Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
Abstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs....
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-017-2197-0 |
| _version_ | 1818525247716982784 |
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| author | Clarisse Mapa-Tassou Leopold K. Fezeu Zakariaou Njoumemi Eric Lontchi-Yimagou Eugène Sobngwi Jean Claude Mbanya |
| author_facet | Clarisse Mapa-Tassou Leopold K. Fezeu Zakariaou Njoumemi Eric Lontchi-Yimagou Eugène Sobngwi Jean Claude Mbanya |
| author_sort | Clarisse Mapa-Tassou |
| collection | DOAJ |
| description | Abstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs. However, In Cameroon like in most developing countries, data on the impact of diabetes on the medical health system are scarce. We aimed to analyse the use of medical services and medicines attributable to T2D care in Yaoundé, Cameroon. Methods We conducted a cross-sectional study comparing the use of medical services and medicines on 500 people with T2D attending the diabetic outpatient units of three hospitals in Yaoundé and 500 people without diabetes matched for age, sex and residence. We performed multivariate logistic and quantile regressions to assess the effect of diabetes on the use of medical services and medicines and the presence of other chronic health problems. Models were adjusted for age, educational level, marital status, occupation and family income. Results Overall, the rate of use of health services was found to be greater in people with T2D than those without diabetes. People with T2D had greater odds of having an outpatient visit to any clinician (OR 97.1 [95% CI: 41.6–226.2]), to be hospitalised (OR 11.9 [95% CI: 1.6–87.9]), to take at least one medicine (OR 83.1 [37.1–185.8]) compared with people without diabetes. We also observed an association between diabetes and some chronic diseases/diabetes complications including hypertension (OR 9.2 [95% CI: 5.0–16.9]), cardiovascular diseases (OR 1.9 [95% CI: 0.8–4.9]), peripheral neuropathy (OR 6.2 [95% CI: 3.4–11.2]), and erectile dysfunction (OR 5.8 [95% CI: 2.7–12.1]). Conclusions This study showed that the presence of diabetes is associated with an increased use of health care services and medicines as well as with some chronic diseases/diabetes complications. |
| first_indexed | 2024-12-11T06:06:57Z |
| format | Article |
| id | doaj.art-88e55350177b4074b610dfa0ea4a7609 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T06:06:57Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-88e55350177b4074b610dfa0ea4a76092022-12-22T01:18:16ZengBMCBMC Health Services Research1472-69632017-04-011711810.1186/s12913-017-2197-0Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional studyClarisse Mapa-Tassou0Leopold K. Fezeu1Zakariaou Njoumemi2Eric Lontchi-Yimagou3Eugène Sobngwi4Jean Claude Mbanya5Department of Public Health, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IUniversity of Paris 13, Sorbonne Paris Cité – UREN (Unité de Recherche en Epidémiologie Nutritionnelle), U557 Inserm; U1125 Inra; Cnam; CRNH IdFDepartment of Public Health, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IDiabetes Research and Training Centre and Division of Endocrinology, Department of Medicine, Albert Einstein College of MedicineDepartment of Internal Medicine and specialties, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IDepartment of Internal Medicine and specialties, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IAbstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs. However, In Cameroon like in most developing countries, data on the impact of diabetes on the medical health system are scarce. We aimed to analyse the use of medical services and medicines attributable to T2D care in Yaoundé, Cameroon. Methods We conducted a cross-sectional study comparing the use of medical services and medicines on 500 people with T2D attending the diabetic outpatient units of three hospitals in Yaoundé and 500 people without diabetes matched for age, sex and residence. We performed multivariate logistic and quantile regressions to assess the effect of diabetes on the use of medical services and medicines and the presence of other chronic health problems. Models were adjusted for age, educational level, marital status, occupation and family income. Results Overall, the rate of use of health services was found to be greater in people with T2D than those without diabetes. People with T2D had greater odds of having an outpatient visit to any clinician (OR 97.1 [95% CI: 41.6–226.2]), to be hospitalised (OR 11.9 [95% CI: 1.6–87.9]), to take at least one medicine (OR 83.1 [37.1–185.8]) compared with people without diabetes. We also observed an association between diabetes and some chronic diseases/diabetes complications including hypertension (OR 9.2 [95% CI: 5.0–16.9]), cardiovascular diseases (OR 1.9 [95% CI: 0.8–4.9]), peripheral neuropathy (OR 6.2 [95% CI: 3.4–11.2]), and erectile dysfunction (OR 5.8 [95% CI: 2.7–12.1]). Conclusions This study showed that the presence of diabetes is associated with an increased use of health care services and medicines as well as with some chronic diseases/diabetes complications.http://link.springer.com/article/10.1186/s12913-017-2197-0Type 2 diabetesComplicationsMedical servicesMedicinesCameroonAfrica |
| spellingShingle | Clarisse Mapa-Tassou Leopold K. Fezeu Zakariaou Njoumemi Eric Lontchi-Yimagou Eugène Sobngwi Jean Claude Mbanya Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study BMC Health Services Research Type 2 diabetes Complications Medical services Medicines Cameroon Africa |
| title | Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study |
| title_full | Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study |
| title_fullStr | Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study |
| title_full_unstemmed | Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study |
| title_short | Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study |
| title_sort | use of medical services and medicines attributable to type 2 diabetes care in yaounde cameroon a cross sectional study |
| topic | Type 2 diabetes Complications Medical services Medicines Cameroon Africa |
| url | http://link.springer.com/article/10.1186/s12913-017-2197-0 |
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