Prevalence Of Anemia and Associated Risk Factors Among Type 2 Diabetic Mellitus Patients Attending Ambo Town Government Hospitals in West Shewa, Ethiopia

Fekadu Urgessa
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Abstract

Background: Anemia is the most common blood disorder and common complications of Diabetes mellitus. It is also a global public health problem affecting both developing and developed countries with major consequences for human health, social and economic development. In Ethiopia, chronic illnesses are tremendously rising with their complications, but very little research has been conducted, particularly on anemia among type two diabetic mellitus patients. Objective: To assess the prevalence of anemia and associated risk factors among type 2 diabetic patients attending Ambo town government Hospitals in West Shewa, Ethiopia from September – October 2020 G.C. Method: A Hospital-based cross-sectional study was conducted on T2DM patients from September - October 2020. A simple random sampling technique was used to select 356 patients. Data were collected by face-to-face interviews, Administered Questionnaires, and Other Biological Samples such as, blood and urine from 356 patients. Data was entered to EPI-info and exported to SPSS software package for further analysis, Bivariate and multivariate logistic regression models were fitted; Crude Odds Ratio and Adjusted Odds Ratio with 95 Percentage Confidence Interval (CI) were computed. In all cases, P-value less than 0.05 is taken as statistically significant. Results: The study showed that 27.5 Percentage of participants were anemic. Out of anemic T2DM patients, 92 (92.9 Percentage) and 7 (7.1 Percentage) had mild and moderate anemia, respectively. Having nephropathy (AOR = 6.2, CI: 1.82, 21.16), being male (AOR = 4.32, CI: 1.09, 517.03), duration of diabetes for 5 years and greater (AOR = 4.42, CI: 1.27, 15.45) and having high serum creatinine (AOR=10.07, CI: 2.89, 35.2) were all significantly associated with anemia. Conclusion: The magnitude of anemia was 27.5 Percentage among T2DM patients in the study area. Therefore, routine screening of anemia for all T2DM patients assisting in early identification and improved management of diabetes will lead to improved quality of life in this patient population.
埃塞俄比亚西谢瓦安博镇政府医院2型糖尿病患者贫血患病率及相关危险因素
背景:贫血是糖尿病最常见的血液病和并发症。它也是一个影响发展中国家和发达国家的全球性公共卫生问题,对人类健康、社会和经济发展产生重大影响。在埃塞俄比亚,慢性病及其并发症急剧增加,但很少进行研究,特别是对二型糖尿病患者的贫血进行研究。目的:评估2020年9月至10月在埃塞俄比亚西谢瓦Ambo镇政府医院就诊的2型糖尿病患者贫血的患病率及相关危险因素。方法:2020年9月至10月对2型糖尿病患者进行了一项基于医院的横断面研究。采用简单随机抽样方法,选取356例患者。通过面对面访谈、管理问卷和其他生物样本(如血液和尿液)收集356名患者的数据。将数据输入EPI-info,导出到SPSS软件包中进行分析,拟合双变量和多变量logistic回归模型;计算95%置信区间(CI)的粗优势比和校正优势比。在所有情况下,p值小于0.05被认为具有统计学意义。结果:研究显示,27.5 %的参与者贫血。在贫血型T2DM患者中,92例(92.9百分比)和7例(7.1百分比)分别为轻度和中度贫血。患有肾病(AOR= 6.2, CI: 1.82, 21.16)、男性(AOR= 4.32, CI: 1.09, 517.03)、糖尿病病程5年及以上(AOR= 4.42, CI: 1.27, 15.45)、血清肌酐高(AOR=10.07, CI: 2.89, 35.2)均与贫血显著相关。结论:研究区T2DM患者贫血程度为27.5%。因此,对所有T2DM患者进行常规贫血筛查有助于早期识别和改善糖尿病的管理,从而改善该患者群体的生活质量。
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