Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
Autor: | V. Q. Hoa, N. T. Hien, P. T. Anh, P. D. Phuc, N. V. Nhung, Pham Huu Thuong, N. B. Hoa |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Tuberculosis Adolescent 030231 tropical medicine 030209 endocrinology & metabolism Comorbidity lcsh:Infectious and parasitic diseases Diabetes Complications Prediabetic State 03 medical and health sciences Young Adult 0302 clinical medicine Medical microbiology Diabetes mellitus Diabetes Mellitus Prevalence Medicine Humans lcsh:RC109-216 Prediabetes Family history Aged Aged 80 and over High prevalence business.industry Tuberculosis (TB) diabetes mellitus (DM) prevalence Middle Aged medicine.disease Infectious Diseases Cross-Sectional Studies Vietnam Risk factors Tropical medicine Female business Research Article |
Zdroj: | BMC Infectious Diseases BMC Infectious Diseases, Vol 18, Iss 1, Pp 1-9 (2018) |
ISSN: | 1471-2334 |
Popis: | Background Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. Methods A facility-based, cross-sectional study was carried out in all 30 district TB units in Hanoi, Vietnam. All eligible, diagnosed TB patients aged 15 years old or older were asked to provide consent and were screened for diabetes using fasting blood glucose (FBG). Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data. Identification of pre-diabetes or diabetes in TB patients was done in accordance to parameters set by the American Diabetes Association (2016). Results Of 870 eligible TB patients, 831 (95.5%) participated in the study. Of those, 241 (29%; 95%CI: 25.9–32.1%) were prediabetic and 114 (13.7%; 95%CI: 11.4–16.1%) were found to have DM. The risk of DM was higher in patients belonging to the age group 40–64 years (OR 6.09; 95%CI 2.81–13.2); or the age group 65 years or older (OR 2.65; 95%CI 1.65–4.25) or who have a family history of DM (OR 2.71; 95%CI 1.33–5.50). Conclusions This study demonstrated high prevalence of DM and prediabetes among TB patients in Hanoi, Vietnam. National Tuberculosis Programme needs to establish a systematic screening process for DM among TB patients. |
Databáze: | OpenAIRE |
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