PMID- 33881328
OWN - NLM
STAT- MEDLINE
DCOM- 20211208
LR  - 20211214
IS  - 2078-6204 (Electronic)
IS  - 2078-6190 (Print)
IS  - 2078-6190 (Linking)
VI  - 63
IP  - 1
DP  - 2021 Apr 20
TI  - Demographic stratification of Type 2 diabetes and comorbidities in district 
      healthcare in KwaZulu-Natal.
PG  - e1-e9
LID - 10.4102/safp.v63i1.5218 [doi]
LID - 5218
AB  - BACKGROUND: Diabetes has been reported as the second leading cause of death and 
      the top leading cause of death amongst women in South Africa; it is important to 
      evaluate any epidemiological or demographic transition related to diabetes. This 
      study evaluated the demographically stratified prevalence of type 2 diabetes 
      mellitus (T2DM) and existing comorbidities amongst an outpatient population in a 
      district healthcare facility in Kwazulu-Natal (KZN). METHODS: This retrospective 
      cross-sectional study was conducted at a district hospital, and a retrospective 
      record review of all outpatients who reported to the hospital to be treated for 
      T2DM between the period, August 2018-January 2019, was used. Data, such as age, 
      sex, ethnicity and any coexisting morbidity, were collected from outpatient 
      hospital registers and electronically captured using a record review tool. 
      RESULTS: There were significantly more female patients (3072) compared to male 
      patients (1050) (p 0.001) with a mean age of 59.21 years. Hypertension (77.9%) 
      and cardiovascular problems (11.16%) were most frequent. Approximately 84% of 
      women presented with T2DM and either one or two morbidities simultaneously. 
      Female patients were at significantly higher risk of presenting with hypertension 
      (odds ratio [OR] = 1.44, 95% confidence interval [CI]: 1.20;1.71), whilst their 
      risk for cardiovascular problems was significantly lower compared to male 
      patients (OR = 0.67, 95% CI: 0.54;0.83). CONCLUSION: The prevalence of T2DM and 
      comorbidities differed by demographic factors, such as sex, ethnicity and age. 
      There is a need for flexible and adaptive approaches for the prevention and 
      management of T2DM cases in order to allocate medical resources efficiently and 
      according to the true burden of disease because of T2DM complications.
FAU - Chetty, Lauren
AU  - Chetty L
AD  - Department of Community Health Studies, Faculty of Health Sciences, Durban 
      University of Technology, Durban. laurenchetty04@gmail.com.
FAU - Govender, Nalini
AU  - Govender N
FAU - Govender, Ganesan M
AU  - Govender GM
FAU - Reddy, Poovendhree
AU  - Reddy P
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210420
PL  - South Africa
TA  - S Afr Fam Pract (2004)
JT  - South African family practice : official journal of the South African Academy of 
      Family Practice/Primary Care
JID - 9701104
SB  - IM
MH  - Cross-Sectional Studies
MH  - Delivery of Health Care
MH  - *Diabetes Mellitus, Type 2/epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Retrospective Studies
MH  - South Africa/epidemiology
PMC - PMC8377998
OTO - NOTNLM
OT  - comorbidities
OT  - demographics
OT  - disease burden
OT  - epidemiology
OT  - healthcare
OT  - non-communicable diseases
OT  - prevalence
OT  - type 2 diabetes mellitus
COIS- The authors declare that they have no financial or personal relationships that 
      may have inappropriately influenced them in writing this article.
EDAT- 2021/04/22 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/04/20
CRDT- 2021/04/21 12:10
PHST- 2020/08/30 00:00 [received]
PHST- 2020/12/20 00:00 [accepted]
PHST- 2020/12/17 00:00 [revised]
PHST- 2021/04/21 12:10 [entrez]
PHST- 2021/04/22 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/04/20 00:00 [pmc-release]
AID - SAFP-63-5218 [pii]
AID - 10.4102/safp.v63i1.5218 [doi]
PST - epublish
SO  - S Afr Fam Pract (2004). 2021 Apr 20;63(1):e1-e9. doi: 10.4102/safp.v63i1.5218.