Belay Kibret Enyew, Feleke Yeweyenhareg, Alemneh Theodros Aberra, Haile Asteway Mulat, Abebe Dawit Girma
Department of Internal Medicine, Endocrinology and Metabolism Unit, Addis Ababa University, Addis Ababa 1000, Ethiopia.
Department of Internal Medicine, Addis Ababa University, Addis Ababa 1000, Ethiopia.
J Endocr Soc. 2024 Nov 22;9(1):bvae208. doi: 10.1210/jendso/bvae208. eCollection 2024 Nov 26.
syndrome is a recently introduced term that is a complex disease consisting of cardiovascular disease, renal disease, obesity, and diabetes. The association of social determinants of health (SDOH) with CKM syndrome is not fully known.
We aimed to assess SDOH affecting CKM syndrome among adult patients with diabetes at follow-up at a tertiary hospital in Ethiopia.
A cross-sectional hospital-based study was used. Data were collected using a Kobo toolbox and entered into SPSS version 29 for further analysis.
A total of 422 adult patients with diabetes were included in this study. The mean ± SD age of the patients was 54.14 ± 13.74 years. Fifty-two percent of the patients were male. In this study, 52.4% had cardiovascular kidney metabolic syndrome. Male patients (AOR: 1.73; 95% CI, 1.01-2.94), lost to follow-up for more than a year due to lack of money (AOR: 2.69; 95% CI, 1.01-7.22), missed an appointment due to lack of transportation in the past 1 year (AOR: 2.98; 95% CI, 1.21-7.33), were patients with disability (AOR: 1.97; 95% CI, 1.12-3.48), had hypertension (AOR: 3.12; 95% CI, 1.85-5.28), had obesity (AOR: 2.27, 95% CI, 1.17, 4.40), and were in retirement (AOR: 2.12; 95% CI, 1.04-4.30) these being more significantly associated with CKM syndrome.
More than half of patients had CKM syndrome. More attention should be given to SDOH, including male sex, financial constraints, transportation issues, disability, and retirement.
综合征是一个最近引入的术语，指的是一种由心血管疾病、肾脏疾病、肥胖症和糖尿病组成的复杂疾病。健康的社会决定因素（SDOH）与CKM综合征之间的关联尚不完全清楚。
我们旨在评估在埃塞俄比亚一家三级医院接受随访的成年糖尿病患者中影响CKM综合征的SDOH。
采用基于医院的横断面研究。使用Kobo工具箱收集数据，并录入SPSS 29版本进行进一步分析。
本研究共纳入422例成年糖尿病患者。患者的平均年龄±标准差为54.14±13.74岁。52%的患者为男性。在本研究中，52.4%的患者患有心血管肾脏代谢综合征。男性患者（调整后比值比[AOR]：1.73；95%置信区间[CI]，1.01-2.94）、因缺钱失访超过一年的患者（AOR：2.69；95%CI，1.01-7.22）、在过去1年因交通不便错过预约的患者（AOR：2.98；95%CI，1.21-7.33）、残疾患者（AOR：1.97；95%CI，1.12-3.48）、患有高血压的患者（AOR：3.12；95%CI，1.85-5.28）、患有肥胖症的患者（AOR：2.27，95%CI，1.17，4.40）以及退休患者（AOR：2.12；95%CI，1.04-4.30）与CKM综合征的关联更为显著。
超过一半的患者患有CKM综合征。应更加关注SDOH，包括男性、经济限制、交通问题、残疾和退休等因素。
