Adedokun Aanuoluwa Odunayo, Ter Goon Daniel, Owolabi Eyitayo Omolara, Adeniyi Oladele Vincent, Ajayi Anthony Idowu
Department of Nursing Science, Faculty of Health Sciences, University of Fort Hare, East London.
Department of Family Medicine, Faculty of Health Sciences, Walter Sisulu University, Mthatha.
Medicine (Baltimore). 2019 Mar;98(9):e14652. doi: 10.1097/MD.0000000000014652.
Undiagnosed type 2 diabetes mellitus constitutes a significant threat to the health of commercial taxi drivers, safety of the passengers and other road users. This study determines the prevalence of pre-diabetes and type 2 diabetes mellitus among commercial taxi drivers in Buffalo City Metropolitan Municipality (BCMM), Eastern Cape and examines the factors associated with type 2 diabetes mellitus.A cross-sectional survey of 403 commercial taxi drivers was undertaken using the World Health Organization (WHO) STEPwise approach. Anthropometric, blood pressure, and blood glucose measurements followed standard procedure. Diabetes status was determined using the fasting blood glucose (FBG) test. Diabetes was defined as a FBG ≥7.0mmol/L or self-reported history of diabetes or current diabetes medication use (treatment), while pre-diabetes was defined as a FBG of 5.6 to 6.9 mmol/L. Awareness of diabetes was defined as a self-reported history of diabetes.The mean age of the study participants was 43.3 ± 12.5years. Prevalence of pre-diabetes and diabetes were 17% (95% CI: 13.4-20.6) and 16% (95% CI: 12.4-19.6), respectively. Of those who had diabetes (n = 63), the majority were aware of their diabetes status (n = 43) and were on treatment (n = 30). In the unadjusted logistic regression, age, ever married, hypertension, obesity, and driving for more than 5 years were independently associated with diabetes. However, only age >35 (adjusted odds ratio [AOR]= 3.65, CI: 1.17-11.32), ever married (AOR= 3.26, CI: 1.52-6.99) and hypertension (AOR= 3.23, CI: 1.56-6.69) were associated with diabetes in the adjusted logistic regression model.The prevalence of diabetes among commercial taxi drivers in this study is high, almost twice the national prevalence of diabetes in South Africa. Periodic health screening among this sub-population group is important to bridge the gap of undiagnosed diabetes in South Africa.
未确诊的2型糖尿病对商业出租车司机的健康、乘客及其他道路使用者的安全构成重大威胁。本研究确定了东开普省布法罗城都会区商业出租车司机中糖尿病前期和2型糖尿病的患病率，并探究了与2型糖尿病相关的因素。采用世界卫生组织（WHO）的逐步调查方法，对403名商业出租车司机进行了横断面调查。人体测量、血压和血糖测量均遵循标准程序。使用空腹血糖（FBG）测试确定糖尿病状态。糖尿病定义为空腹血糖≥7.0mmol/L或自我报告的糖尿病病史或目前正在使用糖尿病药物（治疗），而糖尿病前期定义为空腹血糖为5.6至6.9mmol/L。糖尿病知晓情况定义为自我报告的糖尿病病史。研究参与者的平均年龄为43.3±12.5岁。糖尿病前期和糖尿病的患病率分别为17%（95%CI：13.4 - 20.6）和16%（95%CI：12.4 - 19.6）。在患有糖尿病的人群中（n = 63），大多数人知晓自己的糖尿病状态（n = 43）且正在接受治疗（n = 30）。在未调整的逻辑回归中，年龄、已婚、高血压、肥胖以及驾驶超过5年与糖尿病独立相关。然而，在调整后的逻辑回归模型中，只有年龄>35岁（调整后的优势比[AOR]= 3.65，CI：1.17 - 11.32）、已婚（AOR= 3.26，CI：1.52 - 6.99）和高血压（AOR= 3.23，CI：1.56 - 6.69）与糖尿病相关。本研究中商业出租车司机的糖尿病患病率很高，几乎是南非全国糖尿病患病率的两倍。对这一亚人群进行定期健康筛查对于弥补南非未确诊糖尿病的差距很重要。
