Prevalence of diabetes Mellitus and Associated Factors in Public Health Facilities in Addis Ababa, Ethiopia.
Problem
The increasing burden of diabetes mellitus became among a few major public health challenges to the health services and economic development of low and middle-income countries including Ethiopia. Studies conducted throughout the country revealed some common figure, but this study would clearly show the current burden of the problem in line with identifying factors contributing to the occurrence of diabetes mellitus in Addis Ababa.
Approach
An institution based cross-sectional study was carried out from June-July 2016. A total of 758 participants were studied with multi-stage sampling technique applied. Data were collected with structured interviewer-administered questionnaire; a WHO STEPwise approach of NCDs risk factors identification, and collected data were checked for completeness, immediately following data collection, and the completely filled questionnaire was entered into Epi-Info 3.5.1 then exported to SPSS 23 for further analysis. Descriptive statistics such as mean, percentages, standard deviation, and ranges were determined. To identify factors associated with diabetes mellitus, binary logistics regression was used. Bivariate logistics regression was done to see independent effects of variables on diabetes mellitus, while those variables with p<0.2 were taken to multivariate logistics regression analysis for control of confounding variables at p<0.05.
Findings
The overall prevalence of diabetes mellitus was 14.8%, with sex-specific prevalence of 18.35% and 16.62% for male and females respectively. Older age participants had a higher risks of developing diabetes mellitus than younger aged individuals. Alcohol drinkers had more risks of developing diabetes mellitus than non-drinkers. Participants with plasma HDL-C > 40mg/dl were more likely to develop diabetes mellitus than those with <40mg/dl. A higher level of plasma triglyceride >130mg/dl increases the risks of developing diabetes mellitus than those with a low level of triglycerides.
Consequences
This study would help policymakers, researchers and community at large to have a focus of view to diabetes mellitus prevention and control.