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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

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...

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Published in:EClinicalMedicine 2023-10, Vol.64, p.102215-102215, Article 102215
Main Authors: Alemayohu, Mulubirhan Assefa, Zanolin, Maria Elisabetta, Cazzoletti, Lucia, Nyasulu, Peter, Garcia-Larsen, Vanessa, Zanolin, Maria Eisabetta, Nyasulu, Peter S., Abtew, Yonas Derso, Adane, Denberu Eshetie, Adesina, Miracle Ayomikun, Barrow, Amadou, Berhie, Alemshet Yirga, Abule Bodicha, Belay Boda, Chanie, Gashaw Sisay, Demeke, Feleke Mekonnen, Dereje, Diriba, Digesa, Lankamo Ena, Ekholuenetale, Michael, Enyew, Daniel Berhanie, Esayas, Hawi Leul, Fagbamigbe, Adeniyi Francis, Fetensa, Getahun, Gebrekidan, Kahsu Gebrekirstos, Gela, Yibeltal Yismaw, Guadie, Habtamu Alganeh, Ibitoye, Segun Emmanuel, Ilesanmi, Olayinka Stephen, Kanko, Tesfaye K., Katoto, Patrick D.M.C., Legesse, Samson Mideksa, Mohammed, Shafiu, Nansseu, Jobert Richie, Nzoputam, Ogochukwu Janet, Nzoputam, Chimezie Igwegbe, Odukoya, Oluwakemi Ololade, Okonji, Osaretin Christabel, Owolabi, Mayowa O., Shashamo, Bereket Beyene, Solomon, Yonatan, Temesgen, Worku Animaw, Wubetie, Gedif Ashebir, Yismaw, Yazachew, Zenebe, Getachew Assefa
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cited_by cdi_FETCH-LOGICAL-c441t-c8271cef95dec5c1b24a3ea903fdcb30290a77d9271ba07f5cc8b74c8e9c91723
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creator Alemayohu, Mulubirhan Assefa
Zanolin, Maria Elisabetta
Cazzoletti, Lucia
Nyasulu, Peter
Garcia-Larsen, Vanessa
Alemayohu, Mulubirhan Assefa
Zanolin, Maria Eisabetta
Cazzoletti, Lucia
Nyasulu, Peter S.
Garcia-Larsen, Vanessa
Abtew, Yonas Derso
Adane, Denberu Eshetie
Adesina, Miracle Ayomikun
Barrow, Amadou
Berhie, Alemshet Yirga
Abule Bodicha, Belay Boda
Chanie, Gashaw Sisay
Demeke, Feleke Mekonnen
Dereje, Diriba
Digesa, Lankamo Ena
Ekholuenetale, Michael
Enyew, Daniel Berhanie
Esayas, Hawi Leul
Fagbamigbe, Adeniyi Francis
Fetensa, Getahun
Gebrekidan, Kahsu Gebrekirstos
Gela, Yibeltal Yismaw
Guadie, Habtamu Alganeh
Ibitoye, Segun Emmanuel
Ilesanmi, Olayinka Stephen
Kanko, Tesfaye K.
Katoto, Patrick D.M.C.
Legesse, Samson Mideksa
Mohammed, Shafiu
Nansseu, Jobert Richie
Nzoputam, Ogochukwu Janet
Nzoputam, Chimezie Igwegbe
Odukoya, Oluwakemi Ololade
Okonji, Osaretin Christabel
Owolabi, Mayowa O.
Shashamo, Bereket Beyene
Solomon, Yonatan
Temesgen, Worku Animaw
Wubetie, Gedif Ashebir
Yismaw, Yazachew
Zenebe, Getachew Assefa
description 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. 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). 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. 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. 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.
doi_str_mv 10.1016/j.eclinm.2023.102215
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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. 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. There are no specific fundings received for this study. 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Ekholuenetale, Michael ; Enyew, Daniel Berhanie ; Esayas, Hawi Leul ; Fagbamigbe, Adeniyi Francis ; Fetensa, Getahun ; Gebrekidan, Kahsu Gebrekirstos ; Gela, Yibeltal Yismaw ; Guadie, Habtamu Alganeh ; Ibitoye, Segun Emmanuel ; Ilesanmi, Olayinka Stephen ; Kanko, Tesfaye K. ; Katoto, Patrick D.M.C. ; Legesse, Samson Mideksa ; Mohammed, Shafiu ; Nansseu, Jobert Richie ; Nzoputam, Ogochukwu Janet ; Nzoputam, Chimezie Igwegbe ; Odukoya, Oluwakemi Ololade ; Okonji, Osaretin Christabel ; Owolabi, Mayowa O. ; Shashamo, Bereket Beyene ; Solomon, Yonatan ; Temesgen, Worku Animaw ; Wubetie, Gedif Ashebir ; Yismaw, Yazachew ; Zenebe, Getachew Assefa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-c8271cef95dec5c1b24a3ea903fdcb30290a77d9271ba07f5cc8b74c8e9c91723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Burden</topic><topic>Chronic respiratory diseases</topic><topic>COPD</topic><topic>DALYs</topic><topic>Global burden of disease</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alemayohu, Mulubirhan Assefa</creatorcontrib><creatorcontrib>Zanolin, Maria Elisabetta</creatorcontrib><creatorcontrib>Cazzoletti, Lucia</creatorcontrib><creatorcontrib>Nyasulu, Peter</creatorcontrib><creatorcontrib>Garcia-Larsen, Vanessa</creatorcontrib><creatorcontrib>Alemayohu, Mulubirhan Assefa</creatorcontrib><creatorcontrib>Zanolin, Maria Eisabetta</creatorcontrib><creatorcontrib>Cazzoletti, Lucia</creatorcontrib><creatorcontrib>Nyasulu, Peter S.</creatorcontrib><creatorcontrib>Garcia-Larsen, Vanessa</creatorcontrib><creatorcontrib>Abtew, Yonas Derso</creatorcontrib><creatorcontrib>Adane, Denberu Eshetie</creatorcontrib><creatorcontrib>Adesina, Miracle Ayomikun</creatorcontrib><creatorcontrib>Barrow, Amadou</creatorcontrib><creatorcontrib>Berhie, Alemshet Yirga</creatorcontrib><creatorcontrib>Abule Bodicha, Belay Boda</creatorcontrib><creatorcontrib>Chanie, Gashaw Sisay</creatorcontrib><creatorcontrib>Demeke, Feleke Mekonnen</creatorcontrib><creatorcontrib>Dereje, Diriba</creatorcontrib><creatorcontrib>Digesa, Lankamo Ena</creatorcontrib><creatorcontrib>Ekholuenetale, Michael</creatorcontrib><creatorcontrib>Enyew, Daniel Berhanie</creatorcontrib><creatorcontrib>Esayas, Hawi Leul</creatorcontrib><creatorcontrib>Fagbamigbe, Adeniyi Francis</creatorcontrib><creatorcontrib>Fetensa, Getahun</creatorcontrib><creatorcontrib>Gebrekidan, Kahsu Gebrekirstos</creatorcontrib><creatorcontrib>Gela, Yibeltal Yismaw</creatorcontrib><creatorcontrib>Guadie, Habtamu Alganeh</creatorcontrib><creatorcontrib>Ibitoye, Segun Emmanuel</creatorcontrib><creatorcontrib>Ilesanmi, Olayinka Stephen</creatorcontrib><creatorcontrib>Kanko, Tesfaye K.</creatorcontrib><creatorcontrib>Katoto, Patrick D.M.C.</creatorcontrib><creatorcontrib>Legesse, Samson Mideksa</creatorcontrib><creatorcontrib>Mohammed, Shafiu</creatorcontrib><creatorcontrib>Nansseu, Jobert Richie</creatorcontrib><creatorcontrib>Nzoputam, Ogochukwu Janet</creatorcontrib><creatorcontrib>Nzoputam, Chimezie Igwegbe</creatorcontrib><creatorcontrib>Odukoya, Oluwakemi Ololade</creatorcontrib><creatorcontrib>Okonji, Osaretin Christabel</creatorcontrib><creatorcontrib>Owolabi, Mayowa O.</creatorcontrib><creatorcontrib>Shashamo, Bereket Beyene</creatorcontrib><creatorcontrib>Solomon, Yonatan</creatorcontrib><creatorcontrib>Temesgen, Worku Animaw</creatorcontrib><creatorcontrib>Wubetie, Gedif Ashebir</creatorcontrib><creatorcontrib>Yismaw, Yazachew</creatorcontrib><creatorcontrib>Zenebe, Getachew Assefa</creatorcontrib><creatorcontrib>GBD 2019 Sub-Saharan COPD Collaborators</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>EClinicalMedicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alemayohu, Mulubirhan Assefa</au><au>Zanolin, Maria Elisabetta</au><au>Cazzoletti, Lucia</au><au>Nyasulu, Peter</au><au>Garcia-Larsen, Vanessa</au><au>Alemayohu, Mulubirhan Assefa</au><au>Zanolin, Maria Eisabetta</au><au>Cazzoletti, Lucia</au><au>Nyasulu, Peter S.</au><au>Garcia-Larsen, Vanessa</au><au>Abtew, Yonas Derso</au><au>Adane, Denberu Eshetie</au><au>Adesina, Miracle Ayomikun</au><au>Barrow, Amadou</au><au>Berhie, Alemshet Yirga</au><au>Abule Bodicha, Belay Boda</au><au>Chanie, Gashaw Sisay</au><au>Demeke, Feleke Mekonnen</au><au>Dereje, Diriba</au><au>Digesa, Lankamo Ena</au><au>Ekholuenetale, Michael</au><au>Enyew, Daniel Berhanie</au><au>Esayas, Hawi Leul</au><au>Fagbamigbe, Adeniyi Francis</au><au>Fetensa, Getahun</au><au>Gebrekidan, Kahsu Gebrekirstos</au><au>Gela, Yibeltal Yismaw</au><au>Guadie, Habtamu Alganeh</au><au>Ibitoye, Segun Emmanuel</au><au>Ilesanmi, Olayinka Stephen</au><au>Kanko, Tesfaye K.</au><au>Katoto, Patrick D.M.C.</au><au>Legesse, Samson Mideksa</au><au>Mohammed, Shafiu</au><au>Nansseu, Jobert Richie</au><au>Nzoputam, Ogochukwu Janet</au><au>Nzoputam, Chimezie Igwegbe</au><au>Odukoya, Oluwakemi Ololade</au><au>Okonji, Osaretin Christabel</au><au>Owolabi, Mayowa O.</au><au>Shashamo, Bereket Beyene</au><au>Solomon, Yonatan</au><au>Temesgen, Worku Animaw</au><au>Wubetie, Gedif Ashebir</au><au>Yismaw, Yazachew</au><au>Zenebe, Getachew Assefa</au><aucorp>GBD 2019 Sub-Saharan COPD Collaborators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>EClinicalMedicine</jtitle><date>2023-10-01</date><risdate>2023</risdate><volume>64</volume><spage>102215</spage><epage>102215</epage><pages>102215-102215</pages><artnum>102215</artnum><issn>2589-5370</issn><eissn>2589-5370</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Authors list provided at the Acknowledgements.</notes><abstract>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. 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). 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. 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. There are no specific fundings received for this study. The Global Burden of Disease study was supported by funding from the Bill &amp; Melinda Gates Foundation.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.eclinm.2023.102215</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0003-1988</orcidid><orcidid>https://orcid.org/0000-0001-8370-019X</orcidid><oa>free_for_read</oa></addata></record>
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source PubMed (Medline); BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS
subjects Burden
Chronic respiratory diseases
COPD
DALYs
Global burden of disease
Risk factors
title 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
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