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  5. Non-communicable diseases in sub-Saharan Africa: a scoping review of large cohort studies
 
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Non-communicable diseases in sub-Saharan Africa: a scoping review of large cohort studies
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Non-communicable diseases in sub-Saharan Africa a scoping review of large cohort studies.pdf (510.7 KB)
Published version
Author(s)
Mudie, Kathleen
Jin, Melisa Mei
Tan
Kendall, Lindsay
Addo, Juliet
more
Type
Journal Article
Abstract
Background: Non-communicable diseases (NCDs) cause a large and growing burden of morbidity and mortality in sub-Saharan Africa. Prospective cohort studies are key to study multiple risk factors and chronic diseases and are crucial to our understanding of the burden, aetiology and prognosis of NCDs in SSA. We aimed to identify the level of research output on NCDs and their risk factors collected by cohorts in SSA. Methods: We conducted a scoping review to map the extent of current NCDs research in SSA by identifying studies published after the year 2000 using prospectively collected cohort data on any of the six NCDs (cardiovascular diseases, diabetes, obesity, chronic kidney disease, chronic respiratory diseases, and cancers), ≥1 major risk factor (other than age and sex), set only within SSA, enrolled ≥500 participants, and ≥12 months of follow-up with ≥2 data collection points (or with plans to). We performed a systematic search of databases, a manual search of references lists from included articles and the INDEPTH network website, and study investigators from SSA were contacted for further articles. Results: We identified 30 cohort studies from the 101 included articles. Eighteen countries distributed in West, Central, East and Southern Africa, were represented. The majority (27%) set in South Africa. There were three studies including children, twenty with adults, and seven with both. 53% of cohorts were sampled in general populations, 47% in clinical populations, and 1 occupational cohort study. Hypertension (n = 23) was most commonly reported, followed by obesity (n = 16), diabetes (n = 15), CKD (n = 6), COPD (n = 2), cervical cancer (n = 3), and breast cancer (n = 1). The majority (n = 22) reported data on at least one demographic/environmental, lifestyle, or physiological risk factor but these data varied greatly. Conclusions: Most studies collected data on a combination of hypertension, diabetes, and obesity and few studies collected data on respiratory diseases and cancer. Although most collected data on different risk factors the methodologies varied greatly. Several methodological limitations were found including low recruitment rate, low retention rate, and lack of validated and standardized data collection. Our results could guide potential collaborations and maximize impact to improve our global understanding of NCDs (and their risk factors) in SSA and also to inform future research, as well as policies.
Date Issued
2019-12-01
Date Acceptance
2019-08-01
Citation
Journal of Global Health, 2019, 9 (2)
URI
http://hdl.handle.net/10044/1/73408
DOI
https://www.dx.doi.org/10.7189/jogh.09.020409
ISSN
2047-2978
Publisher
Edinburgh University Global Health Society
Journal / Book Title
Journal of Global Health
Volume
9
Issue
2
Copyright Statement
© 2019 The Authors. Published under https://creativecommons.org/licenses/by/4.0/.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31448113
PII: jogh-09-020409
Subjects
Africa South of the Sahara
Cohort Studies
Humans
Noncommunicable Diseases
Risk Factors
Publication Status
Published
Coverage Spatial
Scotland
Article Number
020409
Date Publish Online
2019-08-06
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