Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study

Abdisa Ejeta,1 Tekabe Abdosh,1 Behailu Hawulte,2 Adugna Lamessa,1 Meseret Belete Fite,3 Gelana Fekadu4 1School of Medicine, College of Health and Medical Science, Haramaya University, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiop...

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Autores principales:	Ejeta A, Abdosh T, Hawulte B, Lamessa A, Belete Fite M, Fekadu G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	diabetes mellitus concordant comorbidity diabetic complications risk factors ethiopia Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/ae0354a4672d42e88ae37a3873f6d2d4
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spelling	oai:doaj.org-article:ae0354a4672d42e88ae37a3873f6d2d42021-12-02T15:44:39ZDiabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study1178-7007https://doaj.org/article/ae0354a4672d42e88ae37a3873f6d2d42021-05-01T00:00:00Zhttps://www.dovepress.com/diabetes-concordant-comorbidities-and-associated-factors-among-adult-d-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Abdisa Ejeta,1 Tekabe Abdosh,1 Behailu Hawulte,2 Adugna Lamessa,1 Meseret Belete Fite,3 Gelana Fekadu4 1School of Medicine, College of Health and Medical Science, Haramaya University, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia; 3Department of Public Health, Institute of Health Science, Wollega University, Nekemte, Ethiopia; 4School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaCorrespondence: Gelana FekaduSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaTel +251933316505Email fekadugelana4@gmail.comBackground: Nowadays diabetic comorbidities constitute a major public health problem in Ethiopian context. However, there is a dearth in epidemiology and risk factors of diabetic comorbidity in Ethiopia, particularly in the study setting. Therefore, this study was conducted to determine the prevalence and identify factors associated with concordant diabetic comorbidities among diabetic out-patients at Hiwot Fana Specialized University Hospital (HFSUH), EasternEthiopia.Methodology: A hospital-based cross-sectional study was conducted by reviewing medical record charts of adult diabetic outpatients. Bivariable and multivariable logistic regression analysis was carried out by using STATA version 16.0. To measure the strength of association an Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used. Moreover, variables with p-value ≤ 0.05 were considered as statistically significant with the outcome variable.Results: In this study, it is found that the overall prevalence of concordant comorbidity among adult diabetic out-patients was 55.8% (95% CI: 50.3– 61.3). Moreover, more than two-third of patients, 72.73% were diagnosed for type two diabetic mellitus (T2DM). Among specified comorbidities about 42.3% were hypertension, 21.63% were obesity, and 13% were multi-morbidity. Age ≥ 55 years (AOR: 7.52, 95% CI: 1.24, 45.75), T2DM (AOR: 9.01, 95% CI: 1.50, 54.04), 2– 5 years duration of treatments (AOR: 0.23, 95 CI: 0.078, 0.691), and poor glycemic control (AOR: 4.4 1, 95% CI: 2.34, 8.32) were factors significantly associated with concordant diabetic comorbidity.Conclusion: From the study conducted, the higher prevalence of concordant comorbidity among diabetic patients was investigated. Furthermore, older in age, T2DM, prolonged duration of treatment, and poor glycemic control were factors associated with diabetic comorbidities. Early detection and appropriate treatment of diabetic comorbidities are very important for better patient’s quality of life and functionality.Keywords: diabetes mellitus;, concordant comorbidity, diabetic complications, risk factors, EthiopiaEjeta AAbdosh THawulte BLamessa ABelete Fite MFekadu GDove Medical Pressarticlediabetes mellitusconcordant comorbiditydiabetic complicationsrisk factorsethiopiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 2281-2289 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus concordant comorbidity diabetic complications risk factors ethiopia Specialties of internal medicine RC581-951
spellingShingle	diabetes mellitus concordant comorbidity diabetic complications risk factors ethiopia Specialties of internal medicine RC581-951 Ejeta A Abdosh T Hawulte B Lamessa A Belete Fite M Fekadu G Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
description	Abdisa Ejeta,1 Tekabe Abdosh,1 Behailu Hawulte,2 Adugna Lamessa,1 Meseret Belete Fite,3 Gelana Fekadu4 1School of Medicine, College of Health and Medical Science, Haramaya University, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia; 3Department of Public Health, Institute of Health Science, Wollega University, Nekemte, Ethiopia; 4School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaCorrespondence: Gelana FekaduSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaTel +251933316505Email fekadugelana4@gmail.comBackground: Nowadays diabetic comorbidities constitute a major public health problem in Ethiopian context. However, there is a dearth in epidemiology and risk factors of diabetic comorbidity in Ethiopia, particularly in the study setting. Therefore, this study was conducted to determine the prevalence and identify factors associated with concordant diabetic comorbidities among diabetic out-patients at Hiwot Fana Specialized University Hospital (HFSUH), EasternEthiopia.Methodology: A hospital-based cross-sectional study was conducted by reviewing medical record charts of adult diabetic outpatients. Bivariable and multivariable logistic regression analysis was carried out by using STATA version 16.0. To measure the strength of association an Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used. Moreover, variables with p-value ≤ 0.05 were considered as statistically significant with the outcome variable.Results: In this study, it is found that the overall prevalence of concordant comorbidity among adult diabetic out-patients was 55.8% (95% CI: 50.3– 61.3). Moreover, more than two-third of patients, 72.73% were diagnosed for type two diabetic mellitus (T2DM). Among specified comorbidities about 42.3% were hypertension, 21.63% were obesity, and 13% were multi-morbidity. Age ≥ 55 years (AOR: 7.52, 95% CI: 1.24, 45.75), T2DM (AOR: 9.01, 95% CI: 1.50, 54.04), 2– 5 years duration of treatments (AOR: 0.23, 95 CI: 0.078, 0.691), and poor glycemic control (AOR: 4.4 1, 95% CI: 2.34, 8.32) were factors significantly associated with concordant diabetic comorbidity.Conclusion: From the study conducted, the higher prevalence of concordant comorbidity among diabetic patients was investigated. Furthermore, older in age, T2DM, prolonged duration of treatment, and poor glycemic control were factors associated with diabetic comorbidities. Early detection and appropriate treatment of diabetic comorbidities are very important for better patient’s quality of life and functionality.Keywords: diabetes mellitus;, concordant comorbidity, diabetic complications, risk factors, Ethiopia
format	article
author	Ejeta A Abdosh T Hawulte B Lamessa A Belete Fite M Fekadu G
author_facet	Ejeta A Abdosh T Hawulte B Lamessa A Belete Fite M Fekadu G
author_sort	Ejeta A
title	Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
title_short	Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
title_full	Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
title_fullStr	Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
title_full_unstemmed	Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study
title_sort	diabetes concordant comorbidities and associated factors among adult diabetic out-patients at hiwot fana specialized university hospital, harar, eastern ethiopia: a cross-sectional study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/ae0354a4672d42e88ae37a3873f6d2d4
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Diabetes Concordant Comorbidities and Associated Factors Among Adult Diabetic Out-Patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: a Cross-Sectional Study

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