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Feasibility of a large cohort study in sub-Saharan Africa assessed through a four-country study

Show simple item record Dala, S Holme, D.M Laurenc, C Bajunirwe, F Guwatudde, D Njelekel, M Adebamow, C Mutyob, N.J Chiwang, S.F Volmin, J Ajayi, I Kalyesubul, R Reid, G.T Dockery, D Hemenway, D Adam, O.H 2016-09-14T06:38:00Z 2016-09-14T06:38:00Z 2015-03
dc.identifier.citation Dalal S, Holmes MD, Laurence C, Bajunirwe F, Guwatudde D, Njelekela M, Adebamowo C, Nankya-Mutyoba J, Chiwanga FS, Volmink J, Ajayi I. Feasibility of a large cohort study in sub-Saharan Africa assessed through a four-country study. Global health action. 2015 May 25;8. en_GB
dc.description.abstract Background: Large prospective epidemiologic studies are vital in determining disease etiology and forming national health policy. Yet, such studies do not exist in sub-Saharan Africa (SSA) notwithstanding the growing burden of chronic diseases. Objective: We explored the feasibility of establishing a large-scale multicountry prospective study at five sites in four sub-Saharan countries. Design: Based on country-specific considerations of feasibility, Nigeria enrolled health care professionals, South Africa and Tanzania enrolled teachers, and Uganda enrolled village residents at one rural and one periurban site each. All sites used a 6-month follow-up period but different approaches for data collection, namely standardized questionnaires filled out by participants or face-to-face interviews. Results: We enrolled 1415 participants from five sites (range 200 489) with a median age of 41 years. Approximately half had access to clean-burning cooking fuel and 70% to piped drinking water, yet 92% had access to a mobile phone. The prevalence of chronic diseases was 49% among 45- to 54-year-olds and was dominated by hypertension (21.7% overall) ranging from 4.5 to 31.2% across sites and a serious injury in the past 12 months (12.4% overall). About 80% of participants indicated willingness to provide blood samples. At 6-month follow-up, 68% completed a questionnaire (45 to 96% across sites) with evidence that mobile phones were particularly useful. Conclusions: Our pilot study indicates that a large-scale prospective study in SSA is feasible, and the burden of chronic disease in SSA may already be substantial necessitating urgent etiologic research and primary prevention. en_GB
dc.language.iso en en_GB
dc.publisher Global Health Action en_GB
dc.relation.ispartofseries Citation: Glob Health Action;8: 27422 -
dc.subject Non-communicable en_GB
dc.subject Chronic disease; en_GB
dc.subject Injury en_GB
dc.subject South Africa; en_GB
dc.subject Tanzania en_GB
dc.subject Nigeria; en_GB
dc.subject Uganda en_GB
dc.title Feasibility of a large cohort study in sub-Saharan Africa assessed through a four-country study en_GB

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