dc.contributor.author | Chiwanga, Faraja S. | |
dc.contributor.author | Njelekela, Marina A. | |
dc.contributor.author | Diamond, Megan B. | |
dc.contributor.author | Bajunirwe, Francis | |
dc.contributor.author | Guwatudde, David | |
dc.contributor.author | Mutyoba, Joan Nankya | |
dc.contributor.author | Kalyesubula, Robert | |
dc.contributor.author | Adebamowo, Clement | |
dc.contributor.author | Ajayi, IkeOluwapo | |
dc.contributor.author | Reid, Todd G. | |
dc.date.accessioned | 2021-06-01T12:53:01Z | |
dc.date.available | 2021-06-01T12:53:01Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Chiwanga, F. S., Njelekela, M. A., Diamond, M. B., Bajunirwe, F., Guwatudde, D., Nankya-Mutyoba, J., ... & Dalal, S. (2016). Urban and rural prevalence of diabetes and pre-diabetes and risk factors associated with diabetes in Tanzania and Uganda. Global health action, 9(1), 31440. | en_US |
dc.identifier.issn | 1654-9716 (Print) 1654-9880 | |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/895 | |
dc.description | Urban and rural prevalence of diabetes. | en_US |
dc.description.abstract | Background: The increase in prevalence of diabetes and pre-diabetes in sub-Saharan Africa underlines the importance of understanding its magnitude and causes in different population groups. We analyzed data from the Africa/Harvard Partnership for Cohort Research and Training (PaCT) studies to determine the prevalence of diabetes and pre-diabetes and risk factors associated with diabetes.
Methodology: Participants were randomly selected from peri-urban (n 297) and rural (n 200) communities in Uganda, and teachers were recruited from schools (n 229) in urban Tanzania. We used a standardized questionnaire to collect socio-demographic and self-reported disease status including diabetes status. Blood glucose was also measured after participants fasted for 8 h. We used standard protocols for anthropometric and blood pressure measurement.
Results: The overall prevalence of diabetes was 10.1% and was highest in rural Ugandan residents (16.1%) compared to teachers in Tanzania (8.3%) and peri-urban Ugandan residents (7.6%). The prevalence of prediabeteswas 13.8%. The prevalence of self-reported diabeteswas low across all sites, where 68% of participants with diabetes were not captured by self-report. In multivariable logistic regression analysis, family history (OR 2.5, 95% CI: 1.1, 5.6) and hypertension (OR 2.3, 95% CI: 1.1, 5.2) were significantly associated with diabetes.
Conclusions: The prevalence of diabetes and pre-diabetes in Uganda and Tanzania is high, differs markedly between population groups, and remains undiagnosed in an alarmingly high proportion of individuals. These findings highlight the need for large-scale, prospective studies to accurately quantify the burden and identify effective intervention and treatment strategies across diverse African populations. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Global Health Action. | en_US |
dc.subject | Non-communicable; risk factors; underdiagnoses; sub-Saharan Africa; Tanzania; Uganda | en_US |
dc.title | Urban and rural prevalence of diabetes and prediabetes and risk factors associated with diabetes in Tanzania and Uganda | en_US |
dc.type | Article | en_US |