Department of Pharmaceutical Sciences, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa.
Geospatial Analytics, eResearch Knowledge Centre, Human Sciences Research Council, Pretoria 0002, South Africa.
Int J Environ Res Public Health. 2024 Nov 20;21(11):1537. doi: 10.3390/ijerph21111537.
Diabetes mellitus is one of the leading causes of morbidity and mortality worldwide. Type 2 diabetes mellitus is the most prevalent type of diabetes mellitus, and it is associated with both hereditary and lifestyle risk factors. South Africa is not exempt from this pandemic; hence, this paper aims to assess the prevalence and determinants of household self-reported diabetes mellitus in Gauteng, South Africa. Data were sourced from the Gauteng City-Region Observatory (GCRO) quality of life survey (2020/2021). Bivariate and multivariate logistic regressions were applied. The prevalence of household self-reported diabetes mellitus in Gauteng was 11.1%. The 'other population' group (which included Whites, Coloureds and Indians), as well as older respondents, higher household monthly food expenditure, poor self-perceived health status and household self-reported hypertension were factors that increased the odds of household self-reported diabetes mellitus. Only informal housing decreased the odds of household self-reported diabetes mellitus. Screening of diabetes mellitus among those with poor living conditions, no medical aid and lack of access to healthcare facilities such as Gauteng township and informal settlement residents should be intensified. This secondary disease prevention intervention is crucial, as it will enhance the appropriate referrals and timeous chronic treatment for those with diabetes mellitus.
糖尿病是全球发病率和死亡率的主要原因之一。2 型糖尿病是最常见的糖尿病类型，它与遗传和生活方式风险因素有关。南非也无法幸免于这场大流行；因此，本文旨在评估南非豪登省家庭自我报告糖尿病的患病率和决定因素。数据来自豪登城市区域观测站（GCRO）生活质量调查（2020/2021 年）。应用了双变量和多变量逻辑回归。豪登省家庭自我报告糖尿病的患病率为 11.1%。“其他人群”（包括白种人、有色人种和印度人）以及年龄较大的受访者、较高的家庭每月食品支出、自我感知健康状况较差以及家庭自我报告的高血压，这些因素增加了家庭自我报告糖尿病的几率。只有非正式住房降低了家庭自我报告糖尿病的几率。应加强对生活条件差、没有医疗保险以及无法获得医疗保健设施（如豪登镇和非正式住区居民）的人群进行糖尿病筛查。这种二级疾病预防干预至关重要，因为它将为糖尿病患者提供适当的转介和及时的慢性治疗。
