Diabetes mellitus among HIV-infected individuals in follow-up care at University of Gondar Hospital, Northwest Ethiopia

Abstract

ObjectiveTo assess the prevalence of diabetes mellitus (DM) and associated factors among HIV-infected adults in northwest Ethiopia.DesignHospital-based cross-sectional study.SettingHIV clinic of the University of Gondar Hospital, Ethiopia.ParticipantsAll HIV-infected adults who visited the HIV clinic from December 2013 to the end of February 2014 were the source population.MeasuresA structured and pretested questionnaire incorporating the WHO STEPwise approach was used. A multivariate logistic regression analysis was applied to assess factors associated with DM.ResultsThe overall prevalence of type 2 DM was 8% (95% CI 5.5% to 10.5%). The prevalence of DM was higher (13.2%; 95% CI 8.0% to 18.3%) among subjects receiving pre-antiretroviral treatment (pre-ART) than among those taking ART (5.1%; 95% CI 2.6% to 7.6%). Thirteen (35.1%) of the DM cases were newly identified during the study. Obesity (adjusted OR (AOR) 6.55; 1.20 to 35.8), hypertension (AOR 3.45; 1.50 to 7.90), being in the pre-ART group (AOR 4.47; 1.80 to 11.08), hypertriglyceridaemia (AOR 2.24; 1.02 to 49.5) and tertiary-level education (AOR 11.8; 2.28 to 61.4) were associated with DM.ConclusionsOverall DM prevalence was high, particularly among subjects in the pre-ART group. More educated, hypertensive and obese HIV-infected adults were more likely to have DM as a comorbidity. Health policy and the clinical management of HIV-infected individuals should take into account the rising DM.

Hypertension among people living with human immunodeficiency virus receiving care at referral hospitals of Northwest Ethiopia: A cross-sectional study

“…However, in line with previous studies [7,8], the current finding is slightly higher than the result (12.5%) of a community based study in the study area [40]. The finding is also comparable with results of studies conducted in different countries including, 12.7% in Eastern Ethiopia [27], 17.1% in Northwest Ethiopia [41], 15.9% in Southern Ethiopia [42], 12.3% in Nigeria [19], 11.9% in Spain [43] and 13.5% in the United States [44]. However, the magnitude in this study is lower .…”

Hypertension in HIV-Infected Patients Receiving Antiretroviral Therapy in Northeast Ethiopia

“…and it was previously undiagnosed in about three quarters (74.4%). e overall prevalence of hypertension in this study was comparable to 34% prevalence reported from Southwest Ethiopia [22] but higher than that reported from studies conducted in other parts of the country, including 12.7% in Eastern Ethiopia [23], 15.9% in Southern Ethiopia [24] and 17.1% in Northwest Ethiopia [25]. Our prevalence estimate of hypertension was also comparable to studies conducted in 4…”

Diabetes mellitus and its associated risk factors in patients with human immunodeficiency virus on anti-retroviral therapy at referral hospitals of Northwest Ethiopia

“…In addition, the observed prevalence of diabetes is comparable to 8.8% prevalence report at ART clinic of Dessie Referral Hospital, northeast, Ethiopia [36], 8.5% prevalence reported at Jimma University Specialized Hospital, Southwest, Ethiopia [37] and 8% from Wolayta Sodo Hospital, Southern Ethiopia [38]. However, the prevalence in this study is slightly higher than those reported at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia (6.9%) [39] and University of Gondar Hospital, Northwest Ethiopia (5.1%) [40]. In addition, our report was higher than the reports of those studies carried out in other countries, including Uganda (4%) [41], Malawi (4.1% and 6.6%) [42,43] Zambia (5.0%) [44], but it is lower than the report of Senegal (14.5%) [45] and Tanzania (18.0%) [46].…”