Mekonen Enyew Getaneh, Gebrehana Deresse Abebe, Tamir Tadesse Tarik, Zegeye Alebachew Ferede, Tekeba Berhan
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Endocr Disord. 2025 Aug 21;25(1):198. doi: 10.1186/s12902-025-02018-8.
Diabetes screening is one of the simpler methods for preventing and lowering the disease's morbidity and mortality. Screening for gestational diabetes is a crucial component of obstetric care, as it negatively affects the life of both the mother and the fetus. There is a high prevalence of obesity, diabetes, high blood pressure, and tobacco use in Lesotho. This highlights the significance of bolstering prevention and treatment initiatives in the country. Therefore, this study is intended to assess diabetes screening and its associated factors among women aged 15-49 years using the 2023-24 Lesotho demographic and health survey dataset.
A cross-sectional study was employed using data from the most recent national representative dataset. A total sample of 3,297 women aged between 15 and 49 years was included in the study. Data extracted from the Lesotho Demographic and Health Survey 2023-24 data sets were cleaned, recoded, and analyzed using STATA/SE version 14.0 statistical software. Multilevel logistic regression was used to determine the factors associated with the outcome variable. Finally, variables with a p-value less than 0.05 were declared statistically significant.
In the current study, 29.18% (95% CI: 27.65%-30.75%) of women aged 15-49 years in Lesotho were screened for diabetes mellitus. Of these, 1.40% of them had high blood sugar or diabetes, and 54.35% of women were diagnosed in the last twelve months. Age of respondents [AOR = 3.53; 95% CI (2.80, 4.46)], maternal occupation [AOR = 1.38; 95% CI (1.15, 1.65)], wealth status [AOR = 1.43; 95% CI (1.07, 1.91)], and visiting a healthcare facility in the last 12 months [AOR = 1.31; 95% CI (1.09, 1.57)] were statistically significantly associated with diabetes screening.
Less than one in three women aged 15 to 49 years were screened for diabetes in Lesotho. Advanced age, working women, wealthier households, and visiting a healthcare facility in the last 12 months were associated with higher odds of diabetes screening. Therefore, women's empowerment, regular visits to healthcare facilities, and awareness creation for young women are recommended to improve diabetes screening practices among women.
糖尿病筛查是预防和降低该疾病发病率及死亡率的较为简单的方法之一。妊娠期糖尿病筛查是产科护理的重要组成部分，因为它会对母亲和胎儿的生命产生负面影响。莱索托肥胖、糖尿病、高血压和吸烟的患病率很高。这凸显了加强该国预防和治疗举措的重要性。因此，本研究旨在利用2023 - 2024年莱索托人口与健康调查数据集评估15至49岁女性的糖尿病筛查及其相关因素。
采用横断面研究，使用最新的全国代表性数据集的数据。本研究共纳入3297名年龄在15至49岁之间的女性。从2023 - 2024年莱索托人口与健康调查数据集中提取的数据经过清理、重新编码，并使用STATA/SE 14.0版统计软件进行分析。采用多水平逻辑回归来确定与结果变量相关的因素。最后，p值小于0.05的变量被判定具有统计学意义。
在本研究中，莱索托15至49岁的女性中有29.18%（95%置信区间：27.65% - 30.75%）接受了糖尿病筛查。其中，1.40%的人血糖高或患有糖尿病，54.35%的女性在过去十二个月内被诊断出患有糖尿病。受访者年龄[AOR = 3.53；95%置信区间(2.80, 4.46)]、母亲职业[AOR = 1.38；95%置信区间(1.15, 1.65)]、财富状况[AOR = 1.43；95%置信区间(1.07, 1.91)]以及在过去12个月内去过医疗机构[AOR = 1.31；95%置信区间(1.09, 1.57)]与糖尿病筛查在统计学上显著相关。
在莱索托，15至49岁的女性中每三人中接受糖尿病筛查的不到一人。年龄较大、职业女性、较富裕家庭以及在过去12个月内去过医疗机构与糖尿病筛查的较高几率相关。因此，建议增强妇女权能、定期前往医疗机构以及提高年轻女性的认识，以改善女性中的糖尿病筛查做法。
