Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa
Background. Although 80% of the burden of cardiovascular disease (CVD) is in developing countries, the 2010 global burden of disease (GBD) estimates have been cited to support a premise that sub-Saharan Africa (SSA) is exempt from the CVD epidemic sweeping across developing countries. The widely pub...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/921021 |
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| author | Jacob K. Kariuki Eileen M. Stuart-Shor Suzanne G. Leveille Laura L. Hayman |
| author_facet | Jacob K. Kariuki Eileen M. Stuart-Shor Suzanne G. Leveille Laura L. Hayman |
| author_sort | Jacob K. Kariuki |
| collection | DOAJ |
| description | Background. Although 80% of the burden of cardiovascular disease (CVD) is in developing countries, the 2010 global burden of disease (GBD) estimates have been cited to support a premise that sub-Saharan Africa (SSA) is exempt from the CVD epidemic sweeping across developing countries. The widely publicized perspective influences research priorities and resource allocation at a time when secular trends indicate a rapid increase in prevalence of CVD in SSA by 2030. Purpose. To explore methodological challenges in estimating trends and burden of CVD in SSA via appraisal of the current CVD statistics and literature. Methods. This review was guided by the Critical review methodology described by Grant and Booth. The review traces the origins and evolution of GBD metrics and then explores the methodological limitations inherent in the current GBD statistics. Articles were included based on their conceptual contribution to the existing body of knowledge on the burden of CVD in SSA. Results/Conclusion. Cognizant of the methodological challenges discussed, we caution against extrapolation of the global burden of CVD statistics in a way that underrates the actual but uncertain impact of CVD in SSA. We conclude by making a case for optimal but cost-effective surveillance and prevention of CVD in SSA. |
| format | Article |
| id | doaj-art-18f69bbba5c14ff0a2c7c78e799e95ae |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-18f69bbba5c14ff0a2c7c78e799e95ae2025-02-03T06:08:27ZengWileyCardiology Research and Practice2090-80162090-05972015-01-01201510.1155/2015/921021921021Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan AfricaJacob K. Kariuki0Eileen M. Stuart-Shor1Suzanne G. Leveille2Laura L. Hayman3College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USACollege of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USACollege of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USACollege of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USABackground. Although 80% of the burden of cardiovascular disease (CVD) is in developing countries, the 2010 global burden of disease (GBD) estimates have been cited to support a premise that sub-Saharan Africa (SSA) is exempt from the CVD epidemic sweeping across developing countries. The widely publicized perspective influences research priorities and resource allocation at a time when secular trends indicate a rapid increase in prevalence of CVD in SSA by 2030. Purpose. To explore methodological challenges in estimating trends and burden of CVD in SSA via appraisal of the current CVD statistics and literature. Methods. This review was guided by the Critical review methodology described by Grant and Booth. The review traces the origins and evolution of GBD metrics and then explores the methodological limitations inherent in the current GBD statistics. Articles were included based on their conceptual contribution to the existing body of knowledge on the burden of CVD in SSA. Results/Conclusion. Cognizant of the methodological challenges discussed, we caution against extrapolation of the global burden of CVD statistics in a way that underrates the actual but uncertain impact of CVD in SSA. We conclude by making a case for optimal but cost-effective surveillance and prevention of CVD in SSA.http://dx.doi.org/10.1155/2015/921021 |
| spellingShingle | Jacob K. Kariuki Eileen M. Stuart-Shor Suzanne G. Leveille Laura L. Hayman Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa Cardiology Research and Practice |
| title | Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa |
| title_full | Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa |
| title_fullStr | Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa |
| title_full_unstemmed | Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa |
| title_short | Methodological Challenges in Estimating Trends and Burden of Cardiovascular Disease in Sub-Saharan Africa |
| title_sort | methodological challenges in estimating trends and burden of cardiovascular disease in sub saharan africa |
| url | http://dx.doi.org/10.1155/2015/921021 |
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