FACTORS ASSOCIATED WITH BLINDNESS AMONG DIABETIC PATIENTS ATTENDING MITYANA GENERAL HOSPITAL. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.51168/sjhrafrica.v5i12.1442Keywords:
Diabetes-related Blindness, Diabetic patients, Mityana General HospitalAbstract
Background.
Diabetes is on the rise as it is no longer a disease of predominantly rich nations. Diabetic-associated eye disease is steadily increasing everywhere, most markedly in the world’s middle-income countries including Uganda. This study assessed the factors associated with blindness among diabetic patients attending Mityana General Hospital.
Methodology.
A descriptive cross-sectional study design was adopted using a quantitative method of data collection. The study was conducted in Mityana district at Mityana General Hospital, data was collected using a structured questionnaire among 80 respondents. A probability sampling technique was used.
Results.
39 (48%) respondents were between the ages of 41 and 60, and 48 (60%) were females only. Salary was a major economic factor, and 42(52%) of the respondents earned less than UGX 100,000. 46 (57%) of the respondents were farmers by occupation. Physical inactivity was a serious lifestyle factor discussed, with 28 (35%) respondents rarely engaging in physical activities and only 13 (16%) engaging in daily physical activity.
Conclusions.
Females were most affected by blindness due to diabetic eye disease and most of the respondents are of ages 41-60 years and many are farmers by occupation. In addition, the results agreed that the highest percentage rarely engaged in physical activity.
Recommendations.
The government, through the Ministry of Health, should fund free screening of diabetic patients for diabetic-related eye complications, especially from their communities through outreaches. In addition, sensitization and education on lifestyle modification and behavior can end blindness due to diabetic-related eye disease.
References
Ababa, A. (2014). Federal Democratic Republic of Ethiopia central statistical agency population projection of Ethiopia for all regions at Will beda level from 2014-2017. Addis Ababa: Central Statistical Agency.
Alcubierre, N., Navarrete-Muñoz, E.M., Rubinat, E., Falguera, M., Valls, J., Traveset, A., Vilanova, M.B., Marsal, J.R., Hernández, M., Granado-Casas, M., Martinez-Gonzalez, D., Jurjo, C., Franch-Nadal, J., Vioque, J., & Mauricio, D. (2016). Association of low oleic acid intake with diabetic retinopathy in type 2 diabetic patients: a case-control study. Nutrition & Metabolism, 1 https://doi.org/10.1186/s12986-016-0099-5
Alramadan, M. J., Magliano, D. J., Almigbal, T. H., Batais, M. A., Afroz, A., Alramadhan, H. J., Mahfoud, W. F., Alragas, A. M., & Billah, B. (2018). Glycemic control for people with type 2 diabetes in Saudi Arabia - an urgent need for a review of the management plan. BMC Endocrine Disorders, 18, [62] https://doi.org/10.1186/s12902-018-0292-9
Al-Rasheedi A. A. (2015). Glycemic Control among Patients with Type 2 Diabetes Mellitus in Countries of Arabic Gulf. International journal of health sciences, 9(3), 345-350. https://doi.org/10.12816/0024701
Ayele, A. A., Emiru, Y. K., Tiruneh, S. A., Ayele, B. A., Gebremariam, A. D., & Tegegn, H. G. (2018). Level of adherence to dietary recommendations and barriers among type 2 diabetic patients: a cross-sectional study in an Ethiopian hospital. Clinical diabetes and endocrinology. https://doi.org/10.1186/s40842-018-0070-7
Bagonza W, Rutebemberwa J & Bazeyo E, (2015) Adherence of anti-diabetic medications among patients with diabetes in Eastern Uganda. WHO. https://doi.org/10.1186/s12913-015-0820-5
Dow, C., Balkau, B., Bonnet, F., Mancini, F., Rajaobelina, K., Shaw, J., Magliano, D. J., & Fagherazzi, G. (2019). Strong adherence to dietary and lifestyle recommendations is associated with decreased type 2 diabetes risk in the AusDiab cohort study. Preventive Medicine, 123, 208-216. https://doi.org/10.1016/j.ypmed.2019.03.0063 https://doi.org/10.1016/j.ypmed.2019.03.006
Karim, M. N., Ahmed, K. R., Bukht, M. S., Akter, J., Chowdhury, H. A., Hossain, S., Anwar, N., Selim, S., Chowdhury, S. H., Hassan, F., & Ali, L. (2013). Pattern and predictors of dyslipidemia in patients with type 2 diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 7(2), 95-100. https://doi.org/10.1016/j.dsx.2013.02.011
Kovarski C, Faucher C, Orssaud C, Carlu C, Portalier S. Effect of Visual Impairments on Academic Performance. Vis Impact Inst. 2015; https://visionimpactinstitute.org/wp-content/uploads/2015/04/effectof-visual-impairments-on-academic-performance
Maseko, S.N., van Staden, D.B., & Mhlongo, E.M. (2021). The Rising Burden of Diabetes-Related Blindness: A Case for Integration of Primary Eye Care into Primary Health Care in Eswatini. Healthcare, 9. https://doi.org/10.3390/healthcare9070835
Noureddine, H., Nakhoul, N., Galal, A., Soubra, L., & Saleh, M. (2014). Level of A1C control and its predictors among Lebanese type 2 diabetic patients. Therapeutic Advances in Endocrinology and Metabolism, 5, 43 - 52. https://doi.org/10.1177/2042018814544890
Orji, A.C., Rani, P.K., Narayanan, R., Sahoo, N.K., & Das, T. (2021). The economic burden of diabetic retinopathy care at a tertiary eye care center in South India. Indian Journal of Ophthalmology, 69, 666 - 670. https://doi.org/10.4103/ijo.IJO_1538_20
Pavlova, M., Chola, L., Hongoro, C., & Groot, W. (2018). Cost of diabetes mellitus in Africa: a systematic review of existing literature. Globalization and Health, 14. https://doi.org/10.1186/s12992-017-0318-5
Preguica, I., Alves, A., Nunes, S., Fernandes, R., Gomes, P., Viana, S.D., & Reis, F. (2020). Diet‐induced rodent models of obesity‐related metabolic disorders a guide to a translational perspective. Obesity Reviews, 21. https://doi.org/10.1111/obr.13081
Tetteh, J., Fordjour, G., Ekem-Ferguson, G., Yawson, A. O., Boima, V., Entsuah-Mensah, K., Biritwum, R., Essuman, A., Mensah, G., & Yawson, A. E. (2020). Visual impairment and social isolation, depression and life satisfaction among older adults in Ghana: analysis of the WHO's Study on global aging and adult health (SAGE) Wave 2. BMJ open ophthalmology, 5(1), e000492. https://doi.org/10.1136/bmjophth-2020-000492. https://doi.org/10.1136/bmjophth-2020-000492
Ulldemolins, A.R., Lansingh, V.C., Valencia, L.G., Carter, M.J., & Eckert, K.A. (2014). Social inequalities in blindness and visual impairment: A review of social determinants. Indian Journal of Ophthalmology, 60, 368 - 375. https://doi.org/10.4103/0301-4738.100529
Zhang X., Low S., Kumari N., Wang J., Ang K., Yeo D., Yip C.C., Tavintharan S., Sum C.F., Lim S.C. (2017). Direct medical cost associated with diabetic retinopathy severity in type 2 diabetes in Singapore. PLOS ONE 12 (7): e0180949. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0180949
Zheng, Y., Lamoureux, E. L., Chiang, P. P., Rahman Anuar, A., & Wong, T. Y. (2014). Marital status and its relationship with the risk and pattern of visual impairment in a multi-ethnic Asian population. Journal of Public Health, 36(1), 104-110. https://doi.org/10.1093/pubmed/fdt044
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 ALEX KISITU, MICHAEL KABASA
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.