Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design
Abstract Diabetes mellitus is a global public health problem. Glycemic control is a major public health problem. Diabetes results from elevated levels of glycaemia such as increased glucose and glycated hemoglobin, and controlling glycaemia is an integral component of the management of diabetes. Gly...
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Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-19909-8 |
| _version_ | 1828111450261946368 |
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| author | Atitegeb Abera Kidie Birtukan Gizachew Ayal Tiruneh Ayele Elsa Awoke Fentie Ayenew Molla Lakew |
| author_facet | Atitegeb Abera Kidie Birtukan Gizachew Ayal Tiruneh Ayele Elsa Awoke Fentie Ayenew Molla Lakew |
| author_sort | Atitegeb Abera Kidie |
| collection | DOAJ |
| description | Abstract Diabetes mellitus is a global public health problem. Glycemic control is a major public health problem. Diabetes results from elevated levels of glycaemia such as increased glucose and glycated hemoglobin, and controlling glycaemia is an integral component of the management of diabetes. Glycemic control in children is particularly difficult to achieve. Identifying determinants of poor glycemic control is important for early modification of diabetic related end organ damages. This study was aimed to assess the status of glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia. Facility-based cross sectional retrospective cohort study design was used and this study was conducted from September, 2015 to February, 2018. Simple random sampling was used to select 389 samples. Data were collected using an extraction checklist. Data were entered into Epi-data − 4.6, and analyzed using Stata-16. Finally, multivariable binary logistic regression was done. Poor glycemic control was more common among pediatric patients 39.3% (95% CI 34.6, 44.3). Treatment discontinuation (AOR 2.42, 95% CI 1.25, 4.69), age (AOR 1.15, 95% CI 1.03, 1.28) and treatment dose (AOR 0.96, 95 CI 0.92, 0.99) were significantly associated with poor glycemic control. Prevalence of poor glycemic control was high. Patient’s age, history of treatment discontinuation and dose of treatment were the significant contributing factors to poor glycemic control. These need to be addressed to attain the objective of adequate glycemic control. |
| first_indexed | 2024-04-11T11:36:02Z |
| format | Article |
| id | doaj.art-bc2c763eebfd475e9bd438b95dd5e04d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T11:36:02Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-bc2c763eebfd475e9bd438b95dd5e04d2022-12-22T04:25:58ZengNature PortfolioScientific Reports2045-23222022-09-011211710.1038/s41598-022-19909-8Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study designAtitegeb Abera Kidie0Birtukan Gizachew Ayal1Tiruneh Ayele2Elsa Awoke Fentie3Ayenew Molla Lakew4School of Public Health, College of Health Science, Woldia UniversitySchool of Public Health, College of Health Science, Woldia UniversityDepartment of Public Health, College of Medicine and Health Science, Wollo UniversityDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Science, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of GondarAbstract Diabetes mellitus is a global public health problem. Glycemic control is a major public health problem. Diabetes results from elevated levels of glycaemia such as increased glucose and glycated hemoglobin, and controlling glycaemia is an integral component of the management of diabetes. Glycemic control in children is particularly difficult to achieve. Identifying determinants of poor glycemic control is important for early modification of diabetic related end organ damages. This study was aimed to assess the status of glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia. Facility-based cross sectional retrospective cohort study design was used and this study was conducted from September, 2015 to February, 2018. Simple random sampling was used to select 389 samples. Data were collected using an extraction checklist. Data were entered into Epi-data − 4.6, and analyzed using Stata-16. Finally, multivariable binary logistic regression was done. Poor glycemic control was more common among pediatric patients 39.3% (95% CI 34.6, 44.3). Treatment discontinuation (AOR 2.42, 95% CI 1.25, 4.69), age (AOR 1.15, 95% CI 1.03, 1.28) and treatment dose (AOR 0.96, 95 CI 0.92, 0.99) were significantly associated with poor glycemic control. Prevalence of poor glycemic control was high. Patient’s age, history of treatment discontinuation and dose of treatment were the significant contributing factors to poor glycemic control. These need to be addressed to attain the objective of adequate glycemic control.https://doi.org/10.1038/s41598-022-19909-8 |
| spellingShingle | Atitegeb Abera Kidie Birtukan Gizachew Ayal Tiruneh Ayele Elsa Awoke Fentie Ayenew Molla Lakew Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design Scientific Reports |
| title | Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design |
| title_full | Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design |
| title_fullStr | Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design |
| title_full_unstemmed | Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design |
| title_short | Poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest Ethiopia, 2020: facility-based cross sectional retrospective study design |
| title_sort | poor glycemic control and associated factors among pediatric diabetes mellitus patients in northwest ethiopia 2020 facility based cross sectional retrospective study design |
| url | https://doi.org/10.1038/s41598-022-19909-8 |
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