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Risk of cardiovascular disease among teachers in Cape Town: Findings of the South African PaCT pilot study

SAMJ: South African Medical Journal, 2016-10, Vol.106 (10), p.996-1001 [Peer Reviewed Journal]

COPYRIGHT 2016 Health & Medical Publishing Group ;COPYRIGHT 2016 Health & Medical Publishing Group ;This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. ;ISSN: 0256-9574 ;ISSN: 2078-5135 ;EISSN: 2078-5135 ;DOI: 10.7196/SAMJ.2016.v106i10.10869 ;PMID: 27725020

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  • Title:
    Risk of cardiovascular disease among teachers in Cape Town: Findings of the South African PaCT pilot study
  • Author: Laurence, E C ; Volmink, J ; Esterhuizen, T M ; Dalal, S ; Holmes, M D
  • Subjects: Cardiovascular diseases ; Health aspects ; Health Care Sciences & Services ; Health Policy & Services ; Medical Ethics ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Risk factors ; Teachers
  • Is Part Of: SAMJ: South African Medical Journal, 2016-10, Vol.106 (10), p.996-1001
  • Description: The accelerating epidemic of cardiovascular disease (CVD) and other non-communicable diseases (NCDs) highlights the need to establish long-term cohort studies in Africa. The Partnership for Cohort Research and Training (PaCT) seeks to study NCDs in South Africa (SA), Uganda, Tanzania and Nigeria on a long-term basis. Pilot studies at each site have tested feasibility. The SA site additionally studied the prevalence of CVD risk factors and categorised participants' 10-year predicted risk of a cardiovascular event. We enrolled teachers from 111 public schools in the Metro South Education District in Cape Town, SA, between January 2011 and May 2012. Participants completed a self-administered questionnaire and biological measurements, and chose post or email for 6-month follow-up. The participation of schools was permitted by 53.2% of principals, and 489 of 1 779 teachers agreed to participate. Of teachers willing to participate in the follow-up, 52% were retained, three-quarters by post and a quarter by email. Their mean age was 46.3 years and 70.3% were female. The prevalence of CVD risk factors was high and featured hypertension (48.5%), hypercholesterolaemia (20.5%), smoking (18.0%), diabetes (10.1%) and chronic kidney disease (10.4%), while 84.7% were overweight or obese. Of the participants, 18.7% were at high risk of a heart attack or stroke within 10 years. Establishing a cohort study among teachers has challenges but also opportunities for addressing CVD, which will soon impose a substantial burden on Cape Town's education system.
  • Publisher: South Africa: Health & Medical Publishing Group
  • Language: English;Portuguese
  • Identifier: ISSN: 0256-9574
    ISSN: 2078-5135
    EISSN: 2078-5135
    DOI: 10.7196/SAMJ.2016.v106i10.10869
    PMID: 27725020
  • Source: SciELO
    African Journals Online (Open Access)
    GFMER Free Medical Journals
    Alma/SFX Local Collection
    DOAJ Directory of Open Access Journals
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