Journal article
Epidemiology of prediabetes and diabetes in Namibia, Africa: A multilevel analysis
Journal of diabetes, v 11(2)
01 Feb 2019
PMID: 30058263
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Diabetes is a leading cause of progressive morbidity and early mortality worldwide. Little is known about the burden of diabetes and prediabetes in Namibia, a Sub-Saharan African (SSA) country that is undergoing a demographic transition. Methods We estimated the prevalence and correlates of diabetes (defined as fasting [capillary] blood glucose [FBG] >= 126 mg/dL) and prediabetes (defined by World Health Organization [WHO] and American Diabetes Association [ADA] criteria as FBG 110-125 and 100-125 mg/dL, respectively) in a random sample of 3278 participants aged 35-64 years from the 2013 Namibia Demographic and Health Survey. Results The prevalence of diabetes was 5.1% (95% confidence interval [CI]: 4.2-6.2), with no evidence of gender differences (P = 0.45). The prevalence of prediabetes was 6.8% (95% CI 5.8-8.0) using WHO criteria and 20.1% (95% CI 18.4-21.9) using ADA criteria. Male sex, older age, higher body mass index (BMI), and occupation independently increased the odds of diabetes in Namibia, whereas higher BMI was associated with a higher odds of prediabetes, and residing in a household categorized as "middle wealth index" was associated with a lower odds of prediabetes (adjusted odds ratio 0.71; 95% credible interval 0.46-0.99). There was significant clustering of prediabetes and diabetes at the community level. Conclusions One in five adult Namibians has prediabetes based on ADA criteria. Resources should be invested at the community level to promote efforts to prevent the progression of this disease and its complications.
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Details
- Title
- Epidemiology of prediabetes and diabetes in Namibia, Africa: A multilevel analysis
- Creators
- Victor T. Adekanmbi - Cardiff UniversityOlalekan A. Uthman - Liverpool School of Tropical MedicineSebhat Erqou - Brown UniversityJustin B. Echouffo-Tcheugui - Supreme Council Of HealthMeera N. Harhay - Drexel UniversityMichael O. Harhay - University of Pennsylvania
- Publication Details
- Journal of diabetes, v 11(2)
- Publisher
- Wiley
- Number of pages
- 12
- Grant note
- K99-HL141678 / National Heart, Lung and Blood Institute of the US National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) K23DK105207 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) National Centre for Population Health and Wellbeing Research (NCPHWR) - Health and Care Research Wales K23-DK105207 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) National Institute for Health Research using Official Development Assistance (ODA) K99HL141678 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000454709300009
- Scopus ID
- 2-s2.0-85052819768
- Other Identifier
- 991019335323404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Endocrinology & Metabolism