Awareness, treatment, and control among adults living with arterial hypertension or diabetes mellitus in two rural districts in Lesotho.

Autor:	Fernández LG; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Medicine, Swiss Tropical and Public Institute, Basel, Switzerland.; SolidarMed, Partnerships for Health, Luzern, Switzerland., Firima E; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Medicine, Swiss Tropical and Public Institute, Basel, Switzerland., Gupta R; SolidarMed, Partnerships for Health, Maseru, Lesotho., Sematle MP; SolidarMed, Partnerships for Health, Maseru, Lesotho., Khomolishoele M; SolidarMed, Partnerships for Health, Maseru, Lesotho., Molulela M; SolidarMed, Partnerships for Health, Maseru, Lesotho., Bane M; SolidarMed, Partnerships for Health, Maseru, Lesotho., Tlahali M; Mokhotlong District Health Management Team, Ministry of Health Lesotho, Mokhotlong, Lesotho., McCrosky S; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Lee T; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Chammartin F; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Seelig E; Department of Endocrinology, Diabetes and Metabolism, University Hospital Basel, Basel, Switzerland., Gerber F; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Medicine, Swiss Tropical and Public Institute, Basel, Switzerland., Lejone TI; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Ayakaka I; SolidarMed, Partnerships for Health, Maseru, Lesotho., Labhardt ND; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Amstutz A; Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Oslo Center for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Sep 30; Vol. 4 (9), pp. e0003721. Date of Electronic Publication: 2024 Sep 30 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003721
Abstrakt:	In Lesotho, the hypertension and diabetes care cascades are unknown. We measured awareness, treatment, and control of hypertension and diabetes among adults ≥18 years and identified factors associated with each step of the cascade, based on data from a population-based, cross-sectional survey in 120 randomly sampled clusters in the districts of Butha-Buthe and Mokhotlong from 1st November 2021 to 31st August 2022. We used multivariable logistic regression to assess associations. Among participants with hypertension, 69.7% (95%CI, 67.2-72.2%, 909/1305) were aware of their condition, 67.3% (95%CI 64.8-69.9%, 878/1305) took treatment, and 49.0% (95%CI 46.3-51.7%, 640/1305) were controlled. Among participants with diabetes, 48.4% (95%CI 42.0-55.0%, 111/229) were aware of their condition, 55.8% (95%CI 49.5-62.3%, 128/229) took treatment, and 41.5% (95%CI 35.1-47.9%, 95/229) were controlled. For hypertension, women had higher odds of being on treatment (adjusted odds ratio (aOR) 2.54, 95% CI 1.78-3.61) and controlled (aOR 2.44, 95%CI 1.76-3.37) than men. Participants from urban areas had lower odds of being on treatment (aOR 0.63, 95% CI 0.44-0.90) or being controlled (aOR 0.63, 95% CI 0.46-0.85). Considerable gaps along the hypertension and diabetes care cascades in Lesotho indicate that access and quality of care for these conditions are insufficient to ensure adequate long-term health outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Fernández et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu