Predictors of Poor Glycemic Control among Patients with Type 2 Diabetes in Southern Afghanistan: A Multicenter Cross-sectional Study.

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian journal of public health Pub Date : 2025-09-20 DOI:10.4103/ijph.ijph_141_25

Najibullah Fazli, Muhammad Haroon Stanikzai, S V Vinod Kumar, Omid Dadras

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引用次数: 0

Abstract

Summary: Poor glycemic control is associated with an increased risk of diabetes-related complications, attributable to a wide range of factors. The aim of this study was to determine the prevalence and predictors of poor glycemic control among patients with type 2 diabetes in southern Afghanistan. We conducted a cross-sectional study among diabetes patients randomly recruited from four hospitals in southern Afghanistan during their follow-up visits between August and October 2024. Out of 406 patients, 74.9% (95% confidence interval [CI]: 70.3%-79.1%) had poor glycemic control. Physical inactivity (adjusted odds ratio [AOR] =1.89, 95% CI: 1.04-3.41), irregular monitoring of blood glucose levels (AOR = 8.80, 95% CI: 4.49-17.2), nonadherence to antidiabetic medications (AOR = 2.69, 95% CI: 1.41-5.13), and presence of depression symptoms (AOR = 2.20, 95% CI: 1.25-3.86) were significant predictors of poor glycemic control. The findings highlight an urgent need for targeted health policies and clinical interventions to address the high prevalence of poor glycemic control in Afghanistan.

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阿富汗南部2型糖尿病患者血糖控制不良的预测因素：一项多中心横断面研究

总结：血糖控制不良与糖尿病相关并发症的风险增加有关，可归因于多种因素。本研究的目的是确定阿富汗南部2型糖尿病患者血糖控制不良的患病率和预测因素。我们对2024年8月至10月期间从阿富汗南部四家医院随机招募的糖尿病患者进行了横断面研究。406例患者中，74.9%（95%可信区间[CI]: 70.3%-79.1%）血糖控制不良。缺乏运动（校正优势比[AOR] =1.89, 95% CI: 1.04-3.41）、血糖水平监测不规律（AOR = 8.80, 95% CI: 4.49-17.2）、不坚持使用降糖药物（AOR = 2.69, 95% CI: 1.41-5.13）和存在抑郁症状（AOR = 2.20, 95% CI: 1.25-3.86）是血糖控制不良的重要预测因素。研究结果强调，迫切需要制定有针对性的卫生政策和临床干预措施，以解决阿富汗普遍存在的血糖控制不良问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.