Prevalence and correlates of diabetes mellitus in Uganda

A population-based national survey

Silver Bahendeka, Ronald Wesonga, Gerald Mutungi, James Muwonge, Stella Neema, David Guwatudde

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objective: We analysed fasting blood glucose (FBG) and other data collected as part of a population-based nationwide non-communicable disease risk factor survey, to estimate the prevalence of impaired fasting glycaemia (IFG) and diabetes mellitus and to identify associated factors in Uganda. Methods: The nationwide cross-sectional survey was conducted between April and July 2014. Participants were adults aged 18-69 years. A multistage stratified sample design was used to produce a national representative sample. Fasting capillary glucose was measured to estimate glycaemia. Data were managed with WHO e-STEPs software and Epi Info. Stata® survey procedures were used to account for the sampling design, and sampling weights were used to account for differential probability of selection between strata. Results: Of the 3689 participants, 1467 (39.8%) were males, and 2713 (73.5%) resided in the rural areas. The mean age was 35.1 years (standard deviation = 12.6) for males and 35.8 years (13.2) for females. The overall prevalence of IFG was 2.0% (95% confidence interval (CI) = 1.5-2.5%), whereas that of diabetes mellitus was 1.4% (95% CI 0.9-1.9%). The prevalence of IFG was 2.1% (95% CI 1.3-2.9%) among males and 1.9% (95% CI 1.3-2.6%) among females, whereas that of diabetes mellitus was 1.6% (95% CI 0.8-2.6%) and 1.1% (95% CI 0.6-1.7%), respectively. The prevalence of IFG was 2.6% (95% CI 1.4-3.8%) among urban and 1.9% (95% CI 1.3-2.4%) among rural residents, whereas that of diabetes mellitus was 2.7% (95% CI 1.4-4.1) and 1.0% (95% 0.5-1.6%), respectively. The majority of participants identified with hyperglycaemia (90.5% IFG and 48.9% diabetes) were not aware of their hyperglycaemic status. Factors associated with IFG were region of residence, body mass index and total cholesterol; factors associated with diabetes mellitus were age, sex, household floor finish and abdominal obesity. Conclusion: The prevalence of IFG and of diabetes mellitus is low in the Ugandan population, providing an opportunity for the prevention of diabetes. The majority of persons with hyperglycaemia were not aware of their hyperglycaemic status, which implies a likelihood of presenting late with complications.

Original languageEnglish
Pages (from-to)405-416
Number of pages12
JournalTropical Medicine and International Health
Volume21
Issue number3
DOIs
Publication statusPublished - Mar 1 2016

Fingerprint

Uganda
Fasting
Diabetes Mellitus
Confidence Intervals
Population
Hyperglycemia
Surveys and Questionnaires
Abdominal Obesity
Blood Glucose
Body Mass Index
Software
Cross-Sectional Studies
Cholesterol
Weights and Measures
Glucose

Keywords

  • Chronic disease epidemiology
  • Diabetes mellitus
  • Non-communicable diseases
  • Uganda

ASJC Scopus subject areas

  • Parasitology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Prevalence and correlates of diabetes mellitus in Uganda : A population-based national survey. / Bahendeka, Silver; Wesonga, Ronald; Mutungi, Gerald; Muwonge, James; Neema, Stella; Guwatudde, David.

In: Tropical Medicine and International Health, Vol. 21, No. 3, 01.03.2016, p. 405-416.

Research output: Contribution to journalArticle

Bahendeka, Silver ; Wesonga, Ronald ; Mutungi, Gerald ; Muwonge, James ; Neema, Stella ; Guwatudde, David. / Prevalence and correlates of diabetes mellitus in Uganda : A population-based national survey. In: Tropical Medicine and International Health. 2016 ; Vol. 21, No. 3. pp. 405-416.
@article{8e9f404424ec4b82ac73f96e9f809b8b,
title = "Prevalence and correlates of diabetes mellitus in Uganda: A population-based national survey",
abstract = "Objective: We analysed fasting blood glucose (FBG) and other data collected as part of a population-based nationwide non-communicable disease risk factor survey, to estimate the prevalence of impaired fasting glycaemia (IFG) and diabetes mellitus and to identify associated factors in Uganda. Methods: The nationwide cross-sectional survey was conducted between April and July 2014. Participants were adults aged 18-69 years. A multistage stratified sample design was used to produce a national representative sample. Fasting capillary glucose was measured to estimate glycaemia. Data were managed with WHO e-STEPs software and Epi Info. Stata{\circledR} survey procedures were used to account for the sampling design, and sampling weights were used to account for differential probability of selection between strata. Results: Of the 3689 participants, 1467 (39.8{\%}) were males, and 2713 (73.5{\%}) resided in the rural areas. The mean age was 35.1 years (standard deviation = 12.6) for males and 35.8 years (13.2) for females. The overall prevalence of IFG was 2.0{\%} (95{\%} confidence interval (CI) = 1.5-2.5{\%}), whereas that of diabetes mellitus was 1.4{\%} (95{\%} CI 0.9-1.9{\%}). The prevalence of IFG was 2.1{\%} (95{\%} CI 1.3-2.9{\%}) among males and 1.9{\%} (95{\%} CI 1.3-2.6{\%}) among females, whereas that of diabetes mellitus was 1.6{\%} (95{\%} CI 0.8-2.6{\%}) and 1.1{\%} (95{\%} CI 0.6-1.7{\%}), respectively. The prevalence of IFG was 2.6{\%} (95{\%} CI 1.4-3.8{\%}) among urban and 1.9{\%} (95{\%} CI 1.3-2.4{\%}) among rural residents, whereas that of diabetes mellitus was 2.7{\%} (95{\%} CI 1.4-4.1) and 1.0{\%} (95{\%} 0.5-1.6{\%}), respectively. The majority of participants identified with hyperglycaemia (90.5{\%} IFG and 48.9{\%} diabetes) were not aware of their hyperglycaemic status. Factors associated with IFG were region of residence, body mass index and total cholesterol; factors associated with diabetes mellitus were age, sex, household floor finish and abdominal obesity. Conclusion: The prevalence of IFG and of diabetes mellitus is low in the Ugandan population, providing an opportunity for the prevention of diabetes. The majority of persons with hyperglycaemia were not aware of their hyperglycaemic status, which implies a likelihood of presenting late with complications.",
keywords = "Chronic disease epidemiology, Diabetes mellitus, Non-communicable diseases, Uganda",
author = "Silver Bahendeka and Ronald Wesonga and Gerald Mutungi and James Muwonge and Stella Neema and David Guwatudde",
year = "2016",
month = "3",
day = "1",
doi = "10.1111/tmi.12663",
language = "English",
volume = "21",
pages = "405--416",
journal = "Tropical Medicine and International Health",
issn = "1360-2276",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Prevalence and correlates of diabetes mellitus in Uganda

T2 - A population-based national survey

AU - Bahendeka, Silver

AU - Wesonga, Ronald

AU - Mutungi, Gerald

AU - Muwonge, James

AU - Neema, Stella

AU - Guwatudde, David

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Objective: We analysed fasting blood glucose (FBG) and other data collected as part of a population-based nationwide non-communicable disease risk factor survey, to estimate the prevalence of impaired fasting glycaemia (IFG) and diabetes mellitus and to identify associated factors in Uganda. Methods: The nationwide cross-sectional survey was conducted between April and July 2014. Participants were adults aged 18-69 years. A multistage stratified sample design was used to produce a national representative sample. Fasting capillary glucose was measured to estimate glycaemia. Data were managed with WHO e-STEPs software and Epi Info. Stata® survey procedures were used to account for the sampling design, and sampling weights were used to account for differential probability of selection between strata. Results: Of the 3689 participants, 1467 (39.8%) were males, and 2713 (73.5%) resided in the rural areas. The mean age was 35.1 years (standard deviation = 12.6) for males and 35.8 years (13.2) for females. The overall prevalence of IFG was 2.0% (95% confidence interval (CI) = 1.5-2.5%), whereas that of diabetes mellitus was 1.4% (95% CI 0.9-1.9%). The prevalence of IFG was 2.1% (95% CI 1.3-2.9%) among males and 1.9% (95% CI 1.3-2.6%) among females, whereas that of diabetes mellitus was 1.6% (95% CI 0.8-2.6%) and 1.1% (95% CI 0.6-1.7%), respectively. The prevalence of IFG was 2.6% (95% CI 1.4-3.8%) among urban and 1.9% (95% CI 1.3-2.4%) among rural residents, whereas that of diabetes mellitus was 2.7% (95% CI 1.4-4.1) and 1.0% (95% 0.5-1.6%), respectively. The majority of participants identified with hyperglycaemia (90.5% IFG and 48.9% diabetes) were not aware of their hyperglycaemic status. Factors associated with IFG were region of residence, body mass index and total cholesterol; factors associated with diabetes mellitus were age, sex, household floor finish and abdominal obesity. Conclusion: The prevalence of IFG and of diabetes mellitus is low in the Ugandan population, providing an opportunity for the prevention of diabetes. The majority of persons with hyperglycaemia were not aware of their hyperglycaemic status, which implies a likelihood of presenting late with complications.

AB - Objective: We analysed fasting blood glucose (FBG) and other data collected as part of a population-based nationwide non-communicable disease risk factor survey, to estimate the prevalence of impaired fasting glycaemia (IFG) and diabetes mellitus and to identify associated factors in Uganda. Methods: The nationwide cross-sectional survey was conducted between April and July 2014. Participants were adults aged 18-69 years. A multistage stratified sample design was used to produce a national representative sample. Fasting capillary glucose was measured to estimate glycaemia. Data were managed with WHO e-STEPs software and Epi Info. Stata® survey procedures were used to account for the sampling design, and sampling weights were used to account for differential probability of selection between strata. Results: Of the 3689 participants, 1467 (39.8%) were males, and 2713 (73.5%) resided in the rural areas. The mean age was 35.1 years (standard deviation = 12.6) for males and 35.8 years (13.2) for females. The overall prevalence of IFG was 2.0% (95% confidence interval (CI) = 1.5-2.5%), whereas that of diabetes mellitus was 1.4% (95% CI 0.9-1.9%). The prevalence of IFG was 2.1% (95% CI 1.3-2.9%) among males and 1.9% (95% CI 1.3-2.6%) among females, whereas that of diabetes mellitus was 1.6% (95% CI 0.8-2.6%) and 1.1% (95% CI 0.6-1.7%), respectively. The prevalence of IFG was 2.6% (95% CI 1.4-3.8%) among urban and 1.9% (95% CI 1.3-2.4%) among rural residents, whereas that of diabetes mellitus was 2.7% (95% CI 1.4-4.1) and 1.0% (95% 0.5-1.6%), respectively. The majority of participants identified with hyperglycaemia (90.5% IFG and 48.9% diabetes) were not aware of their hyperglycaemic status. Factors associated with IFG were region of residence, body mass index and total cholesterol; factors associated with diabetes mellitus were age, sex, household floor finish and abdominal obesity. Conclusion: The prevalence of IFG and of diabetes mellitus is low in the Ugandan population, providing an opportunity for the prevention of diabetes. The majority of persons with hyperglycaemia were not aware of their hyperglycaemic status, which implies a likelihood of presenting late with complications.

KW - Chronic disease epidemiology

KW - Diabetes mellitus

KW - Non-communicable diseases

KW - Uganda

UR - http://www.scopus.com/inward/record.url?scp=84959564531&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959564531&partnerID=8YFLogxK

U2 - 10.1111/tmi.12663

DO - 10.1111/tmi.12663

M3 - Article

VL - 21

SP - 405

EP - 416

JO - Tropical Medicine and International Health

JF - Tropical Medicine and International Health

SN - 1360-2276

IS - 3

ER -