Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Sabanayagam, Charumathi; Shankar, Anoop; Saw, Seang Mei; Tai, E. Shyong; Lim, Su Chi; Lee, Jeanette Jen-Mai; Wong, Tien Yin

doi:10.1177/1010539509343958

Cited by 32 publications

(23 citation statements)

References 31 publications

(35 reference statements)

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“…In a 3‐year prospective study of DM control among different ethnic groups in Singapore, Malay patients had significantly higher HbA1c compared with Chinese and Indian at baseline, and consistently for all years of HbA1c assessment . In another epidemiology study of 3000 adults of Malay ethnicity between 40 and 80 years old in Singapore, 71% had suboptimal glycemic control . It is plausible that the association of MRSA colonization and Malay ethnicity is a result of poor glycemic control instead of ethnic predisposition.…”

Section: Discussionmentioning

confidence: 99%

“…16 In another epidemiology study of 3000 adults of Malay ethnicity between 40 and 80 years old in Singapore, 71% had suboptimal glycemic control. 20 It is plausible that the association of MRSA colonization and Malay ethnicity is a result of poor glycemic control instead of ethnic predisposition. Environmental factors such as living conditions 21 and socioeconomic factors might be associated with MRSA transmission.…”

Section: Discussionmentioning

confidence: 99%

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Methicillin‐resistant Staphylococcus aureus carriage in hospitalized chronic hemodialysis patients and its predisposing factors

Yeoh

Tan

Willis

et al. 2013

Hemodialysis International

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There has been a paucity of literature on methicillin-resistant Staphylococcus aureus (MRSA) colonization in chronic hemodialysis patients who required admission. The purpose of this study is to determine the MRSA carriage rate in hospitalized chronic hemodialysis patients, to identify the risk factors, and assess the consequences of MRSA colonization. This was a retrospective study of hospitalized chronic hemodialysis patients at Khoo Teck Puat Hospital from July 1, 2010 to June 30, 2011. MRSA screening was done on the day of admission using culture method with MRSA select (Bio-Rad)™. The patients were divided into two groups: MRSA carriers and noncarriers. Demographic data, medical, and laboratory information was obtained via electronic medical record system. Outcome measures were infection rates during current hospitalization episode, frequency of hospitalization, and cumulative hospitalization days per year. Prevalence rate of MRSA colonization in hospitalized chronic hemodialysis patients was 15.1%, compared to all admitted patients (5.8%). Diabetes mellitus, Malay ethnicity, shorter hemodialysis duration and use of tunneled hemodialysis catheters were associated with MRSA colonization (P < 0.05). Relative risk of infection during the episode of admission among MRSA carriers was 3.2-fold compared to noncarriers. MRSA colonization rates tend to be higher in patients on hemodialysis for less than 3 years and it correlates with longer hospitalization after adjustment for other variables (P < 0.05). Patients on chronic hemodialysis requiring admission have higher rates of MRSA colonization. The risk factors of MRSA carriers and the correlation of MRSA rates to longer hospitalization suggest its nosocomial origin in this group of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Methicillin‐resistant Staphylococcus aureus carriage in hospitalized chronic hemodialysis patients and its predisposing factors

Yeoh

Tan

Willis

et al. 2013

Hemodialysis International

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“…Individuals with a follow-up duration of less than twelve months were excluded in order to avoid the immediate period following diagnosis and to obtain adequate time for observing adherence (Donnan et al 2002). Sample size was determined using two proportion formula considering a 95% confidence level, power of 80%, and various factors that were known to influence diabetes medication adherence, and resulted in a sample size of 407 (Sabanayagam et al 2009; Khattab et al 2010). The follow-up record book was used as a sampling frame to randomly select eligible study subjects.…”

Section: Methodsmentioning

confidence: 99%

Barriers to diabetes medication adherence in North West Ethiopia

2014

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BackgroundLow adherence to prescribed diabetes medications is one of the major reasons to poor glycemic control in developing countries. Therefore, this study attempted to assess the magnitude of medication adherence and factors associated with it among adult persons with diabetes in northwest Ethiopia.MethodThis study utilized a cross sectional study design with internal comparison. The study population was adult persons with diabetes attending the Diabetes Referral Clinic of Gondar University Hospital. Adherence was assessed using the eight-item Morisky Medication Adherence Scale (MMAS-8). In addition laboratory tests and chart reviews were carried out to collect relevant data. Ordinary logistic regression was used to identify factors associated with adherence.ResultA total of 391 patients were studied. Based on the MMAS-8 scale, the self-reported adherence to diabetic medication was low for 25.4% [95% CI: 21, 29] of the patients, medium for 28.7% [95% CI: 24, 33], and high for 45.9% [95% CI: 41, 50] of the patients. The Mean (±SD) of glycosylated hemoglobin for the low adherence group was 8.2% (±2.1). It was 8.1% (±2.0), for the medium, and 7.4% (±1.6) for the high adherence group. In the multivariate analysis poor wealth status (AOR = 1.99; 1.15, 3.43), using traditional treatment (AOR = 2.90; 1.03, 8.15), and service dissatisfaction (AOR = 2.23; 1.04, 4.80) were significantly associated with low adherence to prescribed diabetic medications.ConclusionOver half of the persons with diabetes did not adhere to medications. Adherence was poor among users of traditional treatment and those dissatisfied with services. Developing a more intensive communication strategies and improving the quality of services could improve the level of adherence.

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“…The age-standardized prevalence of DM in 3000 adults (52% women) of Malay ethnicity (40-80 years) in Singapore was 18.4%. 14 The age-adjusted prevalence of IFG and DM diabetes in the Korean population were 23.9% and 7.6%, respectively. 15 A study on US immigrants showed that age-and gender adjusted DM prevalence ranged from 3.1% among European migrants to 10.0% among migrants from the Indian subcontinent.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Obesity, Metabolic Syndrome, Impaired Fasting Glycemia, and Diabetes in Selected Villages of Bali, Indonesia

Suastika

Dwipayana

Saraswati

et al. 2011

JAFES

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Aims/Introduction. To know the prevalence of obesity, metabolic syndrome, impaired fasting glycemia and diabetes in the population of Bali.Materials and Methods. A cross-sectional study enrolling 1840 subjects, aged 13-100 years with male-to-female ratio of 972/868, were studied at seven villages across the island of Bali.Results: The prevalence of central obesity was 35% (male, 27.5%; female, 43.4%); metabolic syndrome (MS), 18.2% (male, 16.6%; female, 20.0%); impaired fasting glycemia (IFG), 13.1% (male, 14.3%; female, 12.4%); and diabetes mellitus (DM), 5.9% (male, 6.1%; female, 5.7%). The subjects who had 1, 2, 3, 4, and 5 components of MS were 34.6%, 23.8%, 13.0%, 4.3%, and 0.9% respectively. The population in two tourist areas (Legian and Ubud) had the highest prevalence of central obesity (61.2% and 70.1%), but they did not necessarily have a higher prevalence of DM. The two tourist areas (Legian, 24.1%; and Ubud, 21%) as well as Sangsit village (23.3%) have the highest prevalence of MS.Conclusions. The prevalence of obesity, MS, IFG and DM were comparatively low. Analysis across the villages revealed that higher prevalence of central obesity was not necessarily associated with higher prevalence of DM. There is a need to further study the risk of obesity on MS and DM in tourist areas of Bali.

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Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Cited by 32 publications

References 31 publications

Methicillin‐resistant Staphylococcus aureus carriage in hospitalized chronic hemodialysis patients and its predisposing factors

Methicillin‐resistant Staphylococcus aureus carriage in hospitalized chronic hemodialysis patients and its predisposing factors

Barriers to diabetes medication adherence in North West Ethiopia

Prevalence of Obesity, Metabolic Syndrome, Impaired Fasting Glycemia, and Diabetes in Selected Villages of Bali, Indonesia

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