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Context Cardiovascular Kidney-Metabolic (CKM) Syndrome is a recently introduced term that is a complex disease consisting of cardiovascular disease, renal disease, obesity, and diabetes. The association of social determinants of health with CKM Syndrome is not fully known. Objective We aimed to assess social determinants of health affecting cardiovascular kidney metabolic syndrome among adult patients with diabetes on follow-up at a tertiary hospital in Ethiopia. Method A cross-sectional hospital-based study was used. Data was collected using a Kobo toolbox and entered into SPSS version 29 for further analysis. Results A total of 422 adult patients with diabetes were included in this study. The mean ± SD age of the patients was 54.14±13.74 years. Fifty-two percent of the patients were male. In this study, 52.4% have cardiovascular kidney metabolic syndrome. Male patients (AOR: 1.73 (95% CI. 1.01, 2.94), lost to follow-up for more than a year due to lack of money (AOR: 2.69 95% CI, 1.01, 7.22), missed appointment due to lack of transportation in the past one year (AOR: 2.98 95% CI, 1.21, 7.33), patients with disability (AOR: 1.97, 95% CI, 1.12, 3.48), hypertension (AOR: 3.12 95% CI. 1.85, 5.28), obesity (AOR: 2.27, 95% CI, 1.17, 4.40), and retirement (AOR: 2.12, 95% CI, 1.04, 4.30) were more significantly associated with cardiovascular kidney syndrome. Conclusion More than half of patients have cardiovascular kidney-metabolic syndrome. More attention should be given to social determinants of health, including male gender, financial constraints, transportation issues, disability, and retirement.
Context Cardiovascular Kidney-Metabolic (CKM) Syndrome is a recently introduced term that is a complex disease consisting of cardiovascular disease, renal disease, obesity, and diabetes. The association of social determinants of health with CKM Syndrome is not fully known. Objective We aimed to assess social determinants of health affecting cardiovascular kidney metabolic syndrome among adult patients with diabetes on follow-up at a tertiary hospital in Ethiopia. Method A cross-sectional hospital-based study was used. Data was collected using a Kobo toolbox and entered into SPSS version 29 for further analysis. Results A total of 422 adult patients with diabetes were included in this study. The mean ± SD age of the patients was 54.14±13.74 years. Fifty-two percent of the patients were male. In this study, 52.4% have cardiovascular kidney metabolic syndrome. Male patients (AOR: 1.73 (95% CI. 1.01, 2.94), lost to follow-up for more than a year due to lack of money (AOR: 2.69 95% CI, 1.01, 7.22), missed appointment due to lack of transportation in the past one year (AOR: 2.98 95% CI, 1.21, 7.33), patients with disability (AOR: 1.97, 95% CI, 1.12, 3.48), hypertension (AOR: 3.12 95% CI. 1.85, 5.28), obesity (AOR: 2.27, 95% CI, 1.17, 4.40), and retirement (AOR: 2.12, 95% CI, 1.04, 4.30) were more significantly associated with cardiovascular kidney syndrome. Conclusion More than half of patients have cardiovascular kidney-metabolic syndrome. More attention should be given to social determinants of health, including male gender, financial constraints, transportation issues, disability, and retirement.
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