Association between multimorbidity and blood glucose control among patients with type 2 diabetes mellitus at selected Health Centers, Addis Ababa, Ethiopia, 2024: Unmatched case-control study
| dc.contributor.advisor | Ali,Ahmed (PhD) | |
| dc.contributor.advisor | Seid, Yimer(MPH, PhDc) | |
| dc.contributor.author | Tegen,Ephrata | |
| dc.date.accessioned | 2025-08-13T07:42:41Z | |
| dc.date.available | 2025-08-13T07:42:41Z | |
| dc.date.issued | 2024-06 | |
| dc.description.abstract | Background- Uncontrolled blood glucose level is an important public health concern due to the development of diabetic-related complications and death. Multi-morbidity is considerably more common in type 2 diabetes patients, and it can have a substantial effect on blood glucose control. However, despite a high prevalence of multimorbidity reported in Addis Ababa, its association with blood glucose control was not well studied in this study area. Objective- To assess the association between multi-morbidity and blood glucose control among adult type 2 diabetes patients at selected health centers, Addis Ababa, Ethiopia, 2024. Methods- A facility-based unmatched case-control study was carried out from February 12 to March 31, 2024, using interviewer-administered structured questionnaires and medical records. A multi-stage sampling method was employed in the selection of study participants. Data were collected using KoboToolbox and exported to the Statistical Package for Social Science version 26.0 for analysis. Bivariable and Multi-variable logistic regressions were utilized to determine the association between multi-morbidity and blood glucose control and other determinant factors associated with uncontrolled blood glucose. Results- The response rate of the study participants was 98%. From the participants, 148(43.3%) had multi-morbidity, of which 92 (80.7%) had uncontrolled blood glucose control. The presence of multi-morbidity (AOR: 6.52, CI: 2.92-14.54) was significantly associated with uncontrolled blood glucose levels. Moreover, medication non-adherence (AOR: 2.42, CI: 1.03-5.71), using oral hypoglycemic agent alone (AOR: 0.11, CI: 0.01-0.82), having polypharmacy (AOR: 0.03, CI: 0.01-0.16), dietary non-compliance (AOR: 4.44, CI: 1.8-10.94) and alcohol consumption (AOR: 3.63, CI: 1.36-9.69) were determinants of uncontrolled blood glucose level. Conclusion: This study showed that significant number of patients with type 2 diabetes mellitus failed to control their blood glucose levels due to additional non-communicable chronic diseases they had. Therefore, need to consider comprehensive patient-centered approaches that take into account the complex care needs of those patients living with multi-morbidity. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6643 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Multi-morbidity | |
| dc.subject | Diabetes Mellitus | |
| dc.subject | blood glucose control | |
| dc.subject | Addis Ababa. | |
| dc.title | Association between multimorbidity and blood glucose control among patients with type 2 diabetes mellitus at selected Health Centers, Addis Ababa, Ethiopia, 2024: Unmatched case-control study | |
| dc.type | Thesis |