Seasonal and socio-demographic patterns of self-reporting major disease groups in north-west Burkina Faso: an analysis of the Nouna Health and Demographic Surveillance System (HDSS) data.

ABSTRACT

BACKGROUND: Sub-Saharan Africa (SSA) is facing a rapid growth of non-communicable diseases (NCDs), while communicable diseases still prevail. For rural SSA, evidence for this development is scarce. We aimed at quantifying self-reported major disease groups according to season, and determining the associations with socio-economic factors in rural Burkina Faso. METHODS: This study used data of 4192 adults (age range 18-101 years; male 49.0%) from the Nouna Health and Demographic Surveillance System (HDSS) in north-west Burkina Faso, rainy season of 2010 and dry season of 2011. We assessed the proportions and their 95% confidence intervals (CIs) of self-reported major disease groups as defined by the World Health Organization. For their associations with socio-economic factors, odds ratios (OR), 95% CIs and p-values were calculated by logistic regression. RESULTS: The surveys were completed by 3949 adults in 2010 (mean age 37.5 ± 14.9 years, male 48.8%) and by 4039 adults in 2011 (mean age 37.3 ± 16.2 years, male 49.1%). The proportions of self-reported communicable diseases were 20.7% (95% CI 19.4-21.9%) in the rainy season and 11.0% (10.0-11.9%; McNemar's p < 0.0001) in the dry season. Self-reported NCDs amounted to 5.3% (4.6-6.0%) and 4.5% (3.8-5.1%; p = 0.08), respectively. In each year, less than 1% reported injuries (p = 0.57). Few individuals reported an overlap of communicable diseases and NCDs 1.4% in 2010 and 0.6% in 2011. In the multiple-adjusted models, formal education (vs. lack of education) showed the strongest association with self-reporting of communicable diseases in both seasons. For NCD-reporting, non-manual occupation (vs. manual) was positively associated, only in the rainy season. CONCLUSIONS: Self-reporting of communicable diseases is subject to seasonal variation in this population in north-west Burkina Faso. The exact reasons for the low overall self-reporting of NCDs and injuries, apart from a low socio-demographic position, require further investigation.