Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study

Zenawi Zeramariam Araia,1 Araia Berhane Mesfin,2 Amanuel Hadgu Mebrahtu,1 Adiam Ghebreyohanns Tewelde,3 Randa Osman,4 Hagos Andom Tuumzghi5 1National TB and Leprosy Control Program, Communicable Disease Control Division, Ministry of Health, Asmara, Eritrea; 2Communicable Diseases Control Division, M...

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Autores principales:	Araia ZZ, Mesfin AB, Mebrahtu AH, Tewelde AG, Osman R, Tuumzghi HA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	tb-dm prevalence transient hyperglycaemia fasting blood glucose pre-diabetes eritrea Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/d3e5ffe533f641729b6be6665056a1a6
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spelling	oai:doaj.org-article:d3e5ffe533f641729b6be6665056a1a62021-12-02T14:16:31ZDiabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study1178-7007https://doaj.org/article/d3e5ffe533f641729b6be6665056a1a62021-02-01T00:00:00Zhttps://www.dovepress.com/diabetes-mellitus-and-its-associated-factors-in-tuberculosis-patients--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Zenawi Zeramariam Araia,1 Araia Berhane Mesfin,2 Amanuel Hadgu Mebrahtu,1 Adiam Ghebreyohanns Tewelde,3 Randa Osman,4 Hagos Andom Tuumzghi5 1National TB and Leprosy Control Program, Communicable Disease Control Division, Ministry of Health, Asmara, Eritrea; 2Communicable Diseases Control Division, Ministry of Health, Asmara, Eritrea; 3Integrated Disease Surveillance and Response, Ministry of Health, Asmara, Eritrea; 4Orrota College of Medicine and Health Sciences, Asmara, Eritrea; 5Ministry of Health, Maekel Region Branch, Asmara, EritreaCorrespondence: Zenawi Zeramariam AraiaNational TB and Leprosy Control Program, Communicable Diseases Control Division, Ministry of Health, Asmara, EritreaTel +291-1-122129Email zenhopncl@gmail.comBackground: Both diabetes mellitus (DM) and tuberculosis (TB) are among the leading causes of morbidity and mortality in Eritrea. TB-DM comorbidity is known to complicate TB care, control and prevention. However, systematically studied epidemiological data on TB-DM comorbidity and its associated risk factors are lacking in this country.Objective: This study aimed to assess the prevalence of DM and its associated factors among TB patients in the Maekel region, Eritrea.Methods: Analytical cross-sectional study was conducted in eleven TB diagnostic and treatment sites. Pretested data extraction tool was used to collect data from medical records. Prevalence data were analysed using frequencies, proportions and median. To determine DM risk factors, univariable and multivariable logistic regression analysis was done with 95% CI and p value < 0.05 considered significant.Results: Out of total eligible (1134) TB cases, DM prevalence was 9.88%. Age and BMI were identified as independent risk factors for DM among TB patients. Higher odds of DM were found among TB patients aged 45– 54 (aOR: 4.85[1.39– 16.94], p= 0.013) and those ≥ 55 (aOR: 6.99[2.12– 23.04], p= 0.001). TB cases with normal BMI were two times more likely to have DM (aOR: 2.00[1.23– 3.26], p= 0.005) compared to those underweight.Conclusion: The prevalence of DM among TB cases observed in this study is high, a clarion call to scale up current efforts to integrate TB-DM services within routine care. Furthermore, age and BMI were identified as independent risk factors for DM in TB cases, pointing to the need to pay attention to age and BMI status when managing this co-morbidity.Keywords: TB-DM prevalence, transient hyperglycaemia, fasting blood glucose, pre-diabetes, EritreaAraia ZZMesfin ABMebrahtu AHTewelde AGOsman RTuumzghi HADove Medical Pressarticletb-dm prevalencetransient hyperglycaemiafasting blood glucosepre-diabeteseritreaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 515-523 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tb-dm prevalence transient hyperglycaemia fasting blood glucose pre-diabetes eritrea Specialties of internal medicine RC581-951
spellingShingle	tb-dm prevalence transient hyperglycaemia fasting blood glucose pre-diabetes eritrea Specialties of internal medicine RC581-951 Araia ZZ Mesfin AB Mebrahtu AH Tewelde AG Osman R Tuumzghi HA Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
description	Zenawi Zeramariam Araia,1 Araia Berhane Mesfin,2 Amanuel Hadgu Mebrahtu,1 Adiam Ghebreyohanns Tewelde,3 Randa Osman,4 Hagos Andom Tuumzghi5 1National TB and Leprosy Control Program, Communicable Disease Control Division, Ministry of Health, Asmara, Eritrea; 2Communicable Diseases Control Division, Ministry of Health, Asmara, Eritrea; 3Integrated Disease Surveillance and Response, Ministry of Health, Asmara, Eritrea; 4Orrota College of Medicine and Health Sciences, Asmara, Eritrea; 5Ministry of Health, Maekel Region Branch, Asmara, EritreaCorrespondence: Zenawi Zeramariam AraiaNational TB and Leprosy Control Program, Communicable Diseases Control Division, Ministry of Health, Asmara, EritreaTel +291-1-122129Email zenhopncl@gmail.comBackground: Both diabetes mellitus (DM) and tuberculosis (TB) are among the leading causes of morbidity and mortality in Eritrea. TB-DM comorbidity is known to complicate TB care, control and prevention. However, systematically studied epidemiological data on TB-DM comorbidity and its associated risk factors are lacking in this country.Objective: This study aimed to assess the prevalence of DM and its associated factors among TB patients in the Maekel region, Eritrea.Methods: Analytical cross-sectional study was conducted in eleven TB diagnostic and treatment sites. Pretested data extraction tool was used to collect data from medical records. Prevalence data were analysed using frequencies, proportions and median. To determine DM risk factors, univariable and multivariable logistic regression analysis was done with 95% CI and p value < 0.05 considered significant.Results: Out of total eligible (1134) TB cases, DM prevalence was 9.88%. Age and BMI were identified as independent risk factors for DM among TB patients. Higher odds of DM were found among TB patients aged 45– 54 (aOR: 4.85[1.39– 16.94], p= 0.013) and those ≥ 55 (aOR: 6.99[2.12– 23.04], p= 0.001). TB cases with normal BMI were two times more likely to have DM (aOR: 2.00[1.23– 3.26], p= 0.005) compared to those underweight.Conclusion: The prevalence of DM among TB cases observed in this study is high, a clarion call to scale up current efforts to integrate TB-DM services within routine care. Furthermore, age and BMI were identified as independent risk factors for DM in TB cases, pointing to the need to pay attention to age and BMI status when managing this co-morbidity.Keywords: TB-DM prevalence, transient hyperglycaemia, fasting blood glucose, pre-diabetes, Eritrea
format	article
author	Araia ZZ Mesfin AB Mebrahtu AH Tewelde AG Osman R Tuumzghi HA
author_facet	Araia ZZ Mesfin AB Mebrahtu AH Tewelde AG Osman R Tuumzghi HA
author_sort	Araia ZZ
title	Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
title_short	Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
title_full	Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
title_fullStr	Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
title_full_unstemmed	Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study
title_sort	diabetes mellitus and its associated factors in tuberculosis patients in maekel region, eritrea: analytical cross-sectional study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d3e5ffe533f641729b6be6665056a1a6
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Diabetes Mellitus and Its Associated Factors in Tuberculosis Patients in Maekel Region, Eritrea: Analytical Cross-Sectional Study

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