ArticleBMC public health2016
Burden of stroke attributable to selected lifestyle risk factors in rural South Africa.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Healthy Aging Adult South Africa report card: a systematic review of the evidence between 2013 and 2020 for middle-aged South African men and women.Cardiovascular journal of AfricaPooled it
- Prevalence of Frailty and Associated Sociodemographic, Biomedical, and Biochemical Factors Amongst Participants Residing in Limpopo Province, South Africa.Geriatrics (Basel, Switzerland) · 2025Article
- The impact of tobacco smoking and smoking cessation on lung cancer and stroke incidence among people with HIV on antiretroviral therapy in South Africa: a simulation modeling study.BMJ global health · 2024Article
- Article
- Stroke Recurrence Rate and Risk Factors Among Stroke Survivors in Sub-Saharan Africa: A Systematic Review.Neuropsychiatric disease and treatment · 2024Review
- Rehabilitation Capacity in South Africa-A Situational Analysis.International journal of environmental research and public health · 2023Article
- Post stroke health-related quality of life, stroke severity and function: A longitudinal cohort study.African journal of disability · 2022Article
- Views of community health workers on the integration of a physiotherapist into a ward-based outreach team.The South African journal of physiotherapy · 2022Article
- Towards universal health coverage for people with stroke in South Africa: a scoping review.BMJ open · 2021Article
- Analysing and quantifying the effect of predictors of stroke direct costs in South Africa using quantile regression.BMC public health · 2021Article
- The barriers and facilitators to the telephonic application of the FAST assessment for stroke in a private emergency dispatch centre in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- 'I've become so healthy that I can't live anymore': exploring 'health as balance' discourses and the construction of health and identity among young urban South African adults.SN social sciences · 2021Article
- Article
- Achieving universal health coverage for people with stroke in South Africa: protocol for a scoping review.BMJ open · 2020Article
- Nurses' knowledge of stroke-related oropharyngeal dysphagia in the Eastern Cape, South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2020Article
- Acute stroke in the emergency department: A chart review at KwaZulu-Natal hospital.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- The accuracy of the FAST stroke assessment in identifying stroke at initial ambulance call into a South African private emergency call centre.The Southern African journal of critical care : the official journal of the Critical Care Society · 2020Article
- Comparison and Analysis of Epidemiologic Characteristics of Stroke in Sichuan Province, China.Frontiers in neurology · 2020Article
- Cognitive function and cardiometabolic disease risk factors in rural South Africa: baseline evidence from the HAALSI study.BMC public health · 2019Article
- Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundRural South Africa (SA) is undergoing a rapid health transition characterized by increases in non-communicable diseases; stroke in particular. Knowledge of the relative contribution of modifiable risk factors on disease occurrence is needed for public health prevention efforts and community-oriented health promotion. Our aim was to estimate the burden of stroke in rural SA that is attributable to high blood pressure, excess weight and high blood glucose using World Health Organization's comparative risk assessment (CRA) framework.
methodsWe estimated current exposure distributions of the risk factors in rural SA using 2010 data from the Agincourt health and demographic surveillance system (HDSS). Relative risks of stroke per unit of exposure were obtained from the Global Burden of Disease Study 2010. We used data from the Agincourt HDSS to estimate age-, sex-, and stroke specific deaths and disability adjusted life years (DALYs). We estimated the proportion of the years of life lost (YLL) and DALY loss attributable to the risk factors and incorporate uncertainty intervals into these estimates.
resultsOverall, 38 % of the documented stroke burden was due to high blood pressure (12 % males; 26 % females). This translated to 520 YLL per year (95 % CI: 325-678) and 540 DALYs (CI: 343-717). Excess Body Mass Index (BMI) was calculated as responsible for 20 % of the stroke burden (3.5 % males; 16 % females). This translated to 260 YLLs (CI: 199-330) and 277 DALYs (CI: 211-350). Burden was disproportionately higher in young females when BMI was assessed.
conclusionsHigh blood pressure and excess weight, which both have effective interventions, are responsible for a significant proportion of the stroke burden in rural SA; the burden varies across age and sex sub-groups. The most effective way forward to reduce the stroke burden requires both population wide policies that have an impact across the age spectra and targeted (health promotion/disease prevention) interventions on women and young people.
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