Makerere University, Kampala, Uganda.
Mulago Hospital, Kampala, Uganda.
BMC Public Health. 2021 Apr 14;21(1):719. doi: 10.1186/s12889-021-10761-5.
The prevalence of diabetes has been rising increasing rapidly in middle- and low-income countries. In Africa, the World Health Organization projections anticipate diabetes mellitus to be the seventh leading cause of death in by 2030. Alcohol consumption influences diabetes evolution, in such a way that it can interfere with self-care behaviours which are important determinants of diabetes prognosis. In this study, we evaluated factors associated with alcohol consumption among persons with diabetes in Kampala to inform management policies and improve comprehensive diabetes care.
A cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral Hospital and St Francis Hospital Nsambya. Data were entered and analysed in Epi-Info version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all analyses was set to p < 0.05.
The prevalence of alcohol consumption among persons with diabetes was 23.45% [95% CI: 18.9-28.7%]. Divorced, separated and widowed patients (Adj PR: 0.42, 95% CI: 0.21-0.83); and Protestant (Adj PR: 0.44, 95% CI: 0.24-0.82); Muslim (Adj PR: 0.30, 95% CI: 0.14-0.62); and Pentecostal (Adj PR: 0.32, 95% CI: 0.15-0.65) patients were less likely to consume alcohol. Diabetic patients who had a diabetes duration greater than 5 years were more likely to consume alcohol (Adj PR: 1.90, 95% CI: 1.25-2.88).
Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important venue for health education in the community.
在中低收入国家，糖尿病的患病率呈快速上升趋势。在非洲，世界卫生组织预计到 2030 年糖尿病将成为第七大死因。饮酒会影响糖尿病的发展，它可以干扰自我护理行为，而这些行为是糖尿病预后的重要决定因素。在这项研究中，我们评估了坎帕拉 290 名糖尿病患者饮酒的相关因素，以为管理政策提供信息并改善综合糖尿病护理。
系统地对在穆拉戈国家转诊医院和圣弗朗西斯医院 Nsambya 接受糖尿病诊所治疗的 290 名成年糖尿病患者进行了横断面研究。数据输入并在 Epi-Info 版本 7 和 STATA 13 软件中进行分析。使用修正泊松回归来确定与糖尿病患者饮酒相关的因素。所有检验均为双侧检验，所有分析的显著性水平均设为 p < 0.05。
糖尿病患者的饮酒率为 23.45% [95% CI: 18.9-28.7%]。离婚、分居和丧偶患者（调整后比值比 [aPR]：0.42，95% CI: 0.21-0.83）；新教徒（aPR：0.44，95% CI: 0.24-0.82）；穆斯林（aPR：0.30，95% CI: 0.14-0.62）；和五旬节派（aPR：0.32，95% CI: 0.15-0.65）患者饮酒的可能性较小。糖尿病病程超过 5 年的糖尿病患者更有可能饮酒（aPR：1.90，95% CI: 1.25-2.88）。
大约四分之一的参与者饮酒。然而，天主教徒、从未结婚且糖尿病病程超过 5 年的人更易饮酒。应针对从未结婚和糖尿病病程超过 5 年的糖尿病患者开展有关饮酒问题的宣传教育，还应考虑宗教作为社区健康教育的一个重要场所。
