Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia

Getachew Gebremedhin,1,2 Fikre Enqueselassie,2 Negussie Deyessa,2 Helen Yifter3 1College of Medicine and Health Sciences, Department of Nursing, Adigrat University, Adigrat, Ethiopia; 2College Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; 3College Health Sc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Gebremedhin G, Enqueselassie F, Deyessa N, Yifter H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	urban rural trend type 1 diabetes type 2 diabetes Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/c62b9f9b09674874b8a29ddc86ece1ea
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c62b9f9b09674874b8a29ddc86ece1ea
record_format	dspace
spelling	oai:doaj.org-article:c62b9f9b09674874b8a29ddc86ece1ea2021-12-02T09:53:38ZUrban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia1178-7007https://doaj.org/article/c62b9f9b09674874b8a29ddc86ece1ea2020-03-01T00:00:00Zhttps://www.dovepress.com/urban-rural-differences-in-the-trends-of-type-1-and-type-2-diabetes-am-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Getachew Gebremedhin,1,2 Fikre Enqueselassie,2 Negussie Deyessa,2 Helen Yifter3 1College of Medicine and Health Sciences, Department of Nursing, Adigrat University, Adigrat, Ethiopia; 2College Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; 3College Health Sciences, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia&dagger;Fikre Enqueselassie passed away on October 28, 2019Correspondence: Getachew Gebremedhin Email guchosole786@gmail.comObjective: This study carried out to describe urban-rural differences in the trend of type 1 and type 2 diabetes among adults who have received medical treatment from public hospitals over the last five years.Methods: The trends of adult diabetes assessed from September 1, 2013, to August 31, 2018, using hospital-based retrospective medical records of 299,806 adult patients in the adult medical outpatient and emergency units. Data were collected using a uniform data abstraction format. An extended Mantel-Haenszel chi-square test of the linear trend used to examine the trend over time.Results: Of the total 299,806 adult patients, 3056 (1.02% (95% CI: 0.98– 1.06)) patients were confirmed diabetes patients. The overall trend in the proportion of diabetes had increased from 6.8 to 14.3 per 1000 adult patients. The trend of type 1 diabetes increased for both urban from 1.0 to 2.2 per 1000 adult urban residents and rural from 1.2 to 2.6 per 1000 adult rural residents, with statistically a significant increase (χ2= 9.1, P=0.002) and (χ2=17.8, P< 0.001) for linear trend, respectively. The trend of type 2 diabetes increased for both urban from 6.9 to 14.0 per 1000 adult urban residents and rural from 4.0 to 9.5 per 1000 adult rural residents, with a statistically significant increase (χ2=68.4, P< 0.001) and (χ2=74.2, P< 0.001) for linear trend, respectively. The higher increase in the proportion of both type 1 and type 2 diabetes observed among women patients.Conclusion: The trend in the proportion of type 1 and type 2 diabetes increasing for both urban and rural residents, with a higher increase observed among women. These findings highlight health-care professionals and policymakers to design effective public health policies to treat each type of disease.Keywords: urban, rural, trend, type 1 diabetes, type 2 diabetesGebremedhin GEnqueselassie FDeyessa NYifter HDove Medical Pressarticleurbanruraltrendtype 1 diabetestype 2 diabetesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 859-868 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	urban rural trend type 1 diabetes type 2 diabetes Specialties of internal medicine RC581-951
spellingShingle	urban rural trend type 1 diabetes type 2 diabetes Specialties of internal medicine RC581-951 Gebremedhin G Enqueselassie F Deyessa N Yifter H Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
description	Getachew Gebremedhin,1,2 Fikre Enqueselassie,2 Negussie Deyessa,2 Helen Yifter3 1College of Medicine and Health Sciences, Department of Nursing, Adigrat University, Adigrat, Ethiopia; 2College Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; 3College Health Sciences, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia&dagger;Fikre Enqueselassie passed away on October 28, 2019Correspondence: Getachew Gebremedhin Email guchosole786@gmail.comObjective: This study carried out to describe urban-rural differences in the trend of type 1 and type 2 diabetes among adults who have received medical treatment from public hospitals over the last five years.Methods: The trends of adult diabetes assessed from September 1, 2013, to August 31, 2018, using hospital-based retrospective medical records of 299,806 adult patients in the adult medical outpatient and emergency units. Data were collected using a uniform data abstraction format. An extended Mantel-Haenszel chi-square test of the linear trend used to examine the trend over time.Results: Of the total 299,806 adult patients, 3056 (1.02% (95% CI: 0.98– 1.06)) patients were confirmed diabetes patients. The overall trend in the proportion of diabetes had increased from 6.8 to 14.3 per 1000 adult patients. The trend of type 1 diabetes increased for both urban from 1.0 to 2.2 per 1000 adult urban residents and rural from 1.2 to 2.6 per 1000 adult rural residents, with statistically a significant increase (χ2= 9.1, P=0.002) and (χ2=17.8, P< 0.001) for linear trend, respectively. The trend of type 2 diabetes increased for both urban from 6.9 to 14.0 per 1000 adult urban residents and rural from 4.0 to 9.5 per 1000 adult rural residents, with a statistically significant increase (χ2=68.4, P< 0.001) and (χ2=74.2, P< 0.001) for linear trend, respectively. The higher increase in the proportion of both type 1 and type 2 diabetes observed among women patients.Conclusion: The trend in the proportion of type 1 and type 2 diabetes increasing for both urban and rural residents, with a higher increase observed among women. These findings highlight health-care professionals and policymakers to design effective public health policies to treat each type of disease.Keywords: urban, rural, trend, type 1 diabetes, type 2 diabetes
format	article
author	Gebremedhin G Enqueselassie F Deyessa N Yifter H
author_facet	Gebremedhin G Enqueselassie F Deyessa N Yifter H
author_sort	Gebremedhin G
title	Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
title_short	Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
title_full	Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
title_fullStr	Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
title_full_unstemmed	Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia
title_sort	urban-rural differences in the trends of type 1 and type 2 diabetes among adults who received medical treatment from public hospitals in resource-poor community tigray, ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/c62b9f9b09674874b8a29ddc86ece1ea
work_keys_str_mv	AT gebremedhing urbanruraldifferencesinthetrendsoftype1andtype2diabetesamongadultswhoreceivedmedicaltreatmentfrompublichospitalsinresourcepoorcommunitytigrayethiopia AT enqueselassief urbanruraldifferencesinthetrendsoftype1andtype2diabetesamongadultswhoreceivedmedicaltreatmentfrompublichospitalsinresourcepoorcommunitytigrayethiopia AT deyessan urbanruraldifferencesinthetrendsoftype1andtype2diabetesamongadultswhoreceivedmedicaltreatmentfrompublichospitalsinresourcepoorcommunitytigrayethiopia AT yifterh urbanruraldifferencesinthetrendsoftype1andtype2diabetesamongadultswhoreceivedmedicaltreatmentfrompublichospitalsinresourcepoorcommunitytigrayethiopia
_version_	1718397968353067008

Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia

Ejemplares similares