Diabetes Care in Nigeria

Fasanmade, O.A; Dagogo‐Jack, Samuel

doi:10.1016/j.aogh.2015.12.012

Cited by 75 publications

(84 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For tobacco smoking, an estimated 5.6% Nigerian adults aged over 15 years smoked tobacco products in 2017 [62]. Similar to alcohol use initiatives, strategic policies to support Nigerians to quit smoking [62], as well as efforts to prevent diabetes, are weak [63, 64]. Our finding implies that efforts must not only be made to strengthen the health system and its human resources for TB control but also calls for collaborative, targeted and measurable socioeconomic reforms that address issues of alcohol use, tobacco, smoking and vulnerabilities, galvanised with strong political support to reduce TB burden in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

et al. 2018

View full text Add to dashboard Cite

BackgroundAccording to the World Health Organization, Nigeria is one of the countries with a high burden of tuberculosis (TB) worldwide. Improving the burden of TB among HIV-negative people would require comprehensive and up-to-date data to inform targeted policy actions in Nigeria. The study aimed to describe the incidence, prevalence, mortality, disability-adjusted life years (DALYs) and risk factors of tuberculosis in Nigeria between 1990 and 2016.MethodsThis study used the most recent data from the global burden of disease study 2016. TB deaths were estimated using the Cause of Death Ensemble model, while TB incidence, prevalence and DALYs, as well as years of life lost and years of life lived with disability were calculated in the DisMod-MR 2.1, a Bayesian meta-regression tool. Using a comparative risk assessment approach, TB burden attributable to risk factors was estimated in a spatial-temporal Gaussian Process Regression tool.ResultsIn 2016, the prevalence of TB among HIV-negative people was 27% (95% uncertainty interval [95% UI] 23–31%) in Nigeria. TB incidence rate (new and relapse cases) was 158 per 100,000 people (95% UI; 128-193), while the total number of TB mortality was 39,933 deaths (95% UI; 30,488-55,039) in 2016. Between 2000 and 2016, the age-standardised prevalence and incidence rates of TB-HIV negative decreased by 20.0 and 87.6%, respectively. The age-standardised mortality rate also dropped by 191.6% over the same period. DALYs due to TB among HIV-negative Nigerians was high but varied across the age groups. Of the risk factors studied, alcohol use accounted for the highest number of TB deaths and DALYs, followed by diabetes and smoking in 2016.ConclusionThe study shows an improving trend in TB disease burden among HIV-negative individuals in Nigeria from 1990 to 2016. Despite this progress, this study suggests that additional efforts are still needed to ensure that Nigeria is not left behind in the current global strategy to end TB disease. Reducing TB disease burden in the country will require a multipronged approach that includes increased funding, health system strengthening and improved TB surveillance, as well as preventive efforts for alcohol use, smoking and diabetes.Electronic supplementary materialThe online version of this article (10.1186/s41182-018-0114-9) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

et al. 2018

View full text Add to dashboard Cite

show abstract

“…CVD risk screening in Nigeria is sub-optimal, even though evidence indicates early onset of disease burden [7, 8], which in part contributes to the low life expectancy and quality of life of Nigerians [9]. One of the effective approaches to early identification of CVD risk is the utilisation of risk assessment models and these have been shown to be better than clinical judgement [10].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular disease risk factors in a Nigerian population with impaired fasting blood glucose level and diabetes mellitus

et al. 2017

View full text Add to dashboard Cite

BackgroundDiabetes is a risk factor for cardiovascular diseases (CVDs) and there are reports of increasing prevalence of prediabetes in Nigeria. This study therefore characterised CVDs risk factors in subjects with impaired fasting glucose (IFG) and diabetes.MethodsData from 4 population-based cross-sectional studies on 2447 apparently healthy individuals from 18 - 89 years were analysed. Anthropometric, blood pressure and biochemical parameters were collected and classified. Individuals with IFG (prediabetes) and diabetes were merged each for positive cases of dyslipidaemia, high blood pressure (HBP) or obesity. Optimal Discriminant and Hierarchical Optimal Classification Tree Analysis (HO-CTA) were employed.ResultsOverall prevalence of IFG and diabetes were 5.8% (CI: 4.9 – 6.7%) and 3.1% (CI: 2.4 – 3.8%), respectively. IFG co-morbidity with dyslipidaemia (5.0%; CI: 4.1 – 5.8%) was the highest followed by overweight/obese (3.1%; CI: 2.5 – 3.8%) and HBP (1.8%; CI: 1.3 – 2.4%). The predicted age of IFG or diabetes and their co-morbidity with other CVD risk factors were between 40 – 45 years. Elevated blood level of total cholesterol was the most predictive co-morbid risk factor among IFG and diabetes subjects. Hypertriglyceridaemia was an important risk factor among IFG-normocholesterolaemic-overweight/obese individuals.ConclusionThe higher prevalence of co-morbidity of CVD risk factors with IFG than in diabetes plus the similar age of co-morbidity between IFG and diabetes highlights the need for risk assessment models for prediabetes and education of individuals at risk about factors that mitigate development of diabetes and CVDs.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3910-3) contains supplementary material, which is available to authorized users.

show abstract

“…3,4 The Nigerian population is undergoing transition with people moving from the traditional rural jobs to urban areas in the thousands on a daily basis to take on semi-skilled and unskilled labor. 5 As Nigeria modernizes and copies western lifestyles, the disease frequency is on the increase across all works of life. 6 Researches have provided evidence that the prevalence of diabetes in Port Harcourt, the epi-centre of the oil and gas industry in Southern Nigeria, is comparable with what obtains in western countries, because of the rapid urbanization, industrialization and the insidious "Westernisation" of the lifestyle of the populace.…”

Section: Introductionmentioning

confidence: 99%

Perceived severity of diabetes and associated factors among patients attending a referral hospital in Port Harcourt, Nigeria

Onu

Babatunde

2018

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Nigeria has recorded a rising profile of diabetes in recent times due to urbanization and transition to westernized lifestyles. Perceived severity, the extent to which people deem their ailment to be severe, is an attitudinal construct that partly explains how likely people would modify their health behaviours. The study aimed to determine the level and associated factors influencing perceived severity among type 2 diabetes patients in Port Harcourt, Nigeria.Methods: A cross-sectional study was conducted among 119 adults at the University of Port Harcourt Teaching Hospital. They responded to a structured interviewer-administered questionnaire that included a 7-item scale on perceived severity, and socio-demographic and medical-related characteristics.Results: The mean age was 56.84 ± 11.51 years; 42.0% were males and 58.0% females. Mean diabetes duration was 7.60±5.58 years and 48.7% reported hypertension as a co-morbidity. About half (56.3%) had low Perceived Severity Score (mean score<3) versus 43.7% with high Perceived Severity Score (c2=3.782, p=0.052). Sex, employment status, religion, duration of diabetes and presence of co-morbidity appeared to show an inverse relationship with perceived severity, however there was no valid association (p>0.05).Conclusions: This study revealed an equal prevalence of low and high perceived severity of diabetes. Findings suggested that an unemployed Christian female with over 5 years’ diabetes history and no co-existing illness was likely to have a low perceived severity. We recommend further studies to examine other attitudinal constructs, beyond perceived severity, for better understanding of beliefs underpinning the health behavior of diabetes patients in different settings.

show abstract

Diabetes Care in Nigeria

Cited by 75 publications

References 34 publications

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

Cardiovascular disease risk factors in a Nigerian population with impaired fasting blood glucose level and diabetes mellitus

Perceived severity of diabetes and associated factors among patients attending a referral hospital in Port Harcourt, Nigeria

Contact Info

Product

Resources

About