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

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dc.contributor.author Rheeder, Paul
dc.contributor.author Morris-Paxton, Angela A.
dc.contributor.author Ewing, Rose-Marie G.
dc.contributor.author Woods, Dillon
dc.date.accessioned 2018-10-16T10:12:51Z
dc.date.available 2018-10-16T10:12:51Z
dc.date.issued 2017-10-27
dc.description.abstract BACKGROUND : Middle and lower income countries are challenged with a double burden of disease: while still coping with the onslaught of Human Immunodeficiency Virus (HIV) and increasing levels of tuberculosis (TB), there is a considerable increase in the level of noncommunicable diseases (NCDs). The poor are especially disadvantaged and are at an increased risk for NCDs. Adequate healthcare resources for this environment can only be allocated once the extent and exact nature of the problem is determined. AIM AND SETTING : The aim of this study was to collect demographic and NCD-related data in the poorest community of the poorest province of South Africa in order to determine the extent of the problem and advise on allocation of resources accordingly. METHODS : Data were collected via a household primary health screening process, which included taking anthropometric measurements, blood pressure and blood glucose and referring to clinics for further testing and treatment where necessary. RESULTS : It was found that the population screened was generally older, consisted of women, and had a high incidence of obesity and hypertension. Of note was the fact that in those without known hypertension, close to 40% of individuals had possible newly diagnosed hypertension. This increased with increase in age and body mass index (BMI). The total prevalence of diabetes was close to 5%, but possible new diabetes was considerably lower at approximately 1%. CONCLUSION : In this rural area of the Eastern Cape, South Africa, undiagnosed hypertension is a major concern and renewed efforts at detection and control are warranted. en_ZA
dc.description.department Internal Medicine en_ZA
dc.description.librarian am2018 en_ZA
dc.description.sponsorship Nelson Mandela Metropolitan University; University of Pretoria; Eli Lilly and Company; Donald Woods Foundation. en_ZA
dc.description.uri http://www.phcfm.org en_ZA
dc.identifier.citation Rheeder P, Morris-Paxton AA, Ewing R-AG, Woods D. The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa. Afr J Prm Health Care Fam Med. 2017;9(1), a1466. https://DOI.org/10.4102/phcfm.v9i1.1466. en_ZA
dc.identifier.issn 2071-2928 (print)
dc.identifier.issn 2071-2936 (online)
dc.identifier.other 10.4102/phcfm.v9i1.1466
dc.identifier.uri http://hdl.handle.net/2263/66910
dc.language.iso en en_ZA
dc.publisher AOSIS Open Journals en_ZA
dc.rights © 2017. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject Obesity en_ZA
dc.subject Hypertension en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject Blood pressure en_ZA
dc.subject Noncommunicable disease (NCD) en_ZA
dc.subject Tuberculosis (TB) en_ZA
dc.subject Body mass index (BMI) en_ZA
dc.subject Cross-sectional study en_ZA
dc.subject Diabetes mellitus (DM) en_ZA
dc.subject Glucose blood level en_ZA
dc.title The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa en_ZA
dc.type Article en_ZA


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