Background: Despite the rising prevalence of diabetes in Nigeria and sub-Saharan Africa, few studies have assessed the prevalence of prediabetes and diabetes in people with low socioeconomic status or urban slums. Met...Background: Despite the rising prevalence of diabetes in Nigeria and sub-Saharan Africa, few studies have assessed the prevalence of prediabetes and diabetes in people with low socioeconomic status or urban slums. Methods: Using the WHO STEP-wise approach to surveillance of noncommunicable diseases, we estimated the prevalence of diabetes and prediabetes among adults 20 years and older living in two urban slums in Enugu south east Nigeria. Diabetes was defined as previous history of diabetes, use of hypoglycemic agents and fasting blood glucose within the diabetes range on two occasions during the survey period. Study duration was 5 months. Results: Out of the 811 individuals invited to the clinic, 605 (74.6%) participants had their fasting blood glucose measured based on the study protocol. The prevalence of diabetes and prediabetes in the population was 11.7% (95% CI;9.2 - 14.3) and 7.6% (95% CI;5.0 - 9.7) respectively. About 54.9% were newly detected and 28.1% of them had normal control. The prevalence of diabetes peaked at 55 - 64 years. The odds ratio for diabetes was significantly higher in participants ≥ 45 years (1.033, 95% CI;1.208 - 3.420), participants with hypertension (0.442, 95% CI;0.257 - 0.762) and stroke (1.638, 95% CI;0.459 - 5.848). Conclusion: There is a relatively high prevalence of diabetes among adults in two urban slums in Enugu. Public health educational measures promoting prevention and early detection of diabetes should be encouraged. Efforts should be made to educate the populace on the need for early detection and treatment.展开更多
Background: Alcohol is one of the most commonly abused psychoactive substances in the country. Studies have shown sharp increases in alcohol consumption among Nigerians. This increase is likely to continue because of ...Background: Alcohol is one of the most commonly abused psychoactive substances in the country. Studies have shown sharp increases in alcohol consumption among Nigerians. This increase is likely to continue because of increased local production and availability of alcohol in the country. Knowledge of the prevalence and pattern of current alcohol use is important considering the public health and socio-economic effects of alcohol use. Methods: Using a semi-structured questionnaire, we estimated the prevalence of current alcohol use among adults 18 years and older living in urban slums in Enugu South East Nigeria. Current use of alcohol was defined as use of any or all alcohol beverages in the past 4 weeks. The safe limit of alcohol was defined using WHO guidelines. Study duration was 5 months. Results: A total of 1411 individuals were recruited into the study. Males were 658 (46.6%) and females were 753 (53.4%). The overall prevalence of current use of alcohol was 66.7%;males 75.7% and females 58.8% (p Conclusion: There is a high prevalence of current alcohol use among urban slums in Enugu. Public health educational measures for reducing alcohol consumption should be encouraged. Efforts should be made to educate the populace on the need for abstinence.展开更多
文摘Background: Despite the rising prevalence of diabetes in Nigeria and sub-Saharan Africa, few studies have assessed the prevalence of prediabetes and diabetes in people with low socioeconomic status or urban slums. Methods: Using the WHO STEP-wise approach to surveillance of noncommunicable diseases, we estimated the prevalence of diabetes and prediabetes among adults 20 years and older living in two urban slums in Enugu south east Nigeria. Diabetes was defined as previous history of diabetes, use of hypoglycemic agents and fasting blood glucose within the diabetes range on two occasions during the survey period. Study duration was 5 months. Results: Out of the 811 individuals invited to the clinic, 605 (74.6%) participants had their fasting blood glucose measured based on the study protocol. The prevalence of diabetes and prediabetes in the population was 11.7% (95% CI;9.2 - 14.3) and 7.6% (95% CI;5.0 - 9.7) respectively. About 54.9% were newly detected and 28.1% of them had normal control. The prevalence of diabetes peaked at 55 - 64 years. The odds ratio for diabetes was significantly higher in participants ≥ 45 years (1.033, 95% CI;1.208 - 3.420), participants with hypertension (0.442, 95% CI;0.257 - 0.762) and stroke (1.638, 95% CI;0.459 - 5.848). Conclusion: There is a relatively high prevalence of diabetes among adults in two urban slums in Enugu. Public health educational measures promoting prevention and early detection of diabetes should be encouraged. Efforts should be made to educate the populace on the need for early detection and treatment.
文摘Background: Alcohol is one of the most commonly abused psychoactive substances in the country. Studies have shown sharp increases in alcohol consumption among Nigerians. This increase is likely to continue because of increased local production and availability of alcohol in the country. Knowledge of the prevalence and pattern of current alcohol use is important considering the public health and socio-economic effects of alcohol use. Methods: Using a semi-structured questionnaire, we estimated the prevalence of current alcohol use among adults 18 years and older living in urban slums in Enugu South East Nigeria. Current use of alcohol was defined as use of any or all alcohol beverages in the past 4 weeks. The safe limit of alcohol was defined using WHO guidelines. Study duration was 5 months. Results: A total of 1411 individuals were recruited into the study. Males were 658 (46.6%) and females were 753 (53.4%). The overall prevalence of current use of alcohol was 66.7%;males 75.7% and females 58.8% (p Conclusion: There is a high prevalence of current alcohol use among urban slums in Enugu. Public health educational measures for reducing alcohol consumption should be encouraged. Efforts should be made to educate the populace on the need for abstinence.
