Prevalence and risk factors of diabetes mellitus in the rural region of Mali (West Africa): a practical approach

Fisch, A; Pichard, E; Prazuck, T.; Leblanc, H.; Sidibé, Yoro; Brücker, Gilles

doi:10.1007/bf00274794

Cited by 42 publications

(3 citation statements)

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“…In 1976, T2D prevalence in Bamako was estimated at 1.4%, which was later estimated at 3.0% in 2017 16 , 20 . In a 1987 study at a referral center in Bamako, 0.9% of subjects with T2D resided in rural areas 12 , 14 , 21 . In 2017, a similar study approximately 90 miles from Bamako performed at a health center Sélingué health district reported T2D prevalence as 5.5% 16 .…”

Section: Introductionmentioning

confidence: 99%

Type 2 diabetes prevalence, awareness, and risk factors in rural Mali: a cross-sectional study

Diawara

Coulibaly

Hussain³

et al. 2023

Sci Rep

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Diabetes is currently a crisis in sub-Saharan West Africa (SSWA) with dramatic implications for public health and national budgets prioritizing infectious diseases. There is limited recent literature about the prevalence, awareness, and risk factors for type 2 diabetes (T2D) in rural parts of SSWA. This study characterized T2D prevalence and risk factors for the rural Malian community of Nièna, which is situated in Mali’s second-largest province of Sikasso. Between December 2020 and July 2021, a cross-sectional study of 412 participants was conducted in the Nièna community using clinical questionnaires and rapid diagnostic tests. Among 412 participants, there were 143 (34.7%) and 269 (65.3%) males and females, respectively. The overall prevalence of T2D in Nièna was 7.5% (31/412), and prevalence rates were 8.6% (23/269) and 5.6% (8/143) for females and males, respectively. Age, family history of diabetes, hypertension, waist circumference, and fetal macrosomia were significantly associated with T2D (p = 0.007, p < 0.001, p = 0.003, p = 0.013, and p < 0.001, respectively). Notably, 61.3% (19/31) of T2D subjects were unaware of their diabetic status before the study. Field surveys have considerable utility in driving T2D awareness in rural African settings.

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Section: Introductionmentioning

confidence: 99%

Type 2 diabetes prevalence, awareness, and risk factors in rural Mali: a cross-sectional study

Diawara

Coulibaly

Hussain³

et al. 2023

Sci Rep

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show abstract

“…In 1976, the prevalence of diabetes was reported as 1.4% in Bamako, which was subsequently reported as 3.0% in 2017 among patients consulted through general medicine clinics 18,21 . In a study performed in 1987 at a referral center in Bamako, 0.9% of subjects with T2D resided in rural areas 14,16,22 . In 2017, a similar study reported T2D prevalence as 5.5% 18 .…”

Section: Introductionmentioning

confidence: 99%

Type 2 Diabetes Prevalence, Awareness, and Risk Factors in Rural Mali: a Cross-sectional Study

Diawara

Coulibaly

Abbas³

et al. 2022

Preprint

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Diabetes is currently a crisis in sub-Saharan West Africa (SSWA) with dramatic implications for public health and national budgets prioritizing infectious diseases. There is limited recent literature about prevalence, awareness, and risk factors for type 2 diabetes (T2D) in rural parts of SSWA. This study aims to fill this gap through a field study in the rural Malian community of Nièna, which is situated in Mali’s second-largest province of Sikasso. From December 2020 to July 2021, a cross-sectional study of 412 participants was conducted in Nièna. Clinical questionnaires and rapid diagnostic tests were administered, and data were collected on patient demographics, anthropometric parameters, biochemical indexes tests, and diabetes awareness. Among 412 participants, there were 143 (34.7%) and 269 (65.3%) male and female participants, respectively. The overall prevalence of T2D was 7.8% (32/412), and prevalence rates were 8.9% (24/269) and 5.6% (8/143) for females and males, respectively. Family history of diabetes, hypertension, and fetal macrosomia were significantly associated with T2D (p < .001, p < .001, and p = .005, respectively). Notably, 62.5% (20/32) of T2D subjects were unaware of their diabetic status before the study. Among those previously diagnosed with T2D, only 29.4% (5/17) reported receiving routine care, treatment, or blood glucose control. This study suggests that diabetic unawareness and uncontrolled diabetes are disturbingly common. T2D would have devastating consequences in rural parts of Africa, where they often lack adequate resources, health care facilities, and qualified staff. Future studies are needed to determine whether the results presented here are generalizable to urban parts of Mali and, more broadly, to other parts of SSWA.

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“…A similar trend can be found in studies carried out on diabetes in Mali. Here the issue has been mostly studied from an epidemiological (Fisch et al, 1987;Imperato et al, 1976) and a biomedical perspective (Beran & Yudkin, 2010;Besançon, 2009;Pichard et al, 1988;Sidibé et al, 2000). Anthropological research focuses on lay knowledge and practice of patients and health professionals (Gobatto & Tijou Traoré, 2011;Tijou Traoré, 2010, and attention is given to self-care and the way it has been supported by either public policies (Gobatto et al, 2016) or NGO programs (Besançon et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

What has been preventing the emergence of a broad social movement on diabetes (and NCDs)? Insights from the mobilisation of diabetes patients' associations in Bamako, Mali

Martini¹,

Traoré

Mahieu³

2021

Global Public Health

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Non-communicable diseases (NCDs) are among the leading causes of morbidity and mortality globally. While international strategies for their prevention and control call for greater civil society participation, many observers regret the lack of a broad social movement to address these diseases. This study focuses on diabetes patients' associations engaged from 1991 to 2014 in Bamako, Mali, and explores what factors influenced their capacity to build a collective national movement to address this disease and shape policy reforms in this area. Our findings show that the emergence of such a movement was limited by several constraints. The focus of diabetes patients' associations on technical biomedical issues silenced the daily embodied experience of patients and reduced the use of human-rights approaches. Moreover, few financial, material and social resources coupled with a fragmented base limited the scope and strength of claims made by patients' associations to obtain treatment at reduced coasts. Finally, modes of actions performed failed to challenge more structural inequalities and imbalances of power.Exacerbated by limited political opportunities, these constraints weakened the associations' ability to drive policy change on diabetes. They reflect some of the current weaknesses of the global mobilisation to address diabetes and NCDs.

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Prevalence and risk factors of diabetes mellitus in the rural region of Mali (West Africa): a practical approach

Cited by 42 publications

References 1 publication

Type 2 diabetes prevalence, awareness, and risk factors in rural Mali: a cross-sectional study

Type 2 diabetes prevalence, awareness, and risk factors in rural Mali: a cross-sectional study

Type 2 Diabetes Prevalence, Awareness, and Risk Factors in Rural Mali: a Cross-sectional Study

What has been preventing the emergence of a broad social movement on diabetes (and NCDs)? Insights from the mobilisation of diabetes patients' associations in Bamako, Mali

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