FACTORS ASSOCIATED WITH COMORBIDITIES AMONG DIABETIC PATIENTS OF JINJA REGIONAL REFERRAL HOSPITAL. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.51168/insights.v2i7.16Keywords:
Factors, Comorbidities among diabetic patients, Medical management Jinja Regional Referral HospitalAbstract
Background
Comorbidity is the occurrence of more than one chronic illness in a patient and can potentially make medical management complicated. The study aims to assess the factors associated with comorbidities among diabetic patients of Jinja Regional Referral Hospital.
Methodology
A descriptive cross-sectional study that employed quantitative data techniques was used. Simple random sampling was used to select participants in the study. Descriptive statistics was used to assess the frequency distribution of the three risk categories. A Chi-square test assessed the categorical variables and trends in the prevalence of diabetic comorbidities.
Results
The number of patients who had DM for less than 5 years was 92(32.4%) and for more than 5 years was 192(67.6%). The number of patients who were smoking was 32(11.3%) and 113(39.8%) were taking alcohol. In bivariate analysis, using chi-square tests for categorical variables and the Fishers Exact test where the chi-square assumptions were not fulfilled, a statistically significant relationship was found between age (OR=0.954, P=0.07), sex, (OR=02.194, P=0.019), type of DM(OR=0.464, P=0.015), smoking (OR=0.533, P=0.036), cholesterol level (OR=2.640, P=0.003). There was no statistical significance found between the type of treatment (OR=0.662, P=0.521), duration of DM (OR=0.8662, P=0.705), HIV status (OR=1.252, P=0.558), physical activity (OR=1.798, P=0.106), alcohol (0R=0,743, P=0.334) and BMI (OR=0.712, P=0.165)
Conclusion
Age, place of residence, and type of DM were the predominant factors associated with diabetes comorbidity.
Recommendations
The government should also establish care models that bring together healthcare providers, patients, and families to manage diabetes and its comorbidities.
References
Azmi, S. (2018) ‘The Prevalence of Comorbidities and Its Association with Poor Glycemic Control in Malaysian Patients with Type 2 Diabetes Mellitus’, Value in Health, 21, p. S70. Available at: https://doi.org/10.1016/j.jval.2018.04.464.
Chiwanga, F.S. et al. (2016) ‘Urban and rural prevalence of diabetes and pre-diabetes and risk factors associated with diabetes in Tanzania and Uganda’, Global Health Action, 9. Available at: https://doi.org/10.3402/gha.v9.31440.
Dyck, R. et al. (2013) ‘Prevalence, risk factors and co-morbidities of diabetes among adults in rural Saskatchewan: the influence of farm residence and agriculture-related exposures’, BMC Public Health, 13(1), p. 7. Available at: https://doi.org/10.1186/1471-2458-13-7.
Ejeta, A. et al. (2021) ‘Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study’, Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, pp. 2281–2289. Available at: https://doi.org/10.2147/DMSO.S308553.
Ghabban, S.J. et al. (no date) ‘Diabetic Complications and Factors Affecting Glycemic Control Among Patients With Type II Diabetes Mellitus Attending the Chronic Illness Clinics at Tabuk, Saudi Arabia’, Cureus, 12(11), p. e11683. Available at: https://doi.org/10.7759/cureus.11683.
Iglay, K. et al. (2016) ‘Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus’, Current Medical Research and Opinion, 32(7), pp. 1243–1252. Available at: https://doi.org/10.1185/03007995.2016.1168291.
Mutyambizi, C. et al. (2017) ‘The extent and determinants of diabetes and cardiovascular disease comorbidity in South Africa – results from the South African National Health and Nutrition Examination Survey (SANHANES-1)’, BMC Public Health, 17(1), p. 745. Available at: https://doi.org/10.1186/s12889-017-4792-8.
Negussie, Y.M., Getahun, M.S. and Bekele, N.T. (2023) ‘Factors associated with diabetes concordant comorbidities among adult diabetic patients in Central Ethiopia: a cross-sectional study’, Frontiers in Clinical Diabetes and Healthcare, 4. Available at: https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1307463 (Accessed: 22 February 2024).
Nowakowska, M. et al. (2019) ‘The comorbidity burden of type 2 diabetes mellitus: patterns, clusters, and predictions from a large English primary care cohort’, BMC Medicine, 17(1), p. 145. Available at: https://doi.org/10.1186/s12916-019-1373-y.
Rizk, M.N. and Ameen, A.I. (2013) ‘Comorbidities associated with Egyptian diabetic foot disease subtypes’, The Egyptian Journal of Internal Medicine, 25(3), pp. 154–158. Available at: https://doi.org/10.7123/01.EJIM.0000432184.51306.20.
Wielgosz, A. et al. (2018) ‘Comorbid Conditions in Canadians Hospitalized Because of Diabetes’, Canadian Journal of Diabetes, 42(1), pp. 106–111. Available at: https://doi.org/10.1016/j.jcjd.2017.03.004.
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