Sangam: A Confluence of Knowledge Streams

Disability, a Priority Area for Health Research in South Africa: an Analysis of the Burden of Disease Study 2017

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dc.creator Carpenter, Bradley
dc.creator Nyirenda, Makandwe
dc.creator Hanass-Hancock, Jill
dc.date 2022-03-28T14:46:59Z
dc.date 2022-03-28T14:46:59Z
dc.date 2021-10-25
dc.date.accessioned 2022-05-26T08:54:06Z
dc.date.available 2022-05-26T08:54:06Z
dc.identifier Carpenter, B.; Nyirenda, M. and Hanass-Hancock, J. (2021) 'Disability, a Priority Area for Health Research in South Africa: an Analysis of the Burden of Disease Study 2017', Disability and Rehabilitation, DOI: 10.1080/09638288.2021.2000047
dc.identifier https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/17262
dc.identifier https://www.tandfonline.com/doi/full/10.1080/09638288.2021.2000047
dc.identifier 10.1080/09638288.2021.2000047
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/199046
dc.description Purpose: Disabilities are increasing globally, which is attributed to the overall ageing of populations in affluent countries. This trend may differ in low and middle-income countries. This paper assesses the change over time in Years Lived with Disability (YLD) for South Africa and how this compares to regional and global trends. Materials and methods: This secondary analysis of the Global Burden of Disease Study 2017 dataset describes the observed contribution of YLD to Disability-Adjusted Life Years (DALYs) per 100 000 people over the period 1990–2016, and forecast to 2030 using simple linear prediction. South African trends are compared to global and sub-Saharan African (SSA) trends to highlight the effect of HIV and policy implications. Results: Globally, the contribution of YLD to DALYs has increased from ±21.7% in 1990 to ±34% by 2016, with high socio-demographic index countries having a higher contribution (49%). HIV, mental health, musculoskeletal, neurological, and sense organ disorders are the five main contributors to YLD in South Africa (54%). Removing the effects of HIV/AIDS and sexually transmitted infections on YLD, South Africa’s trend appears similar to the global trend, yet opposite to the SSA trend. Conclusion: Our analysis shows there is a growing burden of disability in South Africa. Differences in trends with the regional and global patterns can be attributed to the high burden of HIV and non-communicable diseases in South Africa. Therefore, strategies are urgently needed to increase integration of disability and rehabilitation services into chronic HIV and non-communicable disease management. This calls for disability screening to identify functional limitations in routine data collection and case management.
dc.language en
dc.publisher Taylor & Francis Group
dc.rights http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
dc.subject Health
dc.title Disability, a Priority Area for Health Research in South Africa: an Analysis of the Burden of Disease Study 2017
dc.type Article


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