Risk Factors and Contributing Factors for Non-communicable Diseases in Africa

November 2, 2023
8-minute read

According to the 2022 World Health Organization(WHO) Noncommunicable Disease Progress Monitor, between 50% and 88% of deaths in seven countries in Africa, primarily small island nations, are attributed to noncommunicable diseases (NCDs). These NCDs encompass a range of conditions such as cancers, cardiovascular disease, diabetes, chronic lung illnesses, and mental health conditions. The prevalence of hypertension in the region is alarming, with a rate of 48%.

Recently, there has been a substantial increase in the burden of disability-adjusted life-years (DALYs) associated with NCDs insub-Saharan Africa. The number of DALYs due to NCDs in this region rose to 90.6million, highlighting the growing impact of these diseases3. Additionally, the prevalence of NCDs is rapidly increasing in sub-Saharan African countries, where 96% of global malaria deaths occur6.

Non-communicable diseases (NCDs), including cardiovascular diseases, stroke, diabetes, asthma, chronic kidney disease, and mental health diseases, pose a significant challenge to achieving the healthcare goals of Africa. These NCDs not only contribute to a substantial burden of death but also result in disability and reduced quality of life for individuals across the continent.

Mitigation strategies are crucial in addressing the impact of NCDs in Africa. Preventive measures play a vital role in reducing the prevalence of these diseases. By implementing interventions that target lifestyle factors such as unhealthy diet, physical inactivity, tobacco use, and harmful alcohol consumption, the burden of NCDs can be mitigated. Additionally, early detection and proper management of NCDs are essential to minimize their adverse effects on individuals' health and well-being.

Non-communicable diseases (NCDs) pose a significant health challenge in Africa, with cardiovascular diseases (CVDs), stroke, diabetes, asthma, chronic kidney disease, and mental health diseases being of particular concern. These diseases have been on the rise in Sub-Saharan Africa(SSA) over the past decade, attributed to various risk factors and contributing factors. Understanding these factors is crucial for developing effective mitigation strategies and improving African healthcare. This report aims to compile recent research findings and statistics on the specific risk factors and contributing factors for NCDs in Africa.

CardiovascularDiseases (CVDs)

Cardiovascular diseases, including coronary heart disease and stroke, are major causes of morbidity and mortality in Africa. The surge in CVDs in SSA can be attributed to a rise in risk factors, largely driven by rapid urbanization. Four major cardiovascular risk factors have been identified: hypertension, high body mass index (BMI), high blood glucose, and tobacco smoking. These risk factors contribute to half of the global burden of disease. Furthermore, hypertension and smoking are the most common risk factors among CVD patients in Africa. To address the growing CVD epidemic, it is crucial to target these risk factors and promote healthier lifestyles.

Diabetes

Diabetes is another significant non-communicable disease in Africa. The prevalence of diabetes is closely linked to CVDs, and both conditions share common risk factors. Hypertension, obesity, and elevated blood lipids are key risk factors for diabetes in Africa. Additionally, type 2diabetes is prevalent among CVD patients in Africa, affecting over one-third of them. To effectively combat diabetes, interventions focusing on reducing the prevalence of hypertension, obesity, and dyslipidemia are crucial.

Asthma

Asthma, a chronic respiratory disease, also poses a considerable healthcare burden in Africa. Unfortunately, there is a lack of specific research on asthma risk factors and contributing factors in Africa.However, evidence from other regions suggests that tobacco use and environmental factors, such as air pollution and allergens, play a significant role in asthma development. Further research is needed to understand the unique risk factors and contributing factors for asthma in the African context.

Chronic Kidney Disease

Chronic kidney disease (CKD) is a growing concern in Africa. The prevalence of CKD is rising, and risk factors such as hypertension, diabetes, and obesity contribute significantly to its development. Early detection and proper management of these risk factors are crucial in mitigating the impact of CKD in Africa.

Mental Health Diseases

Mental health conditions, including depression and anxiety, contribute significantly to the burden of NCDs in Africa. These conditions have a profound impact on the overall healthcare situation in the continent. It is essential to address mental health as part of a comprehensive approach to combating NCDs in Africa.

Mitigation Strategies

Mitigation strategies are crucial in addressing the impact of NCDs in Africa. Preventive measures play a vital role in reducing the prevalence of these diseases. By implementing interventions that target lifestyle factors such as unhealthy diet, physical inactivity, tobacco use, and harmful alcohol consumption, the burden of NCDs can be mitigated. Additionally, early detection and proper management of NCDs are essential to minimize their adverse effects on individuals' health and well-being. This requires strengthening healthcare systems, improving access to quality care, and promoting awareness and education about NCD prevention and management.

Conclusion

Non-communicable diseases pose a significant burden on healthcare in Africa, with cardiovascular diseases, diabetes, asthma, chronic kidney disease, and mental health diseases being major concerns. The prevalence of these diseases is rapidly increasing, contributing to a substantial burden of death, disability, and reduced quality of life.Understanding the specific risk factors and contributing factors for each disease is crucial in developing effective mitigation strategies. By targeting modifiable behaviors and risk factors, promoting healthier lifestyles, and improving access to quality healthcare, the impact of NCDs in Africa can be reduced. Continued research, awareness, and collaboration are essential in addressing the healthcare challenges posed by NCDs in Africa.

Reference:

·      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684871/

·      https://www.afro.who.int/health-topics/noncommunicable-diseases

·      https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-022-00882-w

·      https://www.thelancet.com/journals/langlo/article/PIIS2214-109X%2819%2930370-5/fulltext

·      https://africacdc.org/download/africa-cdc-non-communicable-diseases-injuries-prevention-and-control-and-mental-health-promotion-strategy-2022-26/

 

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