Risk Management and Healthcare Policy (Jan 2024)

Prevalence and Associated Factors of Diabetes Mellitus Among Newly Enrolled Tuberculosis Patients in Lubumbashi (DRC)

  • Kakisingi C,
  • Mwamba C,
  • Muteba MK,
  • Kasamba E,
  • Kabamba M,
  • Tanon A,
  • Situakibanza H

Journal volume & issue
Vol. Volume 17
pp. 171 – 180

Abstract

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Christian Kakisingi,1 Claude Mwamba,1 Michel Kasongo Muteba,2 Eric Kasamba,3 Michel Kabamba,4 Aristophane Tanon,5 Hippolyte Situakibanza6 1Internal Medicine Department, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo; 2Division of Epidemiology and Biostatistics, University ofWitwatersrand, Johannesburg, Republic of South Africa; 3Department of Basics Sciences. University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo; 4Public Health Department, University of Kamina, Kamina, Democratic Republic of the Congo; 5Specialities and Medicine Department, University of Félix Houphouët-Boigny of Abidjan Cocody, Abidjan, Ivory Coast; 6Internal Medicine Department, Tropical Diseases, Infectious and Parasitic Department, University of Kinshasa, Kinshasa, Democratic Republic of the CongoCorrespondence: Christian Kakisingi, Email [email protected]: Tuberculosis and diabetes mellitus are major public health challenges worldwide. The two scourges have bidirectional relationship with high morbidity and mortality.Objective: The present study was conducted to determine the prevalence of diabetes mellitus and identify related factors in patients with tuberculosis.Methods: A cross-sectional study was conducted in 11 tuberculosis screening and treatment centers in Lubumbashi (DRC) from September to December 2022. Adult patient with a positive smear for tuberculosis were systematically screened for diabetes mellitus. Demographic characteristics, history and symptomatology were the variables of interest. Data was entered using Microsoft Excel software. STATA 16 software was used for analysis.Results: A total of 255 tuberculosis patients were recruited and the prevalence of diabetes mellitus among these patients was 11.4% (ie, 29 out of 255). After uni and multivariate logistic regression, a BMI ≤ 18.5 Kg/m2, lack of employment, polyuria and intense thirst were the factors associated with diabetes mellitus in tuberculosis patients.Conclusion: The prevalence of diabetes mellitus in smear positive tuberculosis patients in the present study was higher than the one observed in Central Africa.Keywords: tuberculosis, diabetes mellitus, comorbidity, prevalence, associated factors

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