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首页> 外文学位 >Type 2 diabetes mellitus in the AruMeru district of northern Tanzania: Evaluation of the prevalence and associated risk factors in rural communities.
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Type 2 diabetes mellitus in the AruMeru district of northern Tanzania: Evaluation of the prevalence and associated risk factors in rural communities.

机译：坦桑尼亚北部AruMeru地区的2型糖尿病：农村社区的患病率和相关危险因素评估。

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摘要

Purpose: Describe the prevalence of diabetes in rural northern Tanzania and the association between biometric markers and lifestyle indicators with diabetes, hypertension, and obesity.;Background: Diabetes in sub-Sahara Africa is expected to increase by 161% in the next 15 years. Estimates suggest the prevalence of diabetes is 4.8% in east Africa and 1.4% in rural Tanzania. The cost of health care is high when compared to average household income. Understanding prevalence rates as well as increased risk factors will help develop preventative interventions.;Methods: Cross-sectional observational study was used to estimate the indirect the age-adjusted prevalence rates of pre-diabetes and diabetes in rural Tanzania. Data regarding socioeconomic status (SES), past medical history, behavioral lifestyle factors, and anthropometric measurements described the association and odds ratio for the development of impaired glucose metabolism (IGM), hypertension (HTN) and excessive adiposity.;Findings: The age adjusted rates for pre-diabetes and T2DM are 2.55% (95% CI [0.06; 0.1]) and 2.81% (95% CI [0.07; 0.12]), respectively. Impaired glucose metabolism (IGM) was associated with excessive adiposity (p=.003) and hypertension (p=.001). Advancing age was significantly associated with IGM (p=.004), HTN (p=.001) and excess adiposity (p<.001). Higher glucose levels were associated with an increased risk of developing hypertension (p=.001) and excessive adiposity (p=.006). Factors associated with excess adiposity included advancing age, female gender (p<.001) and wooden or concrete household flooring (p=.001). When regressed, higher frequency of sweet drink consumption was associated with higher fasting plasma glucose levels (p=.012).;Significance: The prevalence of pre-diabetes and diabetes has been established in the rural AruMeru district Tanzania. Socioeconomic development increased the risk of developing hypertension, diabetes, and adiposity. Understanding the prevalence rates for diabetes and factors with IGM will guide in the planning intervention strategies and health policy.
机译：目的：描述坦桑尼亚北部农村地区的糖尿病患病率，以及生物识别标志物和生活方式指标与糖尿病，高血压和肥胖症之间的关系。背景：撒哈拉以南非洲地区的糖尿病在未来15年预计将增长161％。估计数字表明，东非糖尿病患病率为4.8％，坦桑尼亚农村患病率为1.4％。与家庭平均收入相比，医疗保健的成本很高。了解患病率以及增加的危险因素将有助于制定预防性干预措施。方法：采用横断面观察研究间接估算坦桑尼亚农村地区糖尿病前期和糖尿病的患病率。有关社会经济状况（SES），既往病史，行为生活方式因素和人体测量学的数据描述了葡萄糖代谢受损（IGM），高血压（HTN）和肥胖过多的发展的关联和优势比;发现：年龄已调整糖尿病前期和T2DM的发生率分别为2.55％（95％CI [0.06; 0.1]）和2.81％（95％CI [0.07; 0.12]）。葡萄糖代谢受损（IGM）与肥胖过多（p = .003）和高血压（p = .001）相关。年龄的增长与IGM（p = .004），HTN（p = .001）和肥胖过多（p <.001）显着相关。较高的葡萄糖水平会增加患高血压的风险（p = .001）和肥胖过多（p = .006）。与肥胖症相关的因素包括年龄增长，女性（p <.001）和木质或混凝土家用地板（p = .001）。消退时，食用甜饮料的频率较高与空腹血浆葡萄糖水平较高相关（p = .012）。意义：坦桑尼亚AruMeru地区的农村地区已确定糖尿病前期和糖尿病的患病率。社会经济发展增加了患高血压，糖尿病和肥胖症的风险。通过IGM了解糖尿病的患病率和相关因素将为规划干预策略和健康政策提供指导。

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  • 作者

    Miller, Benjamin John.;

  • 作者单位

    Washington State University.;

  • 授予单位 Washington State University.;
  • 学科 Sociology Theory and Methods.;Health Sciences General.;Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 162 p.
  • 总页数 162
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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