Prevalence and awareness of diabetes in Guinea: findings from a WHO STEPS

  • Naby M Balde University Hospital and Ministry of Public Health
  • Alioune Camara University of Conakry
  • Alpha A Diallo Ministry of Public Health
  • Amadou Kake University Hospital
  • Alpha M Diallo University Hospital
  • Mandiou Diakite University Hospital
  • Cherif Bah Ministry of Plan
  • Moussa Kone World Health Organization
Keywords: Diabetes, epidemiology, Guinea

Abstract

Aims: The aim of the present study was to determine the prevalence of diabetes, and to assess its awareness and related risk factors among adult Guineans. Methods: A population-based cross-sectional survey was conducted on 1 100 adults (46.6% women) aged 35–64 years from Lower Guinea, during September to December 2009, using the WHO STEPwise approach of surveillance of chronic disease risk factors. Data were collected in three steps: demographic and behavioural risk factors, blood pressure and anthropometric measurements, and fasting blood cholesterol and glucose testing. A multi-stage cluster sample design was applied to generate nationwide representative data. Results: The mean age of all participants was 47.3 years (SD 8.8), similarly in Conakry, rural Lower Guinea and urban Lower Guinea. The prevalence of diabetes was 5.7% (95% CI 4.0–8.1). Among participants with diabetes, only 44.0% were aware of their status. In multivariable logistic regression analysis, determinants of diabetes prevalence were urban residency, male sex, age group 45–64 years, increased waist circumference, hypertension and hypercholesterolemia. Male sex, rural residency, age group 45–54 years, no formal education, waist circumference, hypertension and hypercholesterolemia were independent predictors of screen-detected diabetes. Conclusion: The present study found a high prevalence and low awareness of diabetes, suggesting the need for appropriate actions to strengthen primary healthcare approaches towards non-communicable diseases in Guinea. (Full text available online at www.medpharm.tandfonline.com/oemd) Journal of Endocrinology, Metabolism and Diabetes of South Africa 2017; DOI: 10.1080/16089677.2017.1366091

Author Biographies

Naby M Balde, University Hospital and Ministry of Public Health
Department of Endocrinology University Hospital; and National Program for the Prevention and Control of Non-Communicable Diseases Ministry of Public Health Conakry Guinea
Alioune Camara, University of Conakry
Department of Public Health Faculty of Medicine University of Conakry Guinea
Alpha A Diallo, Ministry of Public Health
National Program for the Prevention and Control of Non-Communicable Diseases Ministry of Public Health Conakry
Amadou Kake, University Hospital
Department of Endocrinology University Hospital Conakry
Alpha M Diallo, University Hospital
Department of Endocrinology University Hospital Conakry
Mandiou Diakite, University Hospital
Central Laboratory University Hospital Conakry
Cherif Bah, Ministry of Plan
National Directorate of Statistics Ministry of Plan Conakry
Moussa Kone, World Health Organization
World Health Organization Country Office Conakry
Published
2017-12-04
Section
Research Articles