Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus

Background: The global prevalence of diabetes mellitus (DM) is increasing rapidly, with special concern for the entity silent or undiagnosed diabetes; those unaware of their condition. It is important to uncover the hidden extent of diabetes in order to identify diabetes-related problems early. Ther...

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Main Authors: Ebisa Zerihun, Fikadu Abera, Guta Kune, Firaol Girma, Misgana Tesgera, Meseret Robi
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423002701
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author Ebisa Zerihun
Fikadu Abera
Guta Kune
Firaol Girma
Misgana Tesgera
Meseret Robi
author_facet Ebisa Zerihun
Fikadu Abera
Guta Kune
Firaol Girma
Misgana Tesgera
Meseret Robi
author_sort Ebisa Zerihun
collection DOAJ
description Background: The global prevalence of diabetes mellitus (DM) is increasing rapidly, with special concern for the entity silent or undiagnosed diabetes; those unaware of their condition. It is important to uncover the hidden extent of diabetes in order to identify diabetes-related problems early. Therefore, this study aimed to assess the prevalence of undiagnosed DM and associated factors in Eastern Ethiopia. Methods: A quantitative, community-based cross-sectional study was conducted among 609 adults not known to be diabetic from January 03 to February 23, 2023. A multi-stage sampling technique and a validated standardized instrument were used. Each participant was interviewed to collect socio-demographic and behavioral characteristics data. Anthropometric measurements were recorded. The fasting blood glucose (FBG) test was assessed by samples taken early in the morning, 8 h after night fasting. Undiagnosed DM was defined as not being diagnosed with Diabetes mellitus and an FBG level of ≥126 mg/dl. To identify factors associated with undiagnosed DM, logistics regression was used. The level of statistical significance was set at a value of p < 0.05. Results: The prevalence of undiagnosed diabetes mellitus was 8.64 % (95 % CI: 6.7–11.2). The multivariable analysis showed that sedentary behavior, family history of diabetes mellitus, current hypertension, and fruit consumption of fewer than three servings per week were independently associated with undiagnosed DM in studied participants. Conclusion: Almost one in eleven adults living in the study area had undiagnosed DM, and various associated factors identified were modifiable risk factors that could be useful in planning intervention measures for lifestyle modification.
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spelling doaj.art-06767fd781c74f989a8a8933b8e9d39f2024-02-18T04:39:52ZengElsevierClinical Epidemiology and Global Health2213-39842024-01-0125101483Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitusEbisa Zerihun0Fikadu Abera1Guta Kune2Firaol Girma3Misgana Tesgera4Meseret Robi5Department of Nursing, College of Health Science, Oda Bultum University, Chiro, Ethiopia; Corresponding author. P.O.Box: 226, Chiro, Ethiopia.Department of Nursing, College of Health Science, Oda Bultum University, Chiro, EthiopiaDepartment of Epidemiology, College of Public Health, Jimma University, Jimma Town, EthiopiaDepartment of Nursing, College of Health Science, Oda Bultum University, Chiro, EthiopiaDepartment of Nursing, College of Health Science, Mattu University, Oromia region, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Ambo University, Ambo, EthiopiaBackground: The global prevalence of diabetes mellitus (DM) is increasing rapidly, with special concern for the entity silent or undiagnosed diabetes; those unaware of their condition. It is important to uncover the hidden extent of diabetes in order to identify diabetes-related problems early. Therefore, this study aimed to assess the prevalence of undiagnosed DM and associated factors in Eastern Ethiopia. Methods: A quantitative, community-based cross-sectional study was conducted among 609 adults not known to be diabetic from January 03 to February 23, 2023. A multi-stage sampling technique and a validated standardized instrument were used. Each participant was interviewed to collect socio-demographic and behavioral characteristics data. Anthropometric measurements were recorded. The fasting blood glucose (FBG) test was assessed by samples taken early in the morning, 8 h after night fasting. Undiagnosed DM was defined as not being diagnosed with Diabetes mellitus and an FBG level of ≥126 mg/dl. To identify factors associated with undiagnosed DM, logistics regression was used. The level of statistical significance was set at a value of p < 0.05. Results: The prevalence of undiagnosed diabetes mellitus was 8.64 % (95 % CI: 6.7–11.2). The multivariable analysis showed that sedentary behavior, family history of diabetes mellitus, current hypertension, and fruit consumption of fewer than three servings per week were independently associated with undiagnosed DM in studied participants. Conclusion: Almost one in eleven adults living in the study area had undiagnosed DM, and various associated factors identified were modifiable risk factors that could be useful in planning intervention measures for lifestyle modification.http://www.sciencedirect.com/science/article/pii/S2213398423002701UndiagnosedDiabetes-mellitusChiro districtFBGAssociated factors
spellingShingle Ebisa Zerihun
Fikadu Abera
Guta Kune
Firaol Girma
Misgana Tesgera
Meseret Robi
Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
Clinical Epidemiology and Global Health
Undiagnosed
Diabetes-mellitus
Chiro district
FBG
Associated factors
title Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
title_full Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
title_fullStr Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
title_full_unstemmed Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
title_short Undiagnosed status and associated factors of diabetes mellitus among adults living in eastern Ethiopia: Unmasking a silent killer of prevalence of diabetes mellitus
title_sort undiagnosed status and associated factors of diabetes mellitus among adults living in eastern ethiopia unmasking a silent killer of prevalence of diabetes mellitus
topic Undiagnosed
Diabetes-mellitus
Chiro district
FBG
Associated factors
url http://www.sciencedirect.com/science/article/pii/S2213398423002701
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