Inserm U1094, IRD UMR270, CHU Limoges, EpiMaCT-Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, University of Limoges, 87000 Limoges, France.
The Democratic Republic of Congo National Public Health Institute, Kinshasa P.O. Box 3243, Congo.
Int J Environ Res Public Health. 2024 Oct 31;21(11):1450. doi: 10.3390/ijerph21111450.
The mortality rates associated with cardiovascular disease (CVD) and diabetes exhibit disparities by region, with Central Africa ranking fourth globally in terms of mortality rate. The Democratic Republic of Congo (DRC) does not possess mortality data pertaining to these specific underlying causes of death. This study aimed to determine the death rate attributable to CVD and diabetes in two cities in the DRC.
The data on CVD and diabetes utilized in this study were obtained from a pilot project and were registered in the National Health Information System (NHIS). Data quality was initially evaluated using an automated Digital Open Rule Integrated Selection (DORIS), followed by an assessment conducted manually by three assessors. Descriptive and comparative analyses were carried out to determine the proportion of mortality related to CVD and diabetes.
CVD accounted for 20.4% (95%CI: 17.7-23.4%) of deaths in the two cities (Kinshasa and Matadi), whereas diabetes accounted for 5.4% (95%CI: 3.9-7.2%). After adjusting for age and city, the proportional mortality from CVD and diabetes was higher for women than men and increased with age. This study recorded 4.4% of deaths among men and 7.0% among women as the proportional mortality from diabetes.
Non-communicable diseases (NCDs) continue to be a major cause of death, and CVD and diabetes are among the leading causes of early mortality in adults in urban areas. The proportional mortality related to CVD and diabetes appears to be higher in women than in men. Special emphasis should be placed on women, particularly during adulthood, to ensure the prompt detection of diabetes and cardiovascular conditions.
心血管疾病（CVD）和糖尿病相关的死亡率存在地域差异，其中中非地区的死亡率全球排名第四。刚果民主共和国（DRC）没有这些特定死亡原因的死亡率数据。本研究旨在确定刚果民主共和国两个城市心血管疾病和糖尿病的死亡率。
本研究中使用的 CVD 和糖尿病数据来自一个试点项目，并在国家卫生信息系统（NHIS）中注册。数据质量最初使用自动数字开放式规则综合选择（DORIS）进行评估，然后由三名评估员手动进行评估。进行描述性和比较分析以确定与 CVD 和糖尿病相关的死亡率比例。
在这两个城市（金沙萨和马塔迪），CVD 占死亡人数的 20.4%（95%CI：17.7-23.4%），而糖尿病占 5.4%（95%CI：3.9-7.2%）。调整年龄和城市后，CVD 和糖尿病的比例死亡率女性高于男性，并随年龄增长而增加。本研究记录了 4.4%的男性和 7.0%的女性死于糖尿病的比例死亡率。
非传染性疾病（NCD）仍然是主要的死亡原因，心血管疾病和糖尿病是城市地区成年人早期死亡的主要原因。与 CVD 和糖尿病相关的死亡率似乎女性高于男性。应特别关注女性，尤其是在成年期，以确保及时发现糖尿病和心血管疾病。
