Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study

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dc.contributor.authorKatte, Jean-Claudeen_ZA
dc.contributor.authorDzudie, Anastaseen_ZA
dc.contributor.authorSobngwi, Eugeneen_ZA
dc.contributor.authorMbong, Etaen_ZA
dc.contributor.authorFetse, Gerarden_ZA
dc.contributor.authorKouam, Charlesen_ZA
dc.contributor.authorKengne, Andre-Pascalen_ZA
dc.date.accessioned2015-11-27T09:33:39Z
dc.date.available2015-11-27T09:33:39Z
dc.date.issued2014en_ZA
dc.description.abstractBACKGROUND: Hypertension and diabetes mellitus are increasingly common in population within Africa. We determined the rate of coincident diabetes and hypertension and assessed the levels of co-awareness, treatment and control in a semi-urban population in Cameroon. METHODS: A total of 1702 adults (967 women) self-selected from the community were consecutively recruited in Bafoussam (West region of Cameroon) during November 2012. Existing diabetes and hypertension and treatments were investigated and blood pressure and fasting blood glucose measured. Multinomial logistic regressions models were used to investigate the determinants of prevalent diabetes and hypertension. RESULTS: Age-standardized prevalence rates (95% confidence intervals) men vs. women were 40.4% (34.7 to 46.1) and 23.8% (20.4 to 27.2) for hypertension alone; 3.3% (1.5 to 5.1) and 5.6% (3.5 to 7.7) for diabetes alone; and 3.9% (2.6 to 5.2) and 5.0% (3.5 to 6.5) for hypertension and diabetes. The age-standardized awareness, treatment and control rates for hypertension alone were 6.5%, 86.4% and 37.2% for men, and 24.3%, 52.1% and 51.6% in women. Equivalent figures for diabetes alone were 35.4%, 65.6% and 23.1% in men and 26.4%, 75.5% and 33.7% in women; and those for hypertension and diabetes were 86.6%, 3.3% and 0% in men, and 74.7%, 22.6% and 0% in women. Sex, age and adiposity were the main determinants of the three conditions. CONCLUSIONS: Coincident diabetes and hypertension is as high as diabetes alone in this population, driven by sex, age and adiposity. Awareness, treatment and control remain unacceptably low.en_ZA
dc.identifier.apacitationKatte, J., Dzudie, A., Sobngwi, E., Mbong, E., Fetse, G., Kouam, C., & Kengne, A. (2014). Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15397en_ZA
dc.identifier.chicagocitationKatte, Jean-Claude, Anastase Dzudie, Eugene Sobngwi, Eta Mbong, Gerard Fetse, Charles Kouam, and Andre-Pascal Kengne "Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study." <i>BMC Public Health</i> (2014) http://hdl.handle.net/11427/15397en_ZA
dc.identifier.citationKatte, J. C., Dzudie, A., Sobngwi, E., Mbong, E. N., Fetse, G. T., Kouam, C. K., & Kengne, A. P. (2014). Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study. BMC public health, 14(1), 696.en_ZA
dc.identifier.ris TY - Journal Article AU - Katte, Jean-Claude AU - Dzudie, Anastase AU - Sobngwi, Eugene AU - Mbong, Eta AU - Fetse, Gerard AU - Kouam, Charles AU - Kengne, Andre-Pascal AB - BACKGROUND: Hypertension and diabetes mellitus are increasingly common in population within Africa. We determined the rate of coincident diabetes and hypertension and assessed the levels of co-awareness, treatment and control in a semi-urban population in Cameroon. METHODS: A total of 1702 adults (967 women) self-selected from the community were consecutively recruited in Bafoussam (West region of Cameroon) during November 2012. Existing diabetes and hypertension and treatments were investigated and blood pressure and fasting blood glucose measured. Multinomial logistic regressions models were used to investigate the determinants of prevalent diabetes and hypertension. RESULTS: Age-standardized prevalence rates (95% confidence intervals) men vs. women were 40.4% (34.7 to 46.1) and 23.8% (20.4 to 27.2) for hypertension alone; 3.3% (1.5 to 5.1) and 5.6% (3.5 to 7.7) for diabetes alone; and 3.9% (2.6 to 5.2) and 5.0% (3.5 to 6.5) for hypertension and diabetes. The age-standardized awareness, treatment and control rates for hypertension alone were 6.5%, 86.4% and 37.2% for men, and 24.3%, 52.1% and 51.6% in women. Equivalent figures for diabetes alone were 35.4%, 65.6% and 23.1% in men and 26.4%, 75.5% and 33.7% in women; and those for hypertension and diabetes were 86.6%, 3.3% and 0% in men, and 74.7%, 22.6% and 0% in women. Sex, age and adiposity were the main determinants of the three conditions. CONCLUSIONS: Coincident diabetes and hypertension is as high as diabetes alone in this population, driven by sex, age and adiposity. Awareness, treatment and control remain unacceptably low. DA - 2014 DB - OpenUCT DO - 10.1186/1471-2458-14-696 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study TI - Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study UR - http://hdl.handle.net/11427/15397 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15397
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-14-696
dc.identifier.vancouvercitationKatte J, Dzudie A, Sobngwi E, Mbong E, Fetse G, Kouam C, et al. Coincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional study. BMC Public Health. 2014; http://hdl.handle.net/11427/15397.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2014 Katte et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0.en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherHypertensionen_ZA
dc.subject.otherDiabetes mellitusen_ZA
dc.subject.otherCoincidenceen_ZA
dc.subject.otherPrevalenceen_ZA
dc.subject.otherSub-Saharan Africaen_ZA
dc.subject.otherCameroonen_ZA
dc.titleCoincidence of diabetes mellitus and hypertension in a semi-urban Cameroonian population: a cross-sectional studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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