Urban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Uganda
dc.contributor.author | Chiwanga, Faraja S. | en_ZA |
dc.contributor.author | Njelekel, Marina A. | en_ZA |
dc.contributor.author | Diamond, Megan B. | en_ZA |
dc.contributor.author | Bajunirwe, Francis | en_ZA |
dc.contributor.author | Guwatudde, David | en_ZA |
dc.contributor.author | Nankya-Mutyoba, Joan | en_ZA |
dc.contributor.author | Kalyesubula, Robert | en_ZA |
dc.contributor.author | Adebamowo, Clement | en_ZA |
dc.contributor.author | Ajayi, IkeOluwapo | en_ZA |
dc.contributor.author | Reid, Todd G. | en_ZA |
dc.contributor.author | Volmink, Jimmy | en_ZA |
dc.contributor.author | Laurence, Carien | en_ZA |
dc.contributor.author | Adami, Hans-Olov | en_ZA |
dc.contributor.author | Holmes, Michelle D. | en_ZA |
dc.contributor.author | Dalal, Shona | en_ZA |
dc.date.accessioned | 2017-08-16T07:59:08Z | |
dc.date.available | 2017-08-16T07:59:08Z | |
dc.date.issued | 2016 | |
dc.description | CITATION: 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(1):31440, doi:10.3402/gha.v9.31440. | |
dc.description | The original publication is available at http://www.tandfonline.com | |
dc.description.abstract | ENGLISH SUMMARY : 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 pre-diabetes was 13.8%. The prevalence of self-reported diabetes was low across all sites, where 68% of participants with diabetes were not captured by self-report. In ultivariable 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_ZA |
dc.description.uri | http://www.tandfonline.com/doi/full/10.3402/gha.v9.31440 | |
dc.description.version | Publisher's version | |
dc.format.extent | 9 pages ; illustrations | |
dc.identifier.citation | 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(1):31440, doi:10.3402/gha.v9.31440 | |
dc.identifier.issn | 1654-9880 (online) | |
dc.identifier.other | doi:10.3402/gha.v9.31440 | |
dc.identifier.uri | http://hdl.handle.net/10019.1/102115 | |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | Taylor & Francis Open | |
dc.rights.holder | Authors retain copyright | |
dc.subject | Diabetes -- Incidence -- Tanzania | en_ZA |
dc.subject | Diabetes -- Incidence -- Uganda | en_ZA |
dc.subject | Non-insulin-dependent diabetes -- Risk factors | en_ZA |
dc.subject | Non-insulin-dependent diabetes -- Prevention -- Needs assessment | en_ZA |
dc.title | Urban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Uganda | en_ZA |
dc.type | Article | en_ZA |