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Biomedical subjects

J M Klopper

Publications and source records attributed to J M Klopper.

28 records · Page 2Linked to original sources
PubMed1987

Variations in mortality of the coloured, white and Asian population groups in the RSA, 1978-1982. Part V. Hypertensive diseases.

An analysis was undertaken of mortality from hypertensive disease in the RSA between 1978 and 1982 among whites, coloureds and Asians. The age-specific mortality rates for each group are presented and comparisons are also made between these groups based on age-standardised mortality rates. As with a similar study undertaken for the period 1969-1971, marked variations are seen between the various population groups. The rates for Asians exceeded those for coloureds substantially, and both these groups had far higher rates than whites. These results demonstrate an interesting variation when compared with mortality from ischaemic heart disease and recent prevalence studies of hypertension. The possibility that this variation is due to better control of hypertension in whites or is a result of a different ratio of risk factors in each group studied is considered.

Adult↗
PubMed1987

Variations in mortality of the coloured, white and Asian population groups in the RSA, 1978-1982. Part VI. Ischaemic heart disease.

An analysis of ischaemic heart disease (IHD) mortality for the period 1978-1982 showed markedly different rates for the Asian, white and coloured population groups in the RSA. Age-specific and age-standardised rates for Asians were in general considerably higher than those for whites, and did not show the marked decline with time observed in rates for whites. Although coloureds were seen to have considerably lower age-standardized rates than Asians or whites of the same sex, an increase in the age-standardised rates for coloured males over a 10-year period and a slight decrease among females suggested that rates for coloureds may be in the process of approaching those for the other groups. The observed decline in IHD rates among whites of both sexes suggests that preventable major risk factors may be coming under control, apparently to a greater extent in this group than among Asians or coloureds.

Age Factors↗
PubMed1987

Variations in mortality of the coloured, white and Asian population groups in the RSA, 1978-1982. Part I. All causes.

Previous reports, based largely on the 1970 census and the 8th revision of the International Classification of Diseases, (ICD-8) have suggested that marked differences in mortality exist between population groups in the RSA. In this article the ICD-9 classification of causes of death and 1980 census are used to assess whether the trends have continued through to the present time. Total mortality data in the RSA for whites, coloureds and Asians for the 5-year period 1978-1982 are presented. The 1980 national census provided the denominator population data. Annual age- and sex-specific mortality rates were higher for coloureds than for whites or Asians, the differences being most marked in childhood. There appears to have been little change in total standardised mortality rates among whites over the 5-year period, while increases have occurred among coloureds of both sexes and among Asian males. Analysis of proportional mortality stresses the relatively large proportion of deaths accounted for by external causes and infections among coloureds and by cardiovascular diseases among whites and Asians. There is an urgent need for the health services to take note of these data in order to provide for the varied needs of the population.

Adolescent↗
PubMed1987

Variations in mortality of the coloured, white and Asian population groups in the RSA, 1978-1982. Part II. Cerebrovascular disease.

An analysis was undertaken of mortality from cerebrovascular disease in the RSA between 1978 and 1982 in whites, coloureds and Asians. This article details the age-specific mortality rates for each group and also comparisons between groups based on age-standardised mortality rates. Marked differences are seen between the various population groups, the rates for Asians and coloureds (particularly females) far exceeding that for whites. Comparison of these data with those published previously by Wyndham suggest that while mortality from this cause may be falling among whites and Asians, the rate is remaining relatively static in the coloured population.

Adult↗
PubMed1987

Variations in mortality of the coloured white and Asian population groups in the RSA, 1978-1982. Part III. Rheumatic heart disease.

An analysis was undertaken of mortality from rheumatic heart disease in the RSA between 1978 and 1982 in whites, coloureds and Asians. This article details the age-specific mortality rates (MRs) for each group and also comparisons between groups based on age-standardised MRs. The rates for Asians and coloureds markedly exceed those for whites, particularly in the lower age groups (under 45 years).

Adolescent↗
PubMed1986

Towards a national health service for South Africa. A personal view.

Circumstances are propitious for a new look at the Gluckman Report of 1942-1944 with a view to introducing a national health service for South Africa, including the homelands and national states. The circumstances relate to the ethical question of the patient's medical care, without economic disadvantage, being paramount in a health care system. Other issues concern doctors in a salaried service; a burgeoning population; the high cost of health care to the individual patient and to the State as a result of a proliferation of health bureaucracies. The issues are compounded by economic decline, unemployment and adverse socio-economic factors, which militate against the privatization of health care.

Health Workforce↗
PubMed1986

Community health service planning in the education of medical students.

Few medical students gain practical experience in practical epidemiology during their undergraduate years or understand how this science is a prerequisite to decision-making in the health services. In an attempt to overcome this deficit a group of clinical students was asked to measure the incidence of cerebrovascular disease in the Cape Peninsula over a relatively short period in order that rehabilitation facilities could be planned for affected patients. The exercise proved extremely fruitful for both the staff and the students. For the latter it not only met the objectives outlined above but also forced them to enter the community and so gain a perspective of all health services provided. We suggest that this technique, which can be applied to many topics, is a useful way of introducing students to these important concepts.

Cerebrovascular Disorders↗