Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

Teshome Tujuba,1 Behailu Hawulte Ayele,2 Sagni Girma Fage,3 Fitsum Weldegebreal4 1Department of Medical Laboratory, Gelemso General Hospital, Gelemso, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Nursing and Midwifery, C...

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Autores principales: Tujuba T, Ayele BH, Fage SG, Weldegebreal F
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:6fe9e40c62b840adbbf9d01e87fdae832021-12-02T12:14:54ZAnemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study1178-7007https://doaj.org/article/6fe9e40c62b840adbbf9d01e87fdae832021-02-01T00:00:00Zhttps://www.dovepress.com/anemia-among-adult-diabetic-patients-attending-a-general-hospital-in-e-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Teshome Tujuba,1 Behailu Hawulte Ayele,2 Sagni Girma Fage,3 Fitsum Weldegebreal4 1Department of Medical Laboratory, Gelemso General Hospital, Gelemso, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Sagni Girma FageCollege of Health and Medical Sciences, Haramaya University, P.O.Box 235, Harar, EthiopiaEmail giruu06@gmail.comBackground: Although anemia is a common condition among patients with diabetes mellitus, there is little evidence on anemia among this segment of population in Ethiopia at large and in the study setting in particular. Thus, this study aimed at assessing the magnitude of anemia and its associated factors among adult diabetic patients attending a general hospital in Eastern Ethiopia.Methods: A health facility-based cross-sectional study was conducted among 325 randomly selected adult diabetes mellitus patients attending a follow-up clinic at Gelemso General Hospital, Eastern Ethiopia. Data were collected through an interview using a pre-tested and structured questionnaire followed by physical and laboratory measurements. Data were then entered into EpiData Version.3.1 and analyzed by using STATA version 16.0. Binary logistic regression models were fitted to identify factors associated with anemia. All statistical tests were declared significant at p-value < 0.05.Results: The magnitude of anemia among adult diabetic patients was 30.2% (95% confidence interval (CI): 25.4%-35.4%). Anemia was higher in males (36%) than females (20.5%). Male gender (Adjusted Odds Ratio (AOR) = 2.1, 95% CI: 1.2, 3.8), DM duration of ≥ 5 years (AOR= 1.9, 95% CI: 1.0, 3.7), presence of comorbidity (AOR= 1.9, 95% CI: 1.0, 3.7), and having diabetic complications (AOR= 2.3, 95% CI: 1.3, 4.2) were significantly associated with anemia.Conclusion: Anemia was a moderate public health problem among adult DM patients in the study setting. Being male in gender, duration of DM, presence of DM complications, and DM co-morbidities were factors associated with anemia. Therefore, routine screening and appropriate management of anemia targeting males, DM patients with longer duration of DM, and those with complications and co-morbidities should be devised to improve patients’ quality of life. Early diagnosis and regular monitoring of DM could also help to minimize further complications.Keywords: anemia, diabetes mellitus, general hospital, Eastern EthiopiaTujuba TAyele BHFage SGWeldegebreal FDove Medical Pressarticleanemiadiabetes mellitusgeneral hospitaleastern ethiopia.Specialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 467-476 (2021)
institution DOAJ
collection DOAJ
language EN
topic anemia
diabetes mellitus
general hospital
eastern ethiopia.
Specialties of internal medicine
RC581-951
spellingShingle anemia
diabetes mellitus
general hospital
eastern ethiopia.
Specialties of internal medicine
RC581-951
Tujuba T
Ayele BH
Fage SG
Weldegebreal F
Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
description Teshome Tujuba,1 Behailu Hawulte Ayele,2 Sagni Girma Fage,3 Fitsum Weldegebreal4 1Department of Medical Laboratory, Gelemso General Hospital, Gelemso, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Sagni Girma FageCollege of Health and Medical Sciences, Haramaya University, P.O.Box 235, Harar, EthiopiaEmail giruu06@gmail.comBackground: Although anemia is a common condition among patients with diabetes mellitus, there is little evidence on anemia among this segment of population in Ethiopia at large and in the study setting in particular. Thus, this study aimed at assessing the magnitude of anemia and its associated factors among adult diabetic patients attending a general hospital in Eastern Ethiopia.Methods: A health facility-based cross-sectional study was conducted among 325 randomly selected adult diabetes mellitus patients attending a follow-up clinic at Gelemso General Hospital, Eastern Ethiopia. Data were collected through an interview using a pre-tested and structured questionnaire followed by physical and laboratory measurements. Data were then entered into EpiData Version.3.1 and analyzed by using STATA version 16.0. Binary logistic regression models were fitted to identify factors associated with anemia. All statistical tests were declared significant at p-value < 0.05.Results: The magnitude of anemia among adult diabetic patients was 30.2% (95% confidence interval (CI): 25.4%-35.4%). Anemia was higher in males (36%) than females (20.5%). Male gender (Adjusted Odds Ratio (AOR) = 2.1, 95% CI: 1.2, 3.8), DM duration of ≥ 5 years (AOR= 1.9, 95% CI: 1.0, 3.7), presence of comorbidity (AOR= 1.9, 95% CI: 1.0, 3.7), and having diabetic complications (AOR= 2.3, 95% CI: 1.3, 4.2) were significantly associated with anemia.Conclusion: Anemia was a moderate public health problem among adult DM patients in the study setting. Being male in gender, duration of DM, presence of DM complications, and DM co-morbidities were factors associated with anemia. Therefore, routine screening and appropriate management of anemia targeting males, DM patients with longer duration of DM, and those with complications and co-morbidities should be devised to improve patients’ quality of life. Early diagnosis and regular monitoring of DM could also help to minimize further complications.Keywords: anemia, diabetes mellitus, general hospital, Eastern Ethiopia
format article
author Tujuba T
Ayele BH
Fage SG
Weldegebreal F
author_facet Tujuba T
Ayele BH
Fage SG
Weldegebreal F
author_sort Tujuba T
title Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
title_short Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
title_full Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
title_fullStr Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
title_full_unstemmed Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study
title_sort anemia among adult diabetic patients attending a general hospital in eastern ethiopia: a cross-sectional study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/6fe9e40c62b840adbbf9d01e87fdae83
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AT weldegebrealf anemiaamongadultdiabeticpatientsattendingageneralhospitalineasternethiopiaacrosssectionalstudy
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