埃塞俄比亚西部选定城镇成人2型糖尿病程度的社区调查结果

Bikila Regassa Feyisa, G. Mosisa, Bayise Biru, Sidise Debelo, M. Dufera
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摘要

背景:糖尿病(DM)的风险在全球范围内显著增加,在包括埃塞俄比亚在内的发展中国家,特别是在城市居民中,糖尿病的风险正在惊人地增加。本研究旨在揭示居住在埃塞俄比亚西部选定城镇的成年人中2型糖尿病(T2DM)的程度。方法:于2019年6月1日至6月30日在埃塞俄比亚西部城镇进行基于社区的横断面研究设计。采用多阶段系统随机抽样技术。数据的收集采用基于世界卫生组织STEPwise方法的结构化访谈问卷。将数据输入EpiData 3.1,使用社会科学软件版本24的统计软件包进行清理和分析。采用描述性统计和逻辑回归进行分析。结果:T2DM的患病率在男性和女性中分别为7.0%(95%可信区间[CI] 5.4-8.8)、8.5% (95% CI 5.6-11.0)和6.0% (95% CI 3.9-8.1)。结婚(AOR = 4.0, 95% CI 1.1-14.7)和离婚(AOR = 6.2, 95% CI 1.1-34.4)、每天摄入水果和蔬菜不足(AOR = 2.8, 95% CI 1.1-6.8)、缺乏运动(AOR = 5.0, 95% CI 2.5-10.0)、高血压(AOR = 2.9, 95% CI 1.3-6.2)、超重(AOR = 2.3, 95% CI 1.1-4.9)和肥胖(AOR = 19, 95% CI 4.5-50.1)是与T2DM独立相关的因素。结论:研究区糖尿病患病率明显高于全国患病率和其他袖珍研究。社会人口学和可改变的危险因素影响糖尿病的患病率。
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Community-Based Findings of Magnitude of Type 2 Diabetes Mellitus among Adults in Selected Towns of Western Ethiopia
Background: The risk of diabetes mellitus (DM) is remarkably increasing globally, and it is alarmingly increasing in developing countries including Ethiopia, especially in urban residents. The present study was aimed at uncovering the magnitude of type 2 DM (T2DM) among adults residing in the selected towns of western part of Ethiopia. Methods: A community-based cross-sectional study design was conducted in towns of western Ethiopia from June 1 to June 30, 2019. Multistage and systematic random sampling techniques were employed. The data were collected using structured interviewer-administered questionnaire based on the World Health Organization STEPwise approach. Data were entered into EpiData 3.1, cleaned, and analyzed by the statistical package for social sciences software version 24. Descriptive statistics and logistic regression were used for the analysis. Results: The prevalence of T2DM was 7.0% (95% confidence interval [CI] 5.4–8.8) with 8.5% (95% CI 5.6–11.0) and 6.0% (95% CI 3.9–8.1) among males and females, respectively. Being married (AOR = 4.0, 95% CI 1.1–14.7) and divorced (AOR = 6.2, 95% CI 1.1–34.4), consumption of inadequate fruits and vegetables per day (AOR = 2.8, 95% CI 1.1–6.8), physical inactivity (AOR = 5.0, 95% CI 2.5–10.0), hypertension (AOR = 2.9, 95% CI 1.3–6.2), overweight (AOR = 2.3, 95% CI 1.1–4.9), and obesity (AOR = 19, 95% CI 4.5–50.1) were factors independently associated with T2DM. Conclusion: The prevalence of DM in the study area was found to be substantially higher than the national prevalence and other pocket studies in the country. Sociodemography and modifiable risk factors were affecting the prevalence of DM.
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