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埃塞俄比亚锡达马地区哈瓦萨祖里亚县成年人群中糖尿病的患病率及相关因素

Prevalence and Associated Factors of Diabetes Mellitus Among Adult Population in Hawassa Zuria Woreda, Sidama Region, Ethiopia.

作者信息

Seifu Yohannes, Tsegaw Desalegn, Haji Yusuf, Ejeso Amanuel

机构信息

Department of Biology, College of Natural and Computational Science, Hawassa University, Hawassa, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.

出版信息

Diabetes Metab Syndr Obes. 2020 Nov 24;13:4571-4579. doi: 10.2147/DMSO.S275230. eCollection 2020.

Abstract

BACKGROUND

Diabetes mellitus (DM) is one of the main health problems in unindustrialized countries. According to the International Diabetes Federation report, adults living with diabetes were growing from time to time globally. Worldwide, diabetes mellitus accounts for 8.8% (424.9 million) morbidity and 4 million deaths. Ethiopia is one of the countries frequently affected by the disease with about 2.567 million (5.2%) of its population affected with diabetes mellitus.

OBJECTIVE

This study was aimed at determining the prevalence and associated factors of diabetes mellitus among adult population in Hawassa Zuria Woreda, Sidama Region, Ethiopia.

METHODS

Community-based cross-sectional study was conducted from January 1 to February 15, 2019 among 519 adult population. A study participant was selected using a multistage sampling technique. We had employed the World Health Organization (WHO) stepwise method for non-communicable disease surveillance to collect the data. Fasting glucose meter was used from venous blood to test for blood glucose level. EPI info was used to enter and clean the data and the data were transported to SPSS for analysis. To assess associated factors with diabetes mellitus adjusted odds ratio (aORs) with 95% confidence intervals (CIs) was employed and p.value <0.05 was considered significant.

RESULTS

A total of 516 participants were included in the study. The diabetes mellitus prevalence was found to be 12.4% (95% CI: 9.5-15.2). Factors associated with diabetes mellitus were being obese [AOR=9.2, 95% CI:4.3, 19.8], hypertensive (AOR=3.8, 95% CI:1.75, 8.4), cigarette smoking (AOR=7.8, 95% CI: 3.45, 18.1) and high waist circumference (AOR=25, 95% CI:8.5, 79).

CONCLUSION

This study revealed that the prevalence of diabetes mellitus was found to be high, which was greater than the estimated national prevalence of diabetes mellitus. Obesity, hypertension, cigarette smoking and high waist circumference were determinant factors for diabetes mellitus. Appropriate actions such as creating community awareness on regular blood sugar testing and preventive measures are recommended.

摘要

背景

糖尿病是未工业化国家主要的健康问题之一。根据国际糖尿病联合会的报告,全球成年糖尿病患者人数不断增加。在全球范围内,糖尿病的发病率为8.8%(4.249亿),死亡人数达400万。埃塞俄比亚是经常受到该疾病影响的国家之一,约有256.7万(5.2%)人口患有糖尿病。

目的

本研究旨在确定埃塞俄比亚锡达马地区哈瓦萨祖里亚县成年人群中糖尿病的患病率及相关因素。

方法

2019年1月1日至2月15日,对519名成年人群开展了基于社区的横断面研究。采用多阶段抽样技术选取研究参与者。我们采用世界卫生组织(WHO)非传染性疾病监测的逐步方法收集数据。使用血糖仪从静脉血中检测血糖水平。利用EPI info录入和清理数据,并将数据传输至SPSS进行分析。为评估糖尿病的相关因素,采用了调整比值比(aORs)及95%置信区间(CIs),p值<0.05被视为具有统计学意义。

结果

共有516名参与者纳入研究。糖尿病患病率为12.4%(95%CI:9.5 - 15.2)。与糖尿病相关的因素包括肥胖[AOR = 9.2,95%CI:4.3,19.8]、高血压(AOR = 3.8,95%CI:1.75,8.4)、吸烟(AOR = 7.8,95%CI:3.45,18.1)和高腰围(AOR = 25,95%CI:8.5,79)。

结论

本研究表明,糖尿病患病率较高,高于该国糖尿病的估计患病率。肥胖、高血压、吸烟和高腰围是糖尿病的决定性因素。建议采取适当行动,如提高社区对定期血糖检测和预防措施的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783d/7700083/cb379a3816b2/DMSO-13-4571-g0001.jpg

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