Urban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Uganda

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dc.contributor.authorChiwanga, Faraja S.en_ZA
dc.contributor.authorNjelekel, Marina A.en_ZA
dc.contributor.authorDiamond, Megan B.en_ZA
dc.contributor.authorBajunirwe, Francisen_ZA
dc.contributor.authorGuwatudde, Daviden_ZA
dc.contributor.authorNankya-Mutyoba, Joanen_ZA
dc.contributor.authorKalyesubula, Roberten_ZA
dc.contributor.authorAdebamowo, Clementen_ZA
dc.contributor.authorAjayi, IkeOluwapoen_ZA
dc.contributor.authorReid, Todd G.en_ZA
dc.contributor.authorVolmink, Jimmyen_ZA
dc.contributor.authorLaurence, Carienen_ZA
dc.contributor.authorAdami, Hans-Oloven_ZA
dc.contributor.authorHolmes, Michelle D.en_ZA
dc.contributor.authorDalal, Shonaen_ZA
dc.date.accessioned2017-08-16T07:59:08Z
dc.date.available2017-08-16T07:59:08Z
dc.date.issued2016
dc.descriptionCITATION: Chiwanga, F. S., et al. 2016. Urban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Uganda. Global Health Action, 9(1):31440, doi:10.3402/gha.v9.31440.
dc.descriptionThe original publication is available at http://www.tandfonline.com
dc.description.abstractENGLISH SUMMARY : Background: The increase in prevalence of diabetes and pre-diabetes in sub-Saharan Africa underlines the importance of understanding its magnitude and causes in different population groups. We analyzed data from the Africa/Harvard Partnership for Cohort Research and Training (PaCT) studies to determine the prevalence of diabetes and pre-diabetes and risk factors associated with diabetes. Methodology: Participants were randomly selected from peri-urban (n 297) and rural (n 200) communities in Uganda, and teachers were recruited from schools (n 229) in urban Tanzania. We used a standardized questionnaire to collect socio-demographic and self-reported disease status including diabetes status. Blood glucose was also measured after participants fasted for 8 h. We used standard protocols for anthropometric and blood pressure measurement. Results: The overall prevalence of diabetes was 10.1% and was highest in rural Ugandan residents (16.1%) compared to teachers in Tanzania (8.3%) and peri-urban Ugandan residents (7.6%). The prevalence of pre-diabetes was 13.8%. The prevalence of self-reported diabetes was low across all sites, where 68% of participants with diabetes were not captured by self-report. In ultivariable logistic regression analysis, family history (OR 2.5, 95% CI: 1.1, 5.6) and hypertension (OR 2.3, 95% CI: 1.1, 5.2) were significantly associated with diabetes. Conclusions: The prevalence of diabetes and pre-diabetes in Uganda and Tanzania is high, differs markedly between population groups, and remains undiagnosed in an alarmingly high proportion of individuals. These findings highlight the need for large-scale, prospective studies to accurately quantify the burden and identify effective intervention and treatment strategies across diverse African populations.en_ZA
dc.description.urihttp://www.tandfonline.com/doi/full/10.3402/gha.v9.31440
dc.description.versionPublisher's version
dc.format.extent9 pages ; illustrations
dc.identifier.citationChiwanga, F. S., et al. 2016. Urban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Uganda. Global Health Action, 9(1):31440, doi:10.3402/gha.v9.31440
dc.identifier.issn1654-9880 (online)
dc.identifier.otherdoi:10.3402/gha.v9.31440
dc.identifier.urihttp://hdl.handle.net/10019.1/102115
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francis Open
dc.rights.holderAuthors retain copyright
dc.subjectDiabetes -- Incidence -- Tanzaniaen_ZA
dc.subjectDiabetes -- Incidence -- Ugandaen_ZA
dc.subjectNon-insulin-dependent diabetes -- Risk factorsen_ZA
dc.subjectNon-insulin-dependent diabetes -- Prevention -- Needs assessmenten_ZA
dc.titleUrban and rural prevalence of diabetes and pre- diabetes and risk factors associated with diabetes in Tanzania and Ugandaen_ZA
dc.typeArticleen_ZA
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