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Chronic Noncommunicable Diseases in 6 Low-and Middle-Income Countries : Findings From Wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (SAGE)

Arokiasamy, Perianayagam (author)
Uttamacharya, . (author)
Kowal, Paul (author)
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Capistrant, Benjamin D. (author)
Gildner, Theresa E. (author)
Thiele, Elizabeth (author)
Biritwum, Richard B. (author)
Yawson, Alfred E. (author)
Mensah, George (author)
Maximova, Tamara (author)
Wu, Fan (author)
Guo, Yanfei (author)
Zheng, Yang (author)
Kalula, Sebastiana Zimba (author)
Rodriguez, Aaron Salinas (author)
Espinoza, Betty Manrique (author)
Liebert, Melissa A. (author)
Eick, Geeta (author)
Sterner, Kirstin N. (author)
Barrett, Tyler M. (author)
Duedu, Kwabena (author)
Gonzales, Ernest (author)
Ng, Nawi (author)
Umeå universitet,Epidemiologi och global hälsa
Negin, Joel (author)
Jiang, Yong (author)
Byles, Julie (author)
Madurai, Savathree Lorna (author)
Minicuci, Nadia (author)
Snodgrass, J. Josh (author)
Naidoo, Nirmala (author)
Chatterji, Somnath (author)
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 (creator_code:org_t)
2017-02-18
2017
English.
In: American Journal of Epidemiology. - : Oxford University Press (OUP). - 0002-9262 .- 1476-6256. ; 185:6, s. 414-428
Related links:
https://academic.oup...
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https://urn.kb.se/re...
https://doi.org/10.1...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • In this paper, we examine patterns of self-reported diagnosis of noncommunicable diseases (NCDs) and prevalences of algorithm/measured test-based, undiagnosed, and untreated NCDs in China, Ghana, India, Mexico, Russia, and South Africa. Nationally representative samples of older adults aged >= 50 years were analyzed from wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (2007-2010; n = 34,149). Analyses focused on 6 conditions: angina, arthritis, asthma, chronic lung disease, depression, and hypertension. Outcomes for these NCDs were: 1) self-reported disease, 2) algorithm/measured test-based disease, 3) undiagnosed disease, and 4) untreated disease. Algorithm/measured test-based prevalence of NCDs was much higher than self-reported prevalence in all 6 countries, indicating underestimation of NCD prevalence in low-and middle-income countries. Undiagnosed prevalence of NCDs was highest for hypertension, ranging from 19.7% (95% confidence interval (CI): 18.1, 21.3) in India to 49.6% (95% CI: 46.2, 53.0) in South Africa. The proportion untreated among all diseases was highest for depression, ranging from 69.5% (95% CI: 57.1, 81.9) in South Africa to 93.2% (95% CI: 90.1, 95.7) in India. Higher levels of education and wealth significantly reduced the odds of an undiagnosed condition and untreated morbidity. A high prevalence of undiagnosed NCDs and an even higher proportion of untreated NCDs highlights the inadequacies in diagnosis and management of NCDs in local health-care systems.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

chronic disease
diagnosis
low-and middle-income countries
noncommunicable diseases
untreated seases

Publication and Content Type

ref (subject category)
art (subject category)

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