The non-fatal disease burden caused by type 2 diabetes in South Africa, 2009.
The non-fatal disease burden caused by type 2 diabetes in South Africa, 2009.
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DOI：
10.3402/gha.v6i0.19244
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发表时间：
2013-01-24
影响因子：
2.6
通讯作者：
Hofman KJ
中科院分区：
文献类型：
--
作者：
Bertram MY;Jaswal AV;Van Wyk VP;Levitt NS;Hofman KJ
不断发展的城市化和不断增加的不健康生活方式风险因素导致南非糖尿病流行率不断上升。 2000 年，一项研究估计 30 岁以上人群的糖尿病患病率为 5.5%。有关糖尿病及其后遗症的流行病学和疾病负担的准确、最新信息对于规划糖尿病管理的卫生服务至关重要。计算 2009 年南非因糖尿病和特定后遗症导致的残疾损失年数 (YLD) 中的非致命疾病负担。YLD 衡量的是因健康状况不佳造成的生命损失。一系列系统文献综述确定了南非糖尿病及其后遗症的流行病学数据。然后将确定的数据应用于全球疾病负担（GBD）方法来计算糖尿病造成的负担。 2009 年南非 30 岁及以上人群中 2 型糖尿病患病率估计为 9.0%，相当于约 200 万糖尿病病例。我们每年对 8,000 例因糖尿病导致失明的新病例和 2,000 例新的截肢病例进行建模。有 78,900 岁的人因糖尿病而死亡，其中 64% 仅因糖尿病所致，24% 因视网膜病变所致，6% 因截肢，9% 因中风致残，7% 因缺血性心脏病致残。我们估计南非的糖尿病患病率正在上升。已证明与糖尿病相关的严重残疾。通过早期发现和治疗可以预防一些归因的负担。
Increasing urbanisation and rising unhealthy lifestyle risk factors are contributing to a growing diabetes epidemic in South Africa. In 2000, a study estimated diabetes prevalence to be 5.5% in those aged over 30. Accurate, up-to-date information on the epidemiology and burden of disease due to diabetes and its sequelae is essential in the planning of health services for diabetes management. To calculate the non-fatal burden of disease in Years Lost due to Disability (YLD) due to diabetes and selected sequelae in South Africa in 2009. YLD measures the equivalent loss of life due to ill-health. A series of systematic literature reviews identified data on the epidemiology of diabetes and its sequelae in South Africa. The data identified were then applied to Global Burden of Disease (GBD) methodology to calculate the burden attributable to diabetes. Prevalence of type 2 diabetes in South Africa in 2009 is estimated at 9.0% in people aged 30 and older, representing approximately 2 million cases of diabetes. We modelled 8,000 new cases of blindness and 2,000 new amputations annually caused by diabetes. There are 78,900 YLD attributed to diabetes, with 64% coming from diabetes alone, 24% from retinopathy, 6% from amputations, 9% from attributable stroke disability, and 7% from attributable ischemic heart disease disability. We estimate that the prevalence of diabetes is increasing in South Africa. Significant disability associated with diabetes is demonstrated. Some of the attributed burden can be prevented through early detection and treatment.