Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020

Objectives: Diabetes mellitus (DM) and tuberculosis (TB) are global public health concerns and leading causes of mortality and morbidity worldwide. Coinfection is known to complicate TB control and outcomes. However, there is no national study regarding the prevalence of DM among TB patients in Oman...

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Main Authors: Sumaiya Al Amri, Jeffery Singh, Lamya Al Balushi, Thamra Al Ghafri, Mahim Nasser Al Balushi, Hanan Al Marbouai, Khalid Salim Al Dhuhli, Khalid Khalfan Al Nairi, Moza Suliman Al Badi, Sami Mohammad Al Mujaini, Eman Elsayed Abd-Ellatif
Format: Article
Language:English
Published: Oman Medical Specialty Board 2023-07-01
Series:Oman Medical Journal
Subjects:
Online Access:https://omjournal.org/articleDetails.aspx?coType=1&aId=3484
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author Sumaiya Al Amri
Jeffery Singh
Lamya Al Balushi
Thamra Al Ghafri
Mahim Nasser Al Balushi
Hanan Al Marbouai
Khalid Salim Al Dhuhli
Khalid Khalfan Al Nairi
Moza Suliman Al Badi
Sami Mohammad Al Mujaini
Eman Elsayed Abd-Ellatif
author_facet Sumaiya Al Amri
Jeffery Singh
Lamya Al Balushi
Thamra Al Ghafri
Mahim Nasser Al Balushi
Hanan Al Marbouai
Khalid Salim Al Dhuhli
Khalid Khalfan Al Nairi
Moza Suliman Al Badi
Sami Mohammad Al Mujaini
Eman Elsayed Abd-Ellatif
author_sort Sumaiya Al Amri
collection DOAJ
description Objectives: Diabetes mellitus (DM) and tuberculosis (TB) are global public health concerns and leading causes of mortality and morbidity worldwide. Coinfection is known to complicate TB control and outcomes. However, there is no national study regarding the prevalence of DM among TB patients in Oman. The objective of the current study was to assess the prevalence of DM and its associated factors among TB patients in Muscat, Oman. Methods: We conducted an analytical cross-sectional study using secondary data from the electronic system of the Ministry of Health (Al-Shifa 3+). It includes all adult TB patients in Muscat, from 2017–2020. Sociodemographic data, clinical characteristics, and comorbidities of TB patients were collected. SPSS with 95% CI and p-value ≤ 0.05 was used for statistical analysis. Results: Of 426 TB cases, the prevalence of DM was 27.0%. The associated factors of DM were age group 40–54 years (odds ratio (OR) = 9.08, 95% CI: 4.16–19.84) and ≥ 55 years (OR = 11.35, 95% CI: 5.19–24.82), male (OR = 2.35, 95% CI: 1.45–3.81), being married (OR = 13.18, 95% CI: 4.72–36.84), being employed (OR = 2.30, 95% CI: 1.19–4.47), and Bangladeshi (OR = 7.08, 95% CI: 2.50–20.12) or Indian (OR = 6.14, 95% CI: 2.40–15.70) nationality. The absence of Bacillus Calmette–Guérin scar (OR = 2.06, 95% CI: 1.19–3.56), death (OR = 7.08, 95% CI: 1.26–7.82), and cured after TB treatment (OR = 3.02, 95% CI 1.71–5.31) showed significant association. Also, smoking (OR = 2.93, 95% CI: 1.81–4.76), drinking alcohol (OR = 1.79, 95% CI: 1.10–2.91), hypertension (OR = 10.45, 95% CI: 5.29–20.64), heart disease (OR = 8.50, 95% CI: 1.69–42.77), and renal disease (OR = 4.84, 95% CI: 1.71–13.64) contributed to the study’s comorbidities. Old age (adjusted OR = 2.30, 95% CI: 1.72–3.06) and hypertension (adjusted OR = 5.21, 95% CI: 2.28–11.87) were found to be predictors of DM among TB patients. Conclusions: The prevalence of DM among TB patients in Muscat is high. Integrated systematic bidirectional TB-DM screening is needed. Furthermore, special attention is required for associated factors when managing these comorbidities.
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spelling doaj.art-fa574f2b8ad7470fa5b0bdd4bab23b762023-09-04T05:33:54ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042023-07-01384e526e52610.5001/omj.2023.82Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020Sumaiya Al Amri0Jeffery Singh1Lamya Al Balushi2Thamra Al Ghafri3Mahim Nasser Al Balushi4Hanan Al Marbouai5Khalid Salim Al Dhuhli6Khalid Khalfan Al Nairi7Moza Suliman Al Badi8Sami Mohammad Al Mujaini9Eman Elsayed Abd-Ellatif10Primary Health Care, Health Education Department, Ministry of Health, Muscat, Oman; Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi ArabiaDirectorate General of Health Services of Muscat Governorate, Muscat, OmanDirectorate General of Health Services of Muscat Governorate, Muscat, OmanDirectorate General of Health Services of Muscat Governorate, Muscat, OmanThe Directorate General of Planning and Studies, Ministry of Health, Muscat, OmanDirectorate of Disease Surveillance and Control, Directorate General of Health Services, Al Buraimi Governorate, Ministry of Health, Al Buraimi, OmanDirectorate of Disease Surveillance and Control, Directorate General of Health Services, Al Batinah South Governorate, Ministry of Health, Rustaq, OmanDirectorate of Primary Health Care, Al Sharqiah North Governorate, Ministry of Health, Ibra, OmanDirectorate of Primary Health Care, Al Dhahira Governorate, Ministry of Health, Ibri, OmanDirectorate of Disease Surveillance and Control, Directorate General of Health Services, Al Batinah South Governorate, Ministry of Health, Rustaq, OmanDepartment of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, EgyptObjectives: Diabetes mellitus (DM) and tuberculosis (TB) are global public health concerns and leading causes of mortality and morbidity worldwide. Coinfection is known to complicate TB control and outcomes. However, there is no national study regarding the prevalence of DM among TB patients in Oman. The objective of the current study was to assess the prevalence of DM and its associated factors among TB patients in Muscat, Oman. Methods: We conducted an analytical cross-sectional study using secondary data from the electronic system of the Ministry of Health (Al-Shifa 3+). It includes all adult TB patients in Muscat, from 2017–2020. Sociodemographic data, clinical characteristics, and comorbidities of TB patients were collected. SPSS with 95% CI and p-value ≤ 0.05 was used for statistical analysis. Results: Of 426 TB cases, the prevalence of DM was 27.0%. The associated factors of DM were age group 40–54 years (odds ratio (OR) = 9.08, 95% CI: 4.16–19.84) and ≥ 55 years (OR = 11.35, 95% CI: 5.19–24.82), male (OR = 2.35, 95% CI: 1.45–3.81), being married (OR = 13.18, 95% CI: 4.72–36.84), being employed (OR = 2.30, 95% CI: 1.19–4.47), and Bangladeshi (OR = 7.08, 95% CI: 2.50–20.12) or Indian (OR = 6.14, 95% CI: 2.40–15.70) nationality. The absence of Bacillus Calmette–Guérin scar (OR = 2.06, 95% CI: 1.19–3.56), death (OR = 7.08, 95% CI: 1.26–7.82), and cured after TB treatment (OR = 3.02, 95% CI 1.71–5.31) showed significant association. Also, smoking (OR = 2.93, 95% CI: 1.81–4.76), drinking alcohol (OR = 1.79, 95% CI: 1.10–2.91), hypertension (OR = 10.45, 95% CI: 5.29–20.64), heart disease (OR = 8.50, 95% CI: 1.69–42.77), and renal disease (OR = 4.84, 95% CI: 1.71–13.64) contributed to the study’s comorbidities. Old age (adjusted OR = 2.30, 95% CI: 1.72–3.06) and hypertension (adjusted OR = 5.21, 95% CI: 2.28–11.87) were found to be predictors of DM among TB patients. Conclusions: The prevalence of DM among TB patients in Muscat is high. Integrated systematic bidirectional TB-DM screening is needed. Furthermore, special attention is required for associated factors when managing these comorbidities.https://omjournal.org/articleDetails.aspx?coType=1&aId=3484diabetes mellitustuberculosisoman
spellingShingle Sumaiya Al Amri
Jeffery Singh
Lamya Al Balushi
Thamra Al Ghafri
Mahim Nasser Al Balushi
Hanan Al Marbouai
Khalid Salim Al Dhuhli
Khalid Khalfan Al Nairi
Moza Suliman Al Badi
Sami Mohammad Al Mujaini
Eman Elsayed Abd-Ellatif
Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
Oman Medical Journal
diabetes mellitus
tuberculosis
oman
title Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
title_full Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
title_fullStr Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
title_full_unstemmed Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
title_short Prevalence and Associated Factors of Diabetes Mellitus Type 2 Among Tuberculosis Patients in Muscat, Oman, 2017–2020
title_sort prevalence and associated factors of diabetes mellitus type 2 among tuberculosis patients in muscat oman 2017 2020
topic diabetes mellitus
tuberculosis
oman
url https://omjournal.org/articleDetails.aspx?coType=1&aId=3484
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