The burden of disease in Zimbabwe in 1997 as measured by disability-adjusted life years lost
| Autor: | Jennifer Jelsma, Chiratidzo E. Ndhlovu, Theo Vos, Bruno Piotti, Glyn Chapman, Kristian S. Hansen, Jens Byskov |
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| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Zimbabwe medicine.medical_specialty Adolescent Epidemiology HIV Infections Population health Disease DALYs Health policy information systems beslutningsproces Age Distribution Cost of Illness Environmental health Cause of Death medicine Health Status Indicators Humans Disabled Persons Sex Distribution disability-adjusted life years Child Disease burden Cause of death Aged business.industry Public health Population size Public Health Environmental and Occupational Health Infant epidemiologi health policy Middle Aged Infectious Diseases Child Preschool Population Surveillance Parasitology Female epidemiology Public Health Quality-Adjusted Life Years Morbidity business population health Former LIFE faculty |
| Zdroj: | Chapman, G, Hansen, K S, Jelsma, J, Ndhlovu, C, Piotti, B, Byskov, J & Vos, T 2006, ' The burden of disease in Zimbabwe in 1997 as measured by disability-adjusted life years lost ', Tropical Medicine & International Health, vol. 11, no. 5, pp. 660-671 . https://doi.org/10.1111/j.1365-3156.2006.01601.x Chapman, G, Hansen, K S, Jelsma, J, Ndhlovu, C, Piotti, B, Byskov, J & Vos, T 2006, ' The burden of disease in Zimbabwe in 1997 as measured by disability-adjusted life years lost ', Tropical Medicine and International Health, vol. 11, no. 5, pp. 660-671 . |
| DOI: | 10.1111/j.1365-3156.2006.01601.x |
| Popis: | Objective To rank health problems contributing most to the burden of disease in Zimbabwe using Disability-Adjusted Life Years as the population health measure. Methods Epidemiological information was derived from multiple sources. Population size and total number of deaths by age and sex for the year 1997 were taken from a nationwide census. The cause of death pattern was determined based on data from the Vital Registration System, which was adjusted for underreporting of human immunodeficiency virus (HIV) and reallocation of ill-defined causes. Non-fatal disease figures were estimated based on local disease registers, surveys and routine health service data supplemented by estimates from epidemiological studies from other settings if no Zimbabwean sources were available. Disease and public health experts were consulted about the identification of the best possible sources of information, the quality of these sources and the data adjustments made. Results HIV infection emerged from the information collected as the single most serious public health problem in Zimbabwe responsible for 49% of the total disease burden. A quarter of the total burden of disease was attributed to morbidity rather than premature mortality. The share of the disease burden was similar in females and males. Conclusion Using to a large extent local sources of information, it was possible to develop plausible estimates of the size and the relative significance of the major health problems in Zimbabwe. The disease pattern of Zimbabwe differed substantially from regional estimates for sub-Saharan Africa justifying the need for countries to develop their own burden of disease estimates. |
| Databáze: | OpenAIRE |
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