Diabete epidemiology after the establishment of a new system for cases reporting : A case study of the province of Fquih Ben Saleh, Center of Morocco. 2012- 2016
| Autor: | CHEGDALI, Ilhami, RAZINE, Rachid, ELIRARI, Amine, MEHZOUM, Abdellah, SADEQ, Mina |
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| Jazyk: | francouzština |
| Rok vydání: | 2018 |
| Předmět: | |
| DOI: | 10.48421/imist.prsm/ewash-ti-v2i2.12134 |
| Popis: | In Morocco, diabete is a common life-long disease . About 80 % of cases of diabete have type 2 , and this is likely attributed to lifestyle and type of alimentation. Starting from 2011, the Ministry of health (MH) set up a new system for diabete case reporting at the primary healthcare centers level, that many regional health departments adopted. This study aims at assessing diabete epidemiology after the establishment of such a system in the province of Fquih Ben Saleh (FBS) between 2012 and 2016. This latter is a predominantly rural agriculture area where eating habits and physical activities are different than those in prefectures. The number of cases by commune, by age, and by gender were provided by the provincial Deleguation of MH in FBS. Data were re-organized, cross-checked and analyzed using both excel and a statistical software. Diabete prevalence, incidence, proportion by age group, sex ratio, and evolution were determined both at the province level and by commune (13 rural and 3 small urban communes made up the province of FBS), during the period between 2012 and 2016. Correlation was assessed by means of Kendall’s test. The global prevalence rate was 1.9 per 100 population/year and remains quite lower than the national rate (12 per 100 population in 2015). The global incidence rate was 4 per 1000 population/year during the study period in FBS. There was an increase in both prevalence rate (taux de kendall’s =0.8 ; p-Value= 0,040) and incidence rate ( (taux de kendall’s =1 ; p-Value= 0,008) from 2012 and 2016. During this study period, increase in incidence rate was shown in two rurale communes, namely Had Boumoussa (taux de kendall’s =1 ; p-Value= 0,008) and Kerifate (taux de kendall’s =0,74; p-Value= 0,042). It was also shown in one urban commune namely souk sebt (taux de kendall’s = 0,8; p-Value= 0,042). The age groups 40 to 59 and over 60 year were more affected by diabete than other age groups (i.e., below 19 and 20 to 39). Diabete affects about two times as many women as men (risk ratio = 1.68) in FBS. The new system efficiently updates information on diabete epidemiology in FBS and open perspectives to reseach and intervention as to diabete in Morocco. Environmental and Water Sciences, public Health and Territorial Intelligence Journal, Vol. 2, No 2 (2018) |
| Databáze: | OpenAIRE |
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