The Agincourt Health and Demographic Surveillance System is based in Bushbuckridge, Mpumalanga. Studies carried out from the 1990s were already uncovering the emerging problem of the chronic diseases of ageing problem, when stroke was found to be an important cause of death. In a subsequent study it was found that the Agincourt area also had a surprisingly high proportion of people who had survived a stroke and were living with the effects. At the same time it was demonstrated that there was a high prevalence of hypertension among all adults and of obesity among women. Given these results the Agincourt HDSS decided to focus an area of research on older people and their wellbeing. One important outcome was a collaborative study with WHO and the INDEPTH network investigating the health situation of older people and the factors associated with poor health, functionality, or quality of life; The multi-site Study on Global Ageing and Adult Health (SAGE). The results from Agincourt are discussed here.
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