Al Amri Sumaiya, Singh Jeffery, Al Balushi Lamya, Al Ghafri Thamra, Al Balushi Mahim Nasser, Al Marbouai Hanan, Al Dhuhli Khalid Salim, Al Nairi Khalid Khalfan, Al Badi Moza Suliman, Al Mujaini Sami Mohammad, Abd-Ellatif Eman Elsayed
Primary Health Care, Health Education Department, Ministry of Health, Muscat, Oman.
Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia.
Oman Med J. 2023 Jul 31;38(4):e526. doi: 10.5001/omj.2023.82. eCollection 2023 Jul.
Diabetes mellitus (DM) and tuberculosis (TB) are global public health concerns and leading causes of mortality and morbidity worldwide. Coinfection is known to complicate TB control and outcomes. However, there is no national study regarding the prevalence of DM among TB patients in Oman. The objective of the current study was to assess the prevalence of DM and its associated factors among TB patients in Muscat, Oman.
We conducted an analytical cross-sectional study using secondary data from the electronic system of the Ministry of Health (Al-Shifa 3+). It includes all adult TB patients in Muscat, from 2017-2020. Sociodemographic data, clinical characteristics, and comorbidities of TB patients were collected. SPSS with 95% CI and -value ≤ 0.05 was used for statistical analysis.
Of 426 TB cases, the prevalence of DM was 27.0%. The associated factors of DM were age group 40-54 years (odds ratio (OR) = 9.08, 95% CI: 4.16-19.84) and ≥ 55 years (OR = 11.35, 95% CI: 5.19-24.82), male (OR = 2.35, 95% CI: 1.45-3.81), being married (OR = 13.18, 95% CI: 4.72-36.84), being employed (OR = 2.30, 95% CI: 1.19-4.47), and Bangladeshi (OR = 7.08, 95% CI: 2.50-20.12) or Indian (OR = 6.14, 95% CI: 2.40-15.70) nationality. The absence of Bacillus Calmette-Guérin scar (OR = 2.06, 95% CI: 1.19-3.56), death (OR = 7.08, 95% CI: 1.26-7.82), and cured after TB treatment (OR = 3.02, 95% CI 1.71-5.31) showed significant association. Also, smoking (OR = 2.93, 95% CI: 1.81-4.76), drinking alcohol (OR = 1.79, 95% CI: 1.10-2.91), hypertension (OR = 10.45, 95% CI: 5.29-20.64), heart disease (OR = 8.50, 95% CI: 1.69-42.77), and renal disease (OR = 4.84, 95% CI: 1.71-13.64) contributed to the study's comorbidities. Old age (adjusted OR = 2.30, 95% CI: 1.72-3.06) and hypertension (adjusted OR = 5.21, 95% CI: 2.28-11.87) were found to be predictors of DM among TB patients.
The prevalence of DM among TB patients in Muscat is high. Integrated systematic bidirectional TB-DM screening is needed. Furthermore, special attention is required for associated factors when managing these comorbidities.
糖尿病（DM）和结核病（TB）是全球公共卫生关注的问题，也是全球死亡率和发病率的主要原因。已知合并感染会使结核病控制和治疗结果复杂化。然而，阿曼尚未有关于结核病患者中糖尿病患病率的全国性研究。本研究的目的是评估阿曼马斯喀特结核病患者中糖尿病的患病率及其相关因素。
我们使用了卫生部电子系统（Al-Shifa 3+）的二手数据进行了一项分析性横断面研究。该研究纳入了2017年至2020年马斯喀特所有成年结核病患者。收集了结核病患者的社会人口统计学数据、临床特征和合并症。采用SPSS进行统计分析，95%置信区间和P值≤0.05。
在426例结核病病例中，糖尿病患病率为27.0%。糖尿病的相关因素包括年龄在40 - 54岁（比值比（OR）= 9.08，95%置信区间：4.16 - 19.84）和≥55岁（OR = 11.35，95%置信区间：5.19 - 24.82）、男性（OR = 2.35，95%置信区间：1.45 - 3.81）、已婚（OR = 13.18，95%置信区间：4.72 - 36.84）、就业（OR = 2.30，95%置信区间：1.19 - 4.47）以及孟加拉国籍（OR = 7.08，95%置信区间：2.50 - 20.12）或印度国籍（OR = 6.14，95%置信区间：2.40 - 15.70）。卡介苗疤痕缺失（OR = 2.06，95%置信区间：1.19 - 3.56）、死亡（OR = 7.08，95%置信区间：1.26 - 7.82）以及结核病治疗后治愈（OR = 3.02，95%置信区间1.71 - 5.31）显示出显著相关性。此外，吸烟（OR = 2.93，95%置信区间：1.81 -
