دورية أكاديمية
Epidemiology of chronic multimorbidity and temporary migration in a rural South African community in health transition: A cross-sectional population-based analysis.
| العنوان: | Epidemiology of chronic multimorbidity and temporary migration in a rural South African community in health transition: A cross-sectional population-based analysis. |
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| المؤلفون: | Dzomba A; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa., Ginsburg C; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa., Kabudula CW; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa., Yorlets RR; Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States.; Population Studies and Training Center, Brown University, Providence, RI, United States., Ndagurwa P; South African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Harawa S; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa., Lurie MN; Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States.; Population Studies and Training Center, Brown University, Providence, RI, United States.; International Health Institute, Department of Epidemiology, School of Public Health, Brown University, Providence, RI, United States., McGarvey ST; International Health Institute, Department of Epidemiology, School of Public Health, Brown University, Providence, RI, United States.; Department of Anthropology, Brown University, Providence, RI, United States., Tollman S; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa., Collinson MA; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa.; Department of Science and Innovation/ Medical Research Council, South African Population Research Infrastructure Network, Durban, South Africa., White MJ; Population Studies and Training Center, Brown University, Providence, RI, United States.; Department of Sociology, Brown University, Providence, RI, United States., Gomez-Olive FX; Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa. |
| المصدر: | Frontiers in epidemiology [Front Epidemiol] 2023 Mar 21; Vol. 3, pp. 1054108. Date of Electronic Publication: 2023 Mar 21 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 9918419158106676 Publication Model: eCollection Cited Medium: Internet ISSN: 2674-1199 (Electronic) Linking ISSN: 26741199 NLM ISO Abbreviation: Front Epidemiol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2021]- |
| مستخلص: | Introduction: In sub-Saharan African settings, the increasing non-communicable disease mortality is linked to migration, which disproportionately exposes sub-populations to risk factors for co-occurring HIV and NCDs. Methods: We examined the prevalence, patterns, and factors associated with two or more concurrent diagnoses of chronic diseases (i.e., multimorbidity) among temporary within-country migrants. Employing a cross-sectional design, our study sample comprised 2144 residents and non-residents 18-40 years interviewed and with measured biomarkers in 2018 in Wave 1 of the Migrant Health Follow-up Study (MHFUS), drawn from the Agincourt Health and Demographic Surveillance System (AHDSS) in rural north-eastern South Africa. We used modified Poisson regression models to estimate the association between migration status and prevalent chronic multimorbidity conditional on age, sex, education, and healthcare utilisation. Results: Overall, 301 participants (14%; 95% CI 12.6-15.6), median age 31 years had chronic multimorbidity. Multimorbidity was more prevalent among non-migrants (14.6%; 95% CI 12.8-16.4) compared to migrants (12.8%; 95% CI 10.3-15.7). Non-migrants also had the greatest burden of dual-overlapping chronic morbidities, such as HIV-obesity 5.7%. Multimorbidity was 2.6 times as prevalent (PR 2.65. 95% CI 2.07-3.39) among women compared to men. Among migrants, men, and individuals with secondary or tertiary education manifested lower prevalence of two or more conditions. Discussion: In a rural community with colliding epidemics, we found low but significant multimorbidity driven by a trio of conditions: HIV, hypertension, and obesity. Understanding the multimorbidity burden associated with early adulthood exposures, including potential protective factors (i.e., migration coupled with education), is a critical first step towards improving secondary and tertiary prevention for chronic disease among highly mobile marginalised sub-populations. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Dzomba, Ginsburg, Kabudula, Yorlets, Ndagurwa, Harawa, Lurie, McGarvey, Tollman, Collinson, White and Gomez-Olive.) |
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| فهرسة مساهمة: | Keywords: LMIC; epidemics; human migration; infectious diseases; non-communicable diseases |
| تواريخ الأحداث: | Date Created: 20240308 Latest Revision: 20240309 |
| رمز التحديث: | 20240309 |
| مُعرف محوري في PubMed: | PMC10910947 |
| DOI: | 10.3389/fepid.2023.1054108 |
| PMID: | 38455922 |
| قاعدة البيانات: | MEDLINE |
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