Academic Journal
Mapping national, regional and local prevalence of hypertension and diabetes in Ethiopia using geospatial analysis.
| Τίτλος: | Mapping national, regional and local prevalence of hypertension and diabetes in Ethiopia using geospatial analysis. |
|---|---|
| Συγγραφείς: | Koye DN; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia Digsu.koye@unimelb.edu.au.; Methods and Implementation Support for Clinical and Health research Hub (MISCH), Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia., Melaku YA; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia., Gelaw YA; Telethon Kids Institute, Nedlands, Western Australia, Australia.; School of Population Health, Curtin University, Perth, Western Australia, Australia., Zeleke BM; Planetary Health Division, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Adane AA; Telethon Kids Institute, Nedlands, Western Australia, Australia.; Ngangk Yira Institute for Change, Murdoch University, Murdoch, Western Australia, Australia., Tegegn HG; School of Rural Medicine, University of New England, Armidale, New South Wales, Australia., Gebreyohannes EA; Telethon Kids Institute, Nedlands, Western Australia, Australia.; Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia., Erku DA; Centre for Applied Health Economics, Griffith University, Nathan, Queensland, Australia., Tesfay FH; School of Public Health, Mekelle University, Mekelle, Ethiopia.; Institute of Health Transformation, Deakin University, Melbourne, Victoria, Australia., Gesesew HA; School of Public Health, Mekelle University, Mekelle, Ethiopia.; Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, South Australia, Australia., Mekonnen A; Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia., Dadi AF; College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.; Menzies Health Research Institute, Charles Darwin University, Darwin, Northern Territory, Australia., Alene KA; Telethon Kids Institute, Nedlands, Western Australia, Australia.; School of Population Health, Curtin University, Perth, Western Australia, Australia. |
| Πηγή: | BMJ open [BMJ Open] 2022 Dec 08; Vol. 12 (12), pp. e065318. Date of Electronic Publication: 2022 Dec 08. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| Ιατρικοί όροι (MeSH): | Hypertension*/epidemiology , Hypertension*/complications , Diabetes Mellitus*/epidemiology, Ethiopia/epidemiology ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Prevalence ; Bayes Theorem ; Cross-Sectional Studies ; Risk Factors |
| Περίληψη: | Objectives: This study aimed to map the national, regional and local prevalence of hypertension and diabetes in Ethiopia. Design and Setting: Nationwide cross-sectional survey in Ethiopia combined with georeferenced ecological level data from publicly available sources. Participants: 9801 participants aged between 15 and 69 years. Primary Outcome Measures: Prevalence of hypertension and diabetes were collected using the WHO's STEPS survey approach. Bayesian model-based geostatistical techniques were used to estimate hypertension and diabetes prevalence at national, regional and pixel levels (1×1 km2) with corresponding 95% credible intervals (95% CrIs). Results: The national prevalence was 19.2% (95% CI: 18.4 to 20.0) for hypertension and 2.8% (95% CI: 2.4 to 3.1) for diabetes. Substantial variation was observed in the prevalence of these diseases at subnational levels, with the highest prevalence of hypertension observed in Addis Ababa (30.6%) and diabetes in Somali region (8.7%). Spatial overlap of high hypertension and diabetes prevalence was observed in some regions such as the Southern Nations, Nationalities and People's region and Addis Ababa. Population density (number of people/km2) was positively associated with the prevalence of hypertension (β: 0.015; 95% CrI: 0.003-0.027) and diabetes (β: 0.046; 95% CrI: 0.020-0.069); whereas altitude in kilometres was negatively associated with the prevalence of diabetes (β: -0.374; 95% CrI: -0.711 to -0.044). Conclusions: Spatial clustering of hypertension and diabetes was observed at subnational and local levels in Ethiopia, which was significantly associated with population density and altitude. The variation at the subnational level illustrates the need to include environmental drivers in future NCDs burden estimation. Thus, targeted and integrated interventions in high-risk areas might reduce the burden of hypertension and diabetes in Ethiopia. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Competing Interests: | Competing interests: None declared. |
| Contributed Indexing: | Keywords: DIABETES & ENDOCRINOLOGY; EPIDEMIOLOGY; Hypertension; PUBLIC HEALTH |
| Entry Date(s): | Date Created: 20230104 Date Completed: 20230106 Latest Revision: 20230111 |
| Update Code: | 20260130 |
| DOI: | 10.1136/bmjopen-2022-065318 |
| PMID: | 36600383 |
| Βάση Δεδομένων: | MEDLINE |
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