A5051022287- Chronic Disease Management Strategies
- HIV/AIDS Impact and Responses
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Global Public Health Policies and Epidemiology
- Nutritional Studies and Diet
- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Medical Coding and Health Information
- Food Security and Health in Diverse Populations
- Sodium Intake and Health
- Tuberculosis Research and Epidemiology
- Air Quality and Health Impacts
- Physical Activity and Health
- Energy and Environment Impacts
- Blood Pressure and Hypertension Studies
- Healthcare Systems and Reforms
- Animal Ecology and Behavior Studies
- HIV/AIDS Research and Interventions
- Maternal Mental Health During Pregnancy and Postpartum
- Data-Driven Disease Surveillance
- Gender Roles and Identity Studies
- COVID-19 and healthcare impacts
- Sex and Gender in Healthcare
- Smoking Behavior and Cessation
South African Medical Research Council
2016-2024
University of the Western Cape
2020-2024
United Nations University-International Institute for Global Health
2023
BroadReach Healthcare (South Africa)
2016
University of Cape Town
2012
With improved access to antiretroviral treatment (ART), adults with HIV live longer reach older age. The number of living is increasing steadily, giving rise a new population interest in research and for invigorated considerations health service delivery policy. We analysed the profile comorbidities people (50 years older) South Africa. conducted secondary analysis all individuals over 15 who tested positive Fifth African National Prevalence, Incidence, Behaviour Communication Survey, 2017....
Background. Understanding the pattern of deaths from COVID-19 in South Africa (SA) is critical to identifying individuals at high risk dying disease. The Minister Health set up a daily reporting mechanism obtain timeous details provinces track mortality patterns. Objectives. To provide an epidemiological analysis first SA. Methods. Provincial data 28 March 3 July 2020 were cleaned, information on comorbidities was standardised, and aggregated into single set. Analysis performed by age, sex,...
Multimorbidity is a global research priority, yet relatively little known about it in low and middle income countries. South Africa has the largest burden of HIV worldwide but also growing non-communicable diseases; potentially leading to uncommon disease combinations. Information prevalence multimorbidity factors associated with can assist healthcare planning targeting groups people for interventions. This study aimed determine by age sex, as well 15 years older. analyses nationally...
Introduction South Africa has the largest burden of HIV worldwide and a growing non-communicable diseases; combination which may lead to diseases clustering in ways that are not seen other regions. This study sought identify common disease classes sociodemographic lifestyle factors associated with each class. Methods Data were analyzed from African Demographic Health Survey 2016. A latent class analysis (LCA) was conducted using nine conditions. Sociodemographic behavioral cluster explored....
Introduction Information pertaining to multimorbidity is frequently informed by studies from high income countries and it unclear how these findings relate low middle countries, where the burden of infectious disease high. South Africa has a quadruple which includes HIV prevalence growing non-communicable diseases. This study aimed analyse patterns (disease classes or clusters) in Africa. Methods A secondary analysis individuals over age 15 years who participated Fifth African National...
Ongoing quantification of the disease burden attributable to smoking is important monitor and strengthen tobacco control policies.To estimate due in South Africa for 2000, 2006 2012.We estimated selected causes death African (SA) adults aged ≥35 years 2012. We combined prevalence results from 15 national surveys (1998 - 2017) impact ratios using mortality rates. Relative risks between select were derived local international data.Smoking declined 25.0% 1998 (40.5% males, 10.9% females) 19.4%...
Abstract Background Rodent infestations are a public health problem in poor urban communities. The use of illegal street pesticides to control rodent with resulting poisonings is an additional concern receiving limited attention many developing countries, including South Africa. Methods Participants household intervention two areas Cape Town, Africa, received high quality rat traps. Reported this article the results follow-up survey conducted six months after distribution assess community...
Multimorbidity is defined as the co-existence of multiple health conditions in one person. However, its use research has been predominantly applied to non-communicable diseases, because was conducted almost exclusively developed countries. More recently, infectious diseases long duration, such human immunodeficiency virus (HIV), have also included conceptualization multimorbidity. While multimorbidity a growing area globally; much less known about phenomenon low and middle-income countries...
The present study examined the prevalence and patterns of non-communicable disease multimorbidity by wealth quintile among adults in South Africa.
Household air pollution (HAP) due to the use of solid fuels for cooking is a global problem with significant impacts on human health, especially in low- and middle-income countries. HAP remains problematic South Africa (SA). While electrification rates have improved over past two decades, many people still owing energy poverty.To estimate disease burden attributable SA three time points: 2000, 2006 2012.Comparative risk assessment methodology was used. The proportion Africans exposed...
Background Injuries, often preventable, prompted urgent action within the United Nations' 2030 Agenda for Sustainable Development Goals (SDGs) to improve global health. South Africa (SA) has high rates of injury mortality, but accurate reporting official national data is hindered by death misclassification.
Globally, a growing body of research has shown that ambient air pollution is one the most critical environmental issues, especially in relation to human health. Exposure leads serious health conditions such as lower respiratory infections, cancers, diabetes mellitus type 2, ischaemic heart disease, stroke and chronic obstructive pulmonary disease.To estimate burden disease attributable South Africa (SA) for years 2000, 2006 2012.Comparative risk assessment method was used determine due two...
The growing burden of non-communicable diseases amidst the largest HIV in South Africa leads to disease combinations multimorbidity with complexity care. We conducted a cross-sectional study assess multimorbidity, medication adherence, and associated factors among out-patients chronic primary health care (PHC) facilities Tshwane, Africa. A structured questionnaire was used collect data on comorbidities along socio-demographic lifestyle factors. Logistic regression models were analyse...
Background The development of strategies to better detect and manage patients with multiple long-term conditions requires estimates the most prevalent condition combinations. However, standard meta-analysis tools are not well suited synthesising heterogeneous multimorbidity data. Methods We developed a statistical model synthesise data on associations between diseases nationally representative prevalence applied South Africa. Published unpublished were reviewed, meta-regression analysis was...
Adolescents and young adults (AYA) are identified as a high-risk group for HIV acquisition. However, health services generally not sensitive to the needs of this priority population. In addition, multimorbidity (having more than one disease in an individual) is well studied among AYA, it typically associated with older individuals. This paper reports on commonly co-occurring conditions patterns aged 15–24 years, who took part 2016 South African Demographic Health Survey. Chi-squared tests...
Background: The shortage of nurses in public healthcare facilities South Africa is well documented; finding creative solutions to this problem remains a priority.Objective: This study sought establish the amount time that clinical nurse practitioners (CNPs) one district Western Cape spend on services and implications for staffing skills mix order deliver quality patient care.Methods: A descriptive cross-sectional was conducted across 15 purposively selected clinics providing primary health 5...
Background. South Africa (SA) faces multiple health challenges. Quantifying the contribution of modifiable risk factors can be used to identify and prioritise areas concern for population opportunities promotion disease prevention interventions. Objective. To estimate attributable burden 18 2000, 2006 2012. Methods. Comparative assessment (CRA), a standardised systematic approach, was factors. Risk exposure estimates were sourced from local data, meta-regressions model parameters, depending...
Ongoing quantification of trends in high blood pressure and the consequent disease impact are crucial for monitoring decision-making. This is particularly relevant South Africa (SA) where hypertension well-established.To quantify burden related to systolic (SBP) SA 2000, 2006 2012, describe age, sex population group differences.Using a comparative risk assessment methodology, attributable raised SBP was estimated according se, adults aged ≥25 years 2012. We conducted meta-regression on data...
Background: Multimorbidity is likely to be a significant contributor ill health and inequality in South Africa yet has been largely overlooked. Purpose: This paper focuses on the findings of recent large study that highlighted emerging issues - namely (i) high levels multimorbidity among three key groups older adults, women, wealthy; (ii) discordant concordant disease clusters multimorbid. Research Design: Narrative. Study Sample Data Collection: Not applicable. Results: We discuss...
A high body mass index (BMI) is associated with several cardiovascular diseases, diabetes and chronic kidney disease, cancers, other selected health conditions.To quantify the deaths disability-adjusted life years (DALYs) attributed to BMI in persons aged ≥20 South Africa (SA) for 2000, 2006 2012.The comparative risk assessment (CRA) methodology was followed. Meta-regressions of mean standard deviation from nine national surveys spanning 1998 - 2017 were conducted provide estimates by age...