Profile: Agincourt Health and Socio-demographic Surveillance System

被引:412
作者
Kahn, Kathleen [1 ,2 ,3 ]
Collinson, Mark A. [1 ,2 ,3 ]
Gomez-Olive, F. Xavier [1 ,3 ]
Mokoena, Obed [1 ]
Twine, Rhian [1 ,3 ]
Mee, Paul [1 ,2 ,3 ]
Afolabi, Sulaimon A. [1 ]
Clark, Benjamin D. [4 ]
Kabudula, Chodziwadziwa W. [1 ,3 ]
Khosa, Audrey [1 ]
Khoza, Simon [1 ]
Shabangu, Mildred G. [1 ]
Silaule, Bernard [1 ]
Tibane, Jeffrey B. [1 ]
Wagner, Ryan G. [1 ,2 ,3 ]
Garenne, Michel L. [1 ,5 ,6 ]
Clark, Samuel J. [1 ,3 ,7 ,8 ]
Tollman, Stephen M. [1 ,2 ,3 ]
机构
[1] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, MRC,Wits Univ,Rural Publ Hlth & Hlth Transit Res, ZA-2193 Johannesburg, South Africa
[2] Umea Univ, Dept Publ Hlth & Clin Med, Div Epidemiol & Global Hlth, Umea Ctr Global Hlth Res, Umea, Sweden
[3] Int Network Demog Evaluat Populat & Their Hlth IN, Accra, Ghana
[4] London Sch Hyg & Trop Med, Ctr Populat Studies, London WC1, England
[5] Inst Pasteur, Paris, France
[6] Unite Mixte Int UMI Resiliences, IRD, Paris, France
[7] Univ Washington, Dept Sociol, Seattle, WA 98195 USA
[8] Univ Colorado, Inst Behav Sci, Boulder, CO 80309 USA
基金
美国安德鲁·梅隆基金会; 英国医学研究理事会; 英国惠康基金;
关键词
Sub-Saharan Africa; population pyramids; health transition; mortality; morbidity; cause of death; fertility; migration; census; HIV; tuberculosis; non-communicable diseases; households; RURAL SOUTH-AFRICA; SPATIAL-TEMPORAL TRENDS; DEMOGRAPHIC SURVEILLANCE; RISK-FACTORS; SOCIAL TRANSITIONS; ADULT MORTALITY; FIELD SITE; POPULATION; HOUSEHOLDS; MIGRATION;
D O I
10.1093/ije/dys115
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Agincourt health and socio-demographic surveillance system (HDSS), located in rural northeast South Africa close to the Mozambique border, was established in 1992 to support district health systems development led by the post-apartheid ministry of health. The HDSS (90 000 people), based on an annual update of resident status and vital events, now supports multiple investigations into the causes and consequences of complex health, population and social transitions. Observational work includes cohorts focusing on different stages along the life course, evaluation of national policy at population, household and individual levels and examination of household responses to shocks and stresses and the resulting pathways influencing health and well-being. Trials target children and adolescents, including promoting psycho-social well-being, preventing HIV transmission and reducing metabolic disease risk. Efforts to enhance the research platform include using automated measurement techniques to estimate cause of death by verbal autopsy, full 'reconciliation' of in- and out-migrations, follow-up of migrants departing the study area, recording of extra-household social connections and linkage of individual HDSS records with those from sub-district clinics. Fostering effective collaborations (including INDEPTH multi-centre work in adult health and ageing and migration and urbanization), ensuring cross-site compatibility of common variables and optimizing public access to HDSS data are priorities.
引用
收藏
页码:988 / 1001
页数:14
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