Prevalence of anemia in diabetic adult outpatients in Northeast Ethiopia

Fiseha, Temesgen; Adamu, Aderaw; Tesfaye, Melkam; Gebreweld, Angesom

doi:10.1371/journal.pone.0222111

Cited by 19 publications

(27 citation statements)

References 35 publications

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“…In addition, nutritional deficiencies especially iron deficiency and chronic inflammation can be the cause [ 24 ]. This finding is consistent with a cross-sectional study performed in Ethiopia [ 25 ]. The study has its limitation as this study was conducted based on secondary data, data on some potentially important predictors which help to know that the dietary pattern of the patient was not assessed.…”

Section: Discussionsupporting

confidence: 93%

Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

Kebede

Tusa

Weldesenbet

2021

Anemia

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Background. Anaemia is one of the commonest blood disorders seen in patients with diabetes. In Ethiopia, chronic illnesses are tremendously raising with their complications. But very little research has been conducted, particularly on anaemia among diabetes mellitus (DM) patients. Therefore, this study aimed at assessing the prevalence of anaemia and associated factors among type 2 diabetes mellitus patients in Northwest Ethiopia. Methods. A cross-sectional study design was employed at University of Gondar Comprehensive Specialized Hospital from March 1 to April 15, 2019, among 372 type 2 diabetes mellitus patients (T2DM). Multivariable logistic regression analysis was fitted, and the corresponding adjusted odds ratio (AOR) and 95% CI were used to identify factors associated with anaemia. Level of significance was declared at the p value less than 0.05. Results. The study revealed 8.06% (95% CI: 5.68–11.31%) of the participants were anaemic. Being male (AOR = 2.74, CI: 1.02, 7.38), combined type of treatment (AOR = 8.38, CI: 1.66, 42.25), having diabetes-related microvascular complications (AOR = 3.24, CI: 1.14, 9.26), and hypertension (AOR = 0.01, CI: 0.002, 0.06) were the significant factors associated with anaemia. Conclusions. The finding of the current study revealed low prevalence of anaemia among T2DM patients. Sex, type of treatment, diabetes-related microvascular complications, and hypertension were factors associated with anaemia. Assessment of haemoglobin levels among T2DM patients may help to prevent ensuing microvascular complications. Incorporate anaemia screening into the routine assessment of diabetic complication particularly for those who are hypertensive and took combined treatment to allow early appreciation and treatment of anaemia and later improve the overall care of patients with diabetes.

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Section: Discussionsupporting

confidence: 93%

Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

Kebede

Tusa

Weldesenbet

2021

Anemia

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“…Diabetic patients those who were unable to read and write and able to read and write were 3.51 (AOR = 3.51 (95% CI (1.40, 8.75))) and 9.76 (AOR = 9.76 (95% CI (3.15, 30.24))) times more likely to develop anaemia as compared college and above. This finding is similar to the study conducted in Ethiopia and Ghana 13 , 23 , 24 , 26 due to the sample population difference, informal education, and level of health awareness will be the reason.…”

Section: Discussionsupporting

confidence: 88%

“…In this study, the prevalence of anaemia among DM patients was 79 (29.8%). This finding is similar to the research conducted in Wollo, Ethiopia (26.7%) 23 and Ghana 13 but higher than a study conducted in Fenote Selam Hospital, Ethiopia. 24 This prevalence was lower than the finding from Saudi Arabia (55%).…”

Section: Discussionsupporting

confidence: 88%

<p>Prevalence of Anemia and Its Associated Factors Among Adult Diabetes Mellitus Patients at Debre Tabor General Hospital, Northcentral Ethiopia</p>

Engidaw

Feyisa

2020

DMSO

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Background Diabetes mellitus is a cluster of metabolic disorders which is characterized by hyperglycemia. The occurrence of anaemia is a significant public health problem among diabetic patients because of complication and dietary modifications. So, this study aimed to assess the magnitude of anaemia among adult diabetes mellitus patients in Debre Tabor General Hospital, Ethiopia. Methods A cross-sectional study design was conducted. A simple random sampling technique was employed to collect data from 297 adult diabetic mellitus patients. After taking venous blood, the haemoglobin level was determined by using HemoCue 301 machine. Anaemia among diabetic patients was determined by using the haemoglobin level (<13.0g/dL for male and <12.0g/dL for female). Data were entered using EpiInfo version 7.2 and analyzed using SPSS version 21. The binary logistic regression model was used to explore the association of independent variables with anaemia. Finally, p-value <0.05 was used to declare the level of statistical significance. Results The prevalence of anemia among diabetic patient was 29.81% (95% CI: 24.27, 35.35). Diabetic patients unable to read and write (AOR = 3.51, 95% CI: 1.40, 8.75), able to read and write (AOR = 9.76, 95% CI: 3.15, 30.24), ≥4 family size (AOR = 0.53, 95% CI: 0.29, 0.99), intake of flesh meat (AOR=0.19, 95% CI: 0.05, 0.74), and parasitic infections (AOR = 0.26, 95% CI: 0.07, 0.95) were more likely to develop anemia. Conclusion Anemia is a moderate public health problem among diabetic patients. Here, educational status, family size, intake of flesh meat, and intestinal parasite infections were the factors associated with the development of anaemia. So, working on these significant factors by health care providers during routine care is vital to prevent anaemia among diabetic patients.

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“…The magnitude of anemia in this study was comparable to report of study from Dessie Referral Hospital-Ethiopia 24 but higher than findings of studies from Fenote Selam Hospital-Ethiopia, 41 a sub-national study in China, 42 Australia, 43 and India. 44 However, it was lower compared to studies conducted in Thailand, 45 Saudi Arabia, 46 and Cameroon.…”

Section: Discussionsupporting

confidence: 70%

“…The sample size was determined by using a single population proportion formula with the assumptions of; 95% confidence interval, 5% margin of error, and prevalence of anemia( p =26.7%) from a previous study among people with diabetes in Dessie Referral Hospital, Northeast of Ethiopia. 24 After adding 10% for non-response, the final sample size was 331.…”

Section: Methodsmentioning

confidence: 99%

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

Tujuba¹,

Ayele²,

Fage³

et al. 2021

DMSO

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Background Although anemia is a common condition among patients with diabetes mellitus, there is little evidence on anemia among this segment of population in Ethiopia at large and in the study setting in particular. Thus, this study aimed at assessing the magnitude of anemia and its associated factors among adult diabetic patients attending a general hospital in Eastern Ethiopia. Methods A health facility-based cross-sectional study was conducted among 325 randomly selected adult diabetes mellitus patients attending a follow-up clinic at Gelemso General Hospital, Eastern Ethiopia. Data were collected through an interview using a pre-tested and structured questionnaire followed by physical and laboratory measurements. Data were then entered into EpiData Version.3.1 and analyzed by using STATA version 16.0. Binary logistic regression models were fitted to identify factors associated with anemia. All statistical tests were declared significant at p -value < 0.05. Results The magnitude of anemia among adult diabetic patients was 30.2% (95% confidence interval (CI): 25.4%-35.4%). Anemia was higher in males (36%) than females (20.5%). Male gender (Adjusted Odds Ratio (AOR) = 2.1, 95% CI: 1.2, 3.8), DM duration of ≥5 years (AOR= 1.9, 95% CI: 1.0, 3.7), presence of comorbidity (AOR= 1.9, 95% CI: 1.0, 3.7), and having diabetic complications (AOR= 2.3, 95% CI: 1.3, 4.2) were significantly associated with anemia. Conclusion Anemia was a moderate public health problem among adult DM patients in the study setting. Being male in gender, duration of DM, presence of DM complications, and DM co-morbidities were factors associated with anemia. Therefore, routine screening and appropriate management of anemia targeting males, DM patients with longer duration of DM, and those with complications and co-morbidities should be devised to improve patients’ quality of life. Early diagnosis and regular monitoring of DM could also help to minimize further complications.

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Prevalence of anemia in diabetic adult outpatients in Northeast Ethiopia

Cited by 19 publications

References 35 publications

Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

<p>Prevalence of Anemia and Its Associated Factors Among Adult Diabetes Mellitus Patients at Debre Tabor General Hospital, Northcentral Ethiopia</p>

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

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