MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Glob Health Action. 2013 Jan 24;6:19244. doi: 10.3402/gha.v6i0.19244.
Increasing urbanisation and rising unhealthy lifestyle risk factors are contributing to a growing diabetes epidemic in South Africa. In 2000, a study estimated diabetes prevalence to be 5.5% in those aged over 30. Accurate, up-to-date information on the epidemiology and burden of disease due to diabetes and its sequelae is essential in the planning of health services for diabetes management.
To calculate the non-fatal burden of disease in Years Lost due to Disability (YLD) due to diabetes and selected sequelae in South Africa in 2009. YLD measures the equivalent loss of life due to ill-health.
A series of systematic literature reviews identified data on the epidemiology of diabetes and its sequelae in South Africa. The data identified were then applied to Global Burden of Disease (GBD) methodology to calculate the burden attributable to diabetes.
Prevalence of type 2 diabetes in South Africa in 2009 is estimated at 9.0% in people aged 30 and older, representing approximately 2 million cases of diabetes. We modelled 8,000 new cases of blindness and 2,000 new amputations annually caused by diabetes. There are 78,900 YLD attributed to diabetes, with 64% coming from diabetes alone, 24% from retinopathy, 6% from amputations, 9% from attributable stroke disability, and 7% from attributable ischemic heart disease disability.
We estimate that the prevalence of diabetes is increasing in South Africa. Significant disability associated with diabetes is demonstrated. Some of the attributed burden can be prevented through early detection and treatment.
城市化进程加快和不良生活方式风险因素的增加，导致南非糖尿病发病率不断上升。2000 年的一项研究估计，30 岁以上人群的糖尿病患病率为 5.5%。准确、最新的糖尿病及其并发症的流行病学和疾病负担信息，对于规划糖尿病管理的卫生服务至关重要。
计算 2009 年南非因糖尿病及某些并发症导致的伤残所致寿命年（YLD）的非致命性疾病负担。YLD 衡量因健康不良而导致的生命损失相当于数。
一系列系统文献回顾确定了南非糖尿病及其并发症的流行病学数据。然后将这些数据应用于全球疾病负担（GBD）方法学，以计算糖尿病造成的负担。
2009 年南非 30 岁及以上人群的 2 型糖尿病患病率估计为 9.0%，约有 200 万例糖尿病患者。我们预测每年将有 8000 例新的失明病例和 2000 例新的糖尿病性截肢病例。糖尿病导致 78900 个 YLD，其中 64%来自糖尿病本身，24%来自视网膜病变，6%来自截肢，9%来自归因于中风的残疾，7%来自归因于缺血性心脏病的残疾。
我们估计南非的糖尿病患病率正在上升。研究表明，糖尿病会导致严重的残疾。通过早期发现和治疗，部分归因负担可以预防。
