Prevalence and awareness of Diabetes Mellitus in Rural Communities of Abuja Nigeria

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DOI: 10.21522/TIJPH.2013.07.02.Art013

Authors : Orji Ikechukwu Anthony, Ojji Dike Bevis, Ikechukwu-Orji Mercy Uchechi

Abstract:

Introduction: Globally, Diabetes mellitus is reckoned a disease of major public health concern. It is a key risk factor for heart failure, stroke and coronary artery disease. Diabetes contributes significantly to global morbidity and mortality, with more impact in developing countries such as Nigeria. In Nigeria, various studies have reported the prevalence of diabetes to vary across different zones of the country with some reporting an increasing prevalence in rural communities.

Objectives: 1. To determine the prevalence of diabetes in rural communities of Abuja, FCT Nigeria. 2. To determine the awareness of diabetes in rural communities of Abuja. Methodology:

A community-based cross-sectional study conducted in 2017 in selected communities of Abuja using a multi-stage sampling technique to sample 408 adult participants. Interviewer administered questionnaire was used to collect data and Glucometer used for blood sugar measurements following recommended guidelines while SPSS 20.0 version was used for data analysis. Univariate analysis was performed for Blood Sugar level while multivariate analyses were done to ascertain relationship of the various socio-demographic characteristics to diabetes. Results were considered significant at p-value < 0.05.

Results: The prevalence of 4.4% was recorded for diabetes. Female sex and age 45 years and above, were independent predictors of diabetes in these group with appreciable awareness of the condition.

Conclusion: The study recorded an increased prevalence of diabetes in rural communities of Abuja. This calls for intensive program directed at controlling diabetes among the rural populace.

Keywords: Diabetes, prevalence, awareness, rural communities, Abuja.

References:

[1].Alan J. Garber, Martin J. Abrahamson, Joshua I. Barzilay, Lawrence Blonde, Zachary T. Bloomgarden, Michael A. Bush, Samuel Dagogo-Jack, Michael B. Davidson, Daniel Einhorn, Jeffrey R. Garber, W. Timothy Garvey, George Grunberger, Yehuda Handelsman, Irl B. Hirsch, Paul S. Jellinger, Janet B. McGill, Jeffrey I. Mechanick, Paul D. Rosenblit, Guillermo Umpierrez, and Michael H. Davidson (April 2015). AACE/ACE Comprehensive Diabetes Management Algorithm 2015. Endocrine Practice. 21 (4): 438-447. https://doi.org/10.4158/EP15693.CS.

[2].Chinenye S., Ogbera A.O. (2013). Socio-cultural aspects of diabetes mellitus in Nigeria. Journal of Social Health, Diabetes. 1(1): 15 – 21.

[3].Cook-Huynah M. (2012). High prevalence of cardiac and extra cardiac target organ damage in refractory hypertension. Journal of Hypertension. 19:2063–2070.

[4].Diabetes Association of Nigeria (DAN), (2013). Clinical Practice Guidelines for Diabetes Management in Nigeria. 2nd ed. Bekdik Printing Press. Port Harcourt, Nigeria. www.diabetesnigeria.org.

[5].Healthline Newsletter (2016). Junk Food and Diabetes. Accessed from www.healthline.com/health/type-2-diabetes/junk-food.

[6].International Diabetes Federation (IDF) Atlas 8th Edition (2017). Accessed from https://diabetesatlas.org.

[7].Isara A. R., Okundia P. O. (2015). The burden of hypertension and diabetes mellitus in rural communities in southern Nigeria. The Pan African Medical Journal. 20: (103). Retrieved from http://www.panafrican-med-journal.com/content/article/20/103/ful.

[8].Makusidi M.A., Liman H.M., Yakubu A., Isah M.D., Jega R. M. (2013). Prevalence of non-communicable diseases and its awareness among inhabitants of Sokoto metropolis: outcome of a screening program for hypertension, obesity, diabetes mellitus and overt proteinuria. Arab Journal of Nephrology Transplant. 6(3): 189 - 191.

[9].Mallo I.Y. and Obasanya V.G. (2012). Socio-economic effects of Demolishing Squatter Settlements and Illegal Structures in Abuja Metropolis, Federal Capital Territory, Nigeria. Confluence Journal of Environmental Studies. 7. Retrieved from http://works.bepress.com/cjes_kogistateuniversity/12/

[10]. Mezie-Okoye (2013). Diabetes in older adults: experience from a rural community in south-east Nigeria. African Journal of Diabetes Medicine. 21(2): 45 - 48.

[11].  Muninarayana C. Balachandra G.,  Hiremath S. G.,  Iyengar K., and  Anil N. S. ( 2010). Prevalence and awareness regarding diabetes mellitus in rural Tamaka, Kolar. International Journal of Diabetes in Developing Countries 30 (1): 18–21. doi: 10.4103/0973-3930.60005.

[12]. Murthy G. V. S. et.al (2013). Prevalence and risk factors for hypertension and association with ethnicity in Nigeria – results from a national survey. Cardiovascular Journal of Africa. 24 (9) 344-350. doi 10.5830/cvJA 2013.158.

[13]. National Institute of Diabetes and Digestive and Kidney Diseases (2017). Retrieved from www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes.

[14]. Nigeria Population (2016). Tradingeconomics.com. accessed from https://tradingeconomics.com/nigeria/population.

[15]. Noble J. A.  and  Valdes A.M. (2012). Genetics of the HLA Region in the Prediction of Type 1 Diabetes. National Center for Biotechnology Information. Accessed from www.ncbi.nlm.nih.gov/pmc/articles/PMC3233362/doi:10.1007/s11892-011-0223x.

[16]. Omobuwa O & Alebiosu O.C. (2014). Awareness of diabetes amongst undergraduates in a Nigerian University, South West Nigeria. Sahel Medical Journal. 17: 29-33.

[17]. Sabir A, Ohwovoriole A, Isezuo S, Fasnmade O, Abubakar S, Iwuala S. (2013). Type 2 diabetes mellitus and its risk factors among rural Fulanis of northern Nigeria. Annals of African Medicine; 12(4): 219 – 22.

[18]. Sabir A. A., Balarae S., Sani A.A., Isezuo S.A., Bello K.S., Jimo S.S. (2017). Prevalence of Diabetes Mellitus and risks factors among the suburban population of Northwest Nigeria. Sahel Medical Journal. 20: 168-72.

[19]. World Health Organization (2013). Fact Sheet No 312.

[20]. World Health Organization (2017). Diabetes facts sheet. Accessed from http://www.who.int/news-room/fact-sheets/detail/diabetes.