Prevalence of Anemia and Associated Factors among Type Two Adult Diabetic Mellitus Patients Attending Ambo Town Government Hospitals in West Shewa, Ethiopia.
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Date
2021-08
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Addis Abeba University
Abstract
Background: Anemia is the most common blood disorder and common complications of
Diabetes mellitus. It is also a global public health problem affecting both developing and
developed countries with major consequences for human health, social and economic
development. In Ethiopia, chronic illnesses are tremendously rising with their complications, but
very little research has been conducted, particularly on anemia among type two diabetic Mellitus
patients. Therefore, this study aimed at assessing the prevalence of anemia and associated factors
among type 2 Adult diabetic mellitus patients attending Ambo town government hospitals in
west shewa, Ethiopia.
Method: A Hospital-based cross-sectional study was conducted on type two Adult diabetic
Mellitus patients for a routine checkup from September - October 2020 at Ambo town
government hospitals by using a simple random sampling technique. Data were collected by
face-to-face interviews, administered questionnaires, and other biological samples such as blood
and urine from 356 patients. Data was entered to EPI-info and exported to the SPSS software
package for further analysis, bivariate and multivariate logistic regression models were fitted;
crude odds ratio and adjusted odds ratio with 95% confidence interval were computed. In all
cases, P-value less than 0.05 is taken as statistically significant.
Results: The study showed that 27.5 % of participants were anemic. Out of anemic type two
diabetic Mellitus patients, 92 (92.9%) and 7 (7.1%) had mild and moderate anemia, respectively.
Having nephropathy (AOR = 6.2, CI: 1.82, 21.16), being male (AOR = 4.32, CI: 1.09, 517.03),
duration of diabetes for 5 years and greater (AOR = 4.42, CI: 1.27, 15.45) and having high serum
creatinine (AOR=10.07, CI: 2.89, 35.2) were all significantly associated with anemia.
Conclusion and Recommendation: The magnitude of anemia was 27.5% among type two
diabetic Mellitus patients in the study area. Therefore, routine screening of anemia for all type
two diabetic Mellitus patients aiding in early identification and improved management of
diabetes will lead to improved quality of life in this patient population.
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Keywords
Anemia, Diabetes, Renal Disease