| dc.description.abstract | Background. Type 2 diabetes mellitus (DM II) prevalence is increasing rapidly around the
world with both high morbidity and mortality and a high health cost. It has emerged as global
pandemic due to a fast upsurge in Lifestyle, socio-demographic and health systems related
factors. There was, therefore a need for this study to assess the prevalence and factors
associated with type 2 diabetes mellitus in Tororo district hospital during the month of May
to June, 2017.
The main objective of this study was to determine the prevalence of type 2 diabetes mellitus
among clients aged 30 to 60 years attending the diabetic clinic at Tororo hospital. The factors
assessed include socio-demographic, life style and healthy system factors.
Method. This descriptive cross-sectional study was conducted to assess the prevalence and
factors associated with of type 2 diabetes mellitus among persons aged 30 to 65 attending
diabetic clinic at Tororo hospital. Convenience non probability random sampling technique
was used to obtain respondents. Data was collected using structured questionnaire and was
analyzed in SPSS version 16.00 and presented in form of frequency tables. In addition,
random blood glucose testing was employed to identify with diabetes at the clinic. Subjects
with random blood sugar ≥11.1mmol/l on the following day were subjected to fasting blood
glucose testing and they were confirmed to have DM II if they had blood glucose level of ≥7
mmol/l. In each subject, height, weight was measured and Body mass index calculated using
standard procedures.
Results. A total of 110 participants were included in this study, 74 (69.1%) were females and
36(30.9%) were males. Most (59.1%) respondents in the age group 41 to 65 years. Overall
prevalence of DM II was 54.5%, (n=60). Prevalence was high in females (64.9%; n= 74) than
in males (33.3%; n=36). The age group 41 to 65 years had the highest prevalence of DM II
(96.9%, n=65) followed by 30-40 years age group (37%, n=45). Socio-demographic factors
such gender, age, relation to member of family with diabetes mellitus type 2, and average
monthly income were significantly associated with prevalence of DM II. Lifestyle factors
such as food consumed, weight, BMI, quantity of smoking in a day, exercising, interval of
exercise per week, duration of exercise, alcohol consumption and intervals of alcohol
consumption per week were significantly associated with DM II (P<0.05). Furthermore,
health system factors such having availability of healthy facility in respondents home area,
estimated distance to the health center and adequate staffing at facility were significantly
associated with DM II (P<0.05).
Conclusion and Recommendation. Higher proportion of persons with DM II attend diabetic
clinic at Tororo district hospital. The most predominant age group is 40 to 65 years, with
obesity or overweight. It is therefore recommended that all those over 40 years, are obese or
overweight should be routinely be screened for DM II and appropriate public health
education given to all diabetic patient in all hospitals nationwide. | en_US |
