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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 |
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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 |
format | article |
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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.</description><identifier>ISSN: 2589-5370</identifier><identifier>EISSN: 2589-5370</identifier><identifier>DOI: 10.1016/j.eclinm.2023.102215</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Burden ; Chronic respiratory diseases ; COPD ; DALYs ; Global burden of disease ; Risk factors</subject><ispartof>EClinicalMedicine, 2023-10, Vol.64, p.102215-102215, Article 102215</ispartof><rights>2023 The Authors</rights><rights>2023 The Authors 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-c8271cef95dec5c1b24a3ea903fdcb30290a77d9271ba07f5cc8b74c8e9c91723</citedby><cites>FETCH-LOGICAL-c441t-c8271cef95dec5c1b24a3ea903fdcb30290a77d9271ba07f5cc8b74c8e9c91723</cites><orcidid>0000-0002-0003-1988 ; 0000-0001-8370-019X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550520/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550520/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids></links><search><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><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</title><title>EClinicalMedicine</title><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.</description><subject>Burden</subject><subject>Chronic respiratory diseases</subject><subject>COPD</subject><subject>DALYs</subject><subject>Global burden of disease</subject><subject>Risk 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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 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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 & 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> |
fulltext | fulltext |
identifier | ISSN: 2589-5370 |
ispartof | EClinicalMedicine, 2023-10, Vol.64, p.102215-102215, Article 102215 |
issn | 2589-5370 2589-5370 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10550520 |
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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