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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Burden and risk factors of chronic obstructive pulmonary disease in Sub-Saharan African countries, 1990–2019: a systematic analysis for the Global Burden of disease study 2019
eClinicalMedicine, Volume 64, Article 102215, Year 2023
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Description
Background: Sub-Saharan Africa (SSA) has experienced a surge of non-communicable diseases (NCDs) including chronic obstructive pulmonary disease (COPD) over the past two decades. Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), in this study we have estimated the burden and attributable risk factors of COPD across SSA countries between 1990 and 2019. Methods: COPD burden and its attributable risk factors were estimated using data from the 2019 GBD. Percentage change was estimated to show the trend of COPD estimates from 1990 to 2019. COPD estimates attributable by risk factors were also reported to ascertain the risk factor that brings the greatest burden by sex and locations (at country and regions level). Findings: In 2019, all-age prevalent cases of COPD in SSA were estimated to be 10.3 million (95% Uncertainty Intervals (UI) 9.7 million to 10.9 million) showing an increase of 117% compared with the number of all-age COPD cases in 1990. From 1990 to 2019, SSA underwent an increased percentage change in all-age YLDs due to COPD ranging from 41% in Lesotho to 203% in Equatorial Guinea. The largest premature mortality due to COPD was reported from Central SSA accounting for 729 subjects (95% UI, 509–1078). The highest rate of DALYs attributable to COPD was observed in Lesotho. Household air pollution from solid fuel was the primary contributor of the age standardized YLDs, death rate, and DALYs rate per 100,000 population. Interpretation: The prevalence of COPD in SSA has had a steady increase over the past three decades and has progressively become a major public health burden across the region. Household air pollution from solid fuel is the primary contributor to COPD related burden, and its percentage contribution showed a similar trend to the reduction of COPD attributed age-standardized DALY rate. The methodological limitations of surveys and datapoints included in the GBD need to be considered when interpreting these associations. Funding: There are no specific fundings received for this study. The Global Burden of Disease study was supported by funding from the Bill & Melinda Gates Foundation. © 2023 The Authors
Authors & Co-Authors
Alemayohu, Mulubirhan Assefa
Italy, Verona
Università Degli Studi Di Verona
Ethiopia, Makale
Mekelle University
Italy, Pavia
Università Degli Studi Di Pavia
Zanolin, Maria Elisabetta
Italy, Verona
Università Degli Studi Di Verona
Cazzoletti, Lucia
Italy, Verona
Università Degli Studi Di Verona
Nyasulu, Peter Suwirakwenda
South Africa, Stellenbosch
Stellenbosch University
Garcia-Larsen, Vanessa
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Abtew, Yonas Derso
Unknown Affiliation
Adane, Denberu Eshetie
Unknown Affiliation
Adesina, Miracle Ayomikun
Unknown Affiliation
Barrow, Amadou
Unknown Affiliation
Berhie, Alemshet Yirga
Unknown Affiliation
Chanie, Gashaw Sisay
Unknown Affiliation
Demeke, Feleke Mekonnen
Unknown Affiliation
Dereje, Diriba
Unknown Affiliation
Digesa, Lankamo Ena
Unknown Affiliation
Ekholuenetale, Michael
Unknown Affiliation
Enyew, Daniel Berhanie
Unknown Affiliation
Esayas, Hawi Leul
Unknown Affiliation
Fagbamigbe, Adeniyi Francis
Unknown Affiliation
Fetensa, Getahun
Unknown Affiliation
Gebrekidan, Kahsu Gebrekirstos
Unknown Affiliation
Gela, Yibeltal Yismaw
Unknown Affiliation
Guadie, Habtamu Alganeh
Unknown Affiliation
Ibitoye, Segun Emmanuel
Unknown Affiliation
Ilesanmi, Olayinka Stephen
Unknown Affiliation
Kanko, Tesfaye K.
Unknown Affiliation
Katoto, Patrick De Marie Chimusa
Unknown Affiliation
Mohammed, Shafiu Abdullah
Unknown Affiliation
Nansseu, Jobert Richie Njingang
Unknown Affiliation
Nzoputam, Chimezie Igwegbe
Unknown Affiliation
Odukoya, Oluwakemi Ololade
Unknown Affiliation
Okonji, Osaretin Christabel
Unknown Affiliation
Owolabi, Mayowa Ojo
Unknown Affiliation
Solomon, Yonatan
Unknown Affiliation
Temesgen, Worku Animaw
Unknown Affiliation
Yismaw, Yazachew Engida
Unknown Affiliation
Zenebe, Getachew Assefa
Unknown Affiliation
Statistics
Authors: 36
Affiliations: 5
Identifiers
Doi:
10.1016/j.eclinm.2023.102215
ISSN:
25895370
Research Areas
Environmental
Maternal And Child Health
Noncommunicable Diseases
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Systematic review
Study Locations
Equatorial Guinea
Guinea
Lesotho