemented in the Agincourt sub-district in rural northeast South Africa where there is a long-standing health and socio-demographic surveillance system. Household-based interviews were conducted in a random sample of people aged 50 years and older. The interview included questions on self-reported health and health care use, and some physical measurements, including blood pressure and anthropometry.
RESULTS: Four hundred and twenty-five individuals aged 50 years or older participated in the study. Musculoskeletal pain was the most prevalent self-reported condition (41.7%; 95% Confidence Interval [CI] 37.0-46.6) followed by hypertension (31.2%; 95% CI 26.8-35.9) and diabetes (6.1%; 95% CI 4.1-8.9). All self-reported conditions were significantly associated with low self-reported functionality and quality of life, 57% of participants had hypertension, including 44% of those who reported normal blood pressure. A large waist circumference and current alcohol consumption were associated with high risk of hypertension in men, whereas in women, old age, high waist-hip ratio, and less than 6 years of formal education were associated with high risk of hypertension. Only 45% of all participants reported accessing health care in the last 12 months. Those who reported higher use of the health facilities also reported lower levels of functioning and quality of life.
CONCLUSIONS: Self-reported chronic health conditions, especially hypertension, had a high prevalence in this population and were strongly associated with higher levels of health care use. The primary health care system in South Africa will need to provide care for people with non-communicable diseases.
Authors:
Francesc Xavier Gómez-Olivé; Margaret Thorogood; Benjamin Clark; Kathleen Kahn; Stephen Tollman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2013-01-24
Journal Detail:
Title:  Global health action     Volume:  6     ISSN:  1654-9880     ISO Abbreviation:  Glob Health Action     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-31     Completed Date:  2013-07-22     Revised Date:  2014-04-07    
Medline Journal Info:
Nlm Unique ID:  101496665     Medline TA:  Glob Health Action     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  19305     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Age Factors
Aged / physiology,  statistics & numerical data
Blood Pressure
Delivery of Health Care / utilization*
Female
Health Status*
Humans
Hypertension / epidemiology
Interviews as Topic
Male
Middle Aged / physiology
Population Surveillance
Quality of Life
Risk Factors
Rural Population / statistics & numerical data*
Self Report
Sex Factors
South Africa / epidemiology
Waist Circumference
Waist-Hip Ratio
Grant Support
ID/Acronym/Agency:
058893/Z/99/A//Wellcome Trust; 058893/Z/99/A//Wellcome Trust; 069683//Wellcome Trust; 069683/Z/02/Z//Wellcome Trust
Comments/Corrections
Erratum In:
Glob Health Action. 2014;7:24080

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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