Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa.
Identifieur interne : 000560 ( Main/Exploration ); précédent : 000559; suivant : 000561Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa.
Auteurs : Francesc Xavier G Mez-Olivé [Afrique du Sud] ; Margaret Thorogood [Afrique du Sud] ; Benjamin Clark [Royaume-Uni] ; Kathleen Kahn [Afrique du Sud] ; Stephen Tollman [Afrique du Sud]Source :
- Global health action [ 1654-9880 ] ; 2013.
Abstract
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. Conclusion 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.
DOI: 10.3402/gha.v6i0.19305
PubMed: 28140978
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000927
- to stream PubMed, to step Curation: 000926
- to stream PubMed, to step Checkpoint: 000926
- to stream Ncbi, to step Merge: 000A77
- to stream Ncbi, to step Curation: 000A77
- to stream Ncbi, to step Checkpoint: 000A77
- to stream Main, to step Merge: 000561
- to stream Main, to step Curation: 000560
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa.</title>
<author><name sortKey="G Mez Olive, Francesc Xavier" sort="G Mez Olive, Francesc Xavier" uniqKey="G Mez Olive F" first="Francesc Xavier" last="G Mez-Olivé">Francesc Xavier G Mez-Olivé</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Thorogood, Margaret" sort="Thorogood, Margaret" uniqKey="Thorogood M" first="Margaret" last="Thorogood">Margaret Thorogood</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Clark, Benjamin" sort="Clark, Benjamin" uniqKey="Clark B" first="Benjamin" last="Clark">Benjamin Clark</name>
<affiliation wicri:level="1"><nlm:affiliation>d Centre for Population Studies, London School of Hygiene and Tropical Medicine , London , UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>d Centre for Population Studies, London School of Hygiene and Tropical Medicine , London </wicri:regionArea>
<wicri:noRegion>London </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2013">2013</date>
<idno type="RBID">pubmed:28140978</idno>
<idno type="pmid">28140978</idno>
<idno type="doi">10.3402/gha.v6i0.19305</idno>
<idno type="wicri:Area/PubMed/Corpus">000927</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000927</idno>
<idno type="wicri:Area/PubMed/Curation">000926</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000926</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000926</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000926</idno>
<idno type="wicri:Area/Ncbi/Merge">000A77</idno>
<idno type="wicri:Area/Ncbi/Curation">000A77</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000A77</idno>
<idno type="wicri:Area/Main/Merge">000561</idno>
<idno type="wicri:Area/Main/Curation">000560</idno>
<idno type="wicri:Area/Main/Exploration">000560</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa.</title>
<author><name sortKey="G Mez Olive, Francesc Xavier" sort="G Mez Olive, Francesc Xavier" uniqKey="G Mez Olive F" first="Francesc Xavier" last="G Mez-Olivé">Francesc Xavier G Mez-Olivé</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Thorogood, Margaret" sort="Thorogood, Margaret" uniqKey="Thorogood M" first="Margaret" last="Thorogood">Margaret Thorogood</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Clark, Benjamin" sort="Clark, Benjamin" uniqKey="Clark B" first="Benjamin" last="Clark">Benjamin Clark</name>
<affiliation wicri:level="1"><nlm:affiliation>d Centre for Population Studies, London School of Hygiene and Tropical Medicine , London , UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>d Centre for Population Studies, London School of Hygiene and Tropical Medicine , London </wicri:regionArea>
<wicri:noRegion>London </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
<affiliation wicri:level="1"><nlm:affiliation>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>a MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) , School of Public Health, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg </wicri:regionArea>
<wicri:noRegion>Johannesburg </wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Global health action</title>
<idno type="eISSN">1654-9880</idno>
<imprint><date when="2013" type="published">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">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. Conclusion 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.</div>
</front>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Royaume-Uni</li>
</country>
</list>
<tree><country name="Afrique du Sud"><noRegion><name sortKey="G Mez Olive, Francesc Xavier" sort="G Mez Olive, Francesc Xavier" uniqKey="G Mez Olive F" first="Francesc Xavier" last="G Mez-Olivé">Francesc Xavier G Mez-Olivé</name>
</noRegion>
<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<name sortKey="Thorogood, Margaret" sort="Thorogood, Margaret" uniqKey="Thorogood M" first="Margaret" last="Thorogood">Margaret Thorogood</name>
<name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Clark, Benjamin" sort="Clark, Benjamin" uniqKey="Clark B" first="Benjamin" last="Clark">Benjamin Clark</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000560 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000560 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaGhanaV1 |flux= Main |étape= Exploration |type= RBID |clé= pubmed:28140978 |texte= Self-reported health and health care use in an ageing population in the Agincourt sub-district of rural South Africa. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:28140978" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a SidaGhanaV1
This area was generated with Dilib version V0.6.31. |