TY - JOUR
T1 - Diabetes and Its Treatment Quality in Benin (West Africa):
T2 - Analysis of Data from the STEPS Survey 2015
AU - Dramé, Mohamed Lamine
AU - Mizéhoun-Adissoda, Carmelle
AU - Amidou, Salimanou
AU - Sogbohossou, Paulin
AU - Paré, René
AU - Ekambi, Armand
AU - Houehanou, Corine
AU - Houinato, Dismand
AU - Gyselinck, Karel
AU - Marx, Michael
AU - Martins, MR
AU - Ferrinho, P
PY - 2018/11/28
Y1 - 2018/11/28
N2 - Aims: Diabetes is a major public health problem in low and middle-income
countries. This study 1) estimated prevalence and factors associated with
hyperglycemia in Benin, and 2) assessed the treatment quality of diabetes.
Methodology: A cross-sectional research was conducted with two components. The First component has included 4954 subjects aged (18 - 69) randomly selected in Mono/Couffo and Donga regions. Data were collected according to WHO’s STEPS approach. Capillary blood glucose was measured
using the automat Cardiocheck PA. The Second component considered
Public Health Centers (PHCs) within the study regions. Health system established for diabetes control, healthcare practices and the level of involvement
of the Public Healthcare Providers and community actors in the management
of diabetes have been explored. Findings: A total of 4775 subjects participated in the first component with a predominance of women (56.8%), rural
residence and aged (<45 years). Prevalence of hyperglycemia was 9.2%. Age ≥
30 years, Fon ethnic groups and related, obesity, hypercholesterolemia, and
inadequate intake of fruits and vegetables were positively associated with
hyperglycemia. The second component has underscored a mismatch of facilities, processes and quality healthcare. Conclusion: Diabetes prevalence goes
increasingly in Benin when its management is inadequate in PHCs. Prevention and control actions should be strengthened
AB - Aims: Diabetes is a major public health problem in low and middle-income
countries. This study 1) estimated prevalence and factors associated with
hyperglycemia in Benin, and 2) assessed the treatment quality of diabetes.
Methodology: A cross-sectional research was conducted with two components. The First component has included 4954 subjects aged (18 - 69) randomly selected in Mono/Couffo and Donga regions. Data were collected according to WHO’s STEPS approach. Capillary blood glucose was measured
using the automat Cardiocheck PA. The Second component considered
Public Health Centers (PHCs) within the study regions. Health system established for diabetes control, healthcare practices and the level of involvement
of the Public Healthcare Providers and community actors in the management
of diabetes have been explored. Findings: A total of 4775 subjects participated in the first component with a predominance of women (56.8%), rural
residence and aged (<45 years). Prevalence of hyperglycemia was 9.2%. Age ≥
30 years, Fon ethnic groups and related, obesity, hypercholesterolemia, and
inadequate intake of fruits and vegetables were positively associated with
hyperglycemia. The second component has underscored a mismatch of facilities, processes and quality healthcare. Conclusion: Diabetes prevalence goes
increasingly in Benin when its management is inadequate in PHCs. Prevention and control actions should be strengthened
KW - Diabetes
KW - Determinants
KW - Treatment
KW - Benin
U2 - 10.4236/ojepi.2018.84019
DO - 10.4236/ojepi.2018.84019
M3 - Article
SN - 2165-7467
VL - 8
SP - 242
EP - 258
JO - Open Journal of Epidemiology
JF - Open Journal of Epidemiology
IS - 4
ER -
