Type 2 Diabetes Mellitus in Ambulatory Adult Nigerians: Prevalence and Associated Family Biosocial Factors in a Primary Care Clinic in Eastern Nigeria: A Cross-sectional Study.
Loading...
Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Type 2 diabetes mellitus is a multi-factoral medical condition that aggregates in the
family and has implications for family health. Research analyses of determinants of type 2 diabetes
mellitus have demonstrated the interactions and clustering of family biosocial factors in its
epidemiology.
Aim: To determine the prevalence of type 2 diabetes mellitus and describe the associated family
biosocial factors in ambulatory adult type 2 diabetic Nigerians in a primary care clinic in Southeastern
Nigeria.
Study Design: This was a cross-sectional study. Seven hundred and fifty patients were screened for diabetes mellitus and thirty five of them who had diabetes mellitus were age and sex matched
with thirty five non-diabetic, non-hypertensive patients for the determination of the association with
family biosocial factors.
Place and Duration of Study: The study was carried out at a primary care clinic in Umuahia,
South-eastern Nigeria in May 2011.
Methodology: Data on family biosocial factors were obtained using pretested, structured and
interviewer-administered questionnaire. Diabetes mellitus was defined using American Diabetes
Association criterion.
Results: The prevalence of type 2 diabetes mellitus was 4.7%. Eleven (1.5%) of the diabetic
patients were newly diagnosed in the hospital. There were fourteen (40.0%) males and twenty one
(60.0%) females with sex ratio of 1:1.5. The age ranged from 28-82 years with mean age of
47±11.2 years. The middle aged adults were predominantly affected. Family biosocial factors
significantly associated with type 2 diabetes were family history of hypertension (P=.006) and
diabetes mellitus (P=.048). A significantly higher proportion of the diabetic patients had family
history of hypertension compared to the non-diabetic and non-hypertensive subjects. The diabetic
patients were one and half times more likely to have family history of hypertension compared to
their non-diabetic and non-hypertensive counterparts.
Conclusion: The study has shown the prevalence of type 2 diabetes mellitus with predilection for
middle aged adult Nigerians. The associated family biosocial factors were family history of
hypertension and diabetes mellitus. Screening adult Nigerians with family history of hypertension
and diabetes mellitus for diabetes mellitus is recommended in primary care setting for familycentred
preventive care.
Description
Keywords
Adult Nigerians, family biosocial factors, prevalence, primary care, type 2 diabetes
Citation
Iloh Gabriel Uche Pascal, Amadi A N, Ebirim C I C. Type 2 Diabetes Mellitus in Ambulatory Adult Nigerians: Prevalence and Associated Family Biosocial Factors in a Primary Care Clinic in Eastern Nigeria: A Cross-sectional Study. British Journal of Medicine and Medical Research. 2015; 9(3): 1-12.