Nurse Tutors' Programme, University College Hospital, Ibadan, Nigeria.
Department of Nursing, College of Medicine, University of Ibadan, Nigeria.
Afr Health Sci. 2021 Sep;21(3):1301-1309. doi: 10.4314/ahs.v21i3.41.
Pre-diabetes is an emerging public health challenge in sub-Saharan Africa.
To estimate prevalence of pre-diabetes and assess its associated factors among adolescents. The risk factors were divided into individual, interpersonal and community factors, adapting socio-ecological model.
This study utilised a cross-sectional descriptive survey. The target population was secondary school adolescents of Osogbo Local Government. Questionnaire was used to interview 405 participants through multi-stage sampling. Prediabetes was measure through fasting blood glucose.
Findings revealed prevalence rate of 9.4%. Individual factors identified to be significant include age, religion and family history. Further analysis showed adolescents with normal BMI and high BP are likely to develop pre-diabetes when compared to those with underweight and normal BP respectively. Among interpersonal factors, parents' dietary habit was significant. Also, adolescents with employed parents were likely to develop pre-diabetes compared to those with unemployed parents. Lastly, availability of healthy food in school was the only statistically significant community factor. Hence, the more availability of food, fruits and vegetables in schools, the less likelihood of developing prediabetes.
These findings affirmed that prediabetes is becoming common problem among Nigerian adolescents. There is therefore need for stakeholders to face this challenge before it becomes endemic.
糖尿病前期是撒哈拉以南非洲地区正在出现的公共卫生挑战。
评估青少年中糖尿病前期的流行情况，并评估其相关因素。危险因素分为个体、人际和社区因素，采用社会生态学模型。
本研究采用横断面描述性调查。目标人群是奥索博地方政府的中学生。通过多阶段抽样，使用问卷对 405 名参与者进行访谈。通过空腹血糖测量糖尿病前期。
研究结果显示，糖尿病前期的患病率为 9.4%。确定的个体因素包括年龄、宗教和家族史。进一步分析表明，与体重正常和血压正常的青少年相比，正常体重指数和高血压的青少年更容易患上糖尿病前期。在人际因素方面，父母的饮食习惯具有重要意义。此外，与失业父母相比，有就业父母的青少年更有可能患上糖尿病前期。最后，学校提供健康食品是唯一具有统计学意义的社区因素。因此，学校提供的食物、水果和蔬菜越多，发生糖尿病前期的可能性就越小。
这些发现证实，糖尿病前期在尼日利亚青少年中越来越普遍。利益相关者有必要在这种疾病成为地方病之前应对这一挑战。
