Patient Perspectives of Diabetes and Diabetic Retinopathy Services in Kiribati: A Qualitative Study

Ofanoa, Malakai; Tekeraoi, Rabebe; Dalmia, Prarthana; Ram, Komal; Pal, Moneeta; Nosa, Vili; Goodyear‐Smith, Felicity

doi:10.1177/1010539520977313

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…26 Consequently, more Cook Islanders are leading sedentary lifestyles, and fewer individuals are obtaining resources from the land due to the physically demanding activities associated with growing crops. 27,28 This could explain the rapid acceleration of the number of diabetes cases from 2000 onwards. Reduced physical activity level could result in obesity, which contributes to diabetes development.…”

Section: Discussionmentioning

confidence: 99%

Diabetes in the Cook Islands: a clinical audit

Tepai,

Nosa,

Herman

et al. 2023

J. Prim. Health Care

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Introduction The global burden of diabetes mellitus (diabetes) is significant and of increasing concern with more pregnant women being diagnosed with gestational diabetes mellitus (GDM). The Cook Islands face mounting pressures to address diabetes alongside competing population health needs and priorities. Cook Islands residents frequently travel to New Zealand to access health services. Inadequate information systems also make it difficult for countries to prioritise preventative measures for investment. In the absence of good data to inform effective diabetes preventative and treatment measures, people with diabetes are likely to progress to complications which will burden society and health systems in the Cook Islands and New Zealand. Aim To determine the prevalence of diabetes and prediabetes, and incidence of GDM, in the Cook Islands. Methods We analysed two Te Marae Ora Cook Islands Ministry of Health datasets, the Non‐Communicable Diseases (NCD) register examining demographic data for the period 1967 to December 2018 and same for the GDM register from January 2009 to December 2018. Results Of the 1270 diabetes cases, 53% were female and half were aged 45–64 years. There were 54 pre-diabetes cases and 146 GDM. Of the 20 GDM cases who developed type 2 diabetes, 80% were diagnosed before the age of 40 years. Data quality was poor. Discussion The Cook Islands diabetes registers provide important data to inform priorities for diabetes-related preventative and treatment measures. A data analyst has been employed to ensure quality, regularly audited data and information systems.

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Section: Discussionmentioning

confidence: 99%

Diabetes in the Cook Islands: a clinical audit

Tepai,

Nosa,

Herman

et al. 2023

J. Prim. Health Care

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Research Progress of Ferroptosis in Diabetes Mellitus and Related Complications

郭¹

2022

ACM

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Epidemiology of tuberculosis in the Pacific island countries and areas, 2000–2020

Yanagawa

Morishita

et al. 2023

WPSAR

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Objective: Tuberculosis (TB) is one of the most important infectious diseases with an estimated 9.9 million people falling ill globally in 2020. We describe the epidemiology of TB in the Pacific island countries and areas (PICs) to inform potential priority actions to implement the Western Pacific Regional Framework to End TB 2021–2030. Methods: A descriptive analysis was conducted using annual TB surveillance data submitted by national TB programmes to the World Health Organization (WHO) and TB burden estimates (incidence rates and number of deaths) generated by WHO for the PICs, for the period 2000–2020. We also analysed TB case numbers, multidrug-resistant/rifampicin-resistant TB (MDR/RR-TB), recent risk factor indicators and treatment outcomes. Results: The estimated TB incidence rate in the PICs increased between 2000 and 2020 from 62 to 69 per 100 000 population, with an 8% reduction observed since 2015. TB cases increased by 29% during 2000–2020, with 1746 cases in 2020 and a high proportion in children (19%). Bacteriological diagnosis was used for 58% of total TB cases, although some countries reported clinical diagnoses in over 60% of cases. From 2015 to 2019, 52 MDR/RR-TB cases were reported and there were 94 TB/HIV coinfected cases in 2015–2020. Treatment success was 74% in 2019 due to 18% of cases being unevaluated. In 2020, the estimated proportion of TB cases attributable to smoking, malnutrition, alcohol abuse and diabetes was 17%, 16%, 11% and 9%, respectively. Discussion: There was an increasing trend in TB cases, estimated incidence and deaths between 2000 and 2020. Laboratory services were scaled up in some PICs and case-finding activities greatly contributed to the detection of cases. In order to end the incidence of TB, continued efforts on case finding, contact investigation and scaling up TB preventive treatment should be prioritized. At the same time, collaboration with other sectors for risk factor management and decentralized management need to be considered.

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Patient Perspectives of Diabetes and Diabetic Retinopathy Services in Kiribati: A Qualitative Study

Cited by 3 publications

References 8 publications

Diabetes in the Cook Islands: a clinical audit

Diabetes in the Cook Islands: a clinical audit

Research Progress of Ferroptosis in Diabetes Mellitus and Related Complications

Epidemiology of tuberculosis in the Pacific island countries and areas, 2000–2020

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