Important co-morbidity in patients with diabetes mellitus in three clinics in Western Kenya
OBJECTIVE: To determine the proportion of diabetes patients with a history of tuberculosis (TB), human immunodeficiency virus (HIV) infection and tobacco smoking.
DESIGN: A descriptive study using routinely collected data from patient records in the three diabetes clinics.
RESULTS: Of 1376 patients analyzed, 750 (55%) were female. The mean age of the patients in the clinics was 53.5 years (95%CI 52.2–54.8), with an average duration of diabetes of 8.1 years (95%CI 7.6–8.7). Of all patients, 5.6% reported a history of TB, similar to the frequency about 20 years earlier (1990) in Tanzania. Only 30% of the patients reported knowing their HIV status; 6% were HIV-positive. A history of tobacco smoking was reported by 3.8% of the patients.
CONCLUSION: The HIV epidemic does not seem to have significantly changed the relationship between TB and diabetes mellitus (DM) in this cohort of diabetes patients. The frequency of HIV and TB in this special population was comparable to that in the general population, and only a small proportion of patients reported a history of tobacco smoking.
Keywords: Kenya; diabetes mellitus; operational research; tuberculosis
Document Type: Research Article
Affiliations: 1: United States Agency for International Development–Academic Model Providing Access to Healthcare (USAID-AMPATH)/Moi Teaching and Referral Hospital, Eldoret, Kenya 2: United States Agency for International Development–Academic Model Providing Access to Healthcare (USAID-AMPATH)/Moi Teaching and Referral Hospital, Eldoret, Kenya; Purdue University College of Pharmacy, Indianapolis, Indiana, USA; and Moi University School of Medicine, Eldoret, Kenya 3: Purdue University College of Pharmacy, Indianapolis, Indiana, USA 4: Kitale District Hospital, Kitale, Kenya 5: Moi University School of Medicine, Eldoret, Kenya; and Webuye District Hospital, Webuye, Kenya 6: Alpert Medical School at Brown University, Providence, Rhode Island, USA 7: Moi University School of Medicine, Eldoret, Kenya 8: International Union Against Tuberculosis and Lung Disease, Paris, France 9: Operational Research Unit, Médecins Sans Frontières (MSF), Operational Centre Brussels, MSF–Luxembourg, Luxembourg 10: Moi University School of Medicine, Eldoret, Kenya; and Alpert Medical School at Brown University, Providence, Rhode Island, USA
Publication date: 21 December 2012
Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.
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