DIABETES MELLITUS AND ITS ASSOCIATED FACTORS AMONG ADULT TUBERCULOSIS PATIENTS ATTENDING TUBERCULOSIS CLINICS, DIRE DAWA TOWN, EASTERN ETHIOPIA

Abstract

Background: Diabetes mellitus and tuberculosis are remaining major public health problems worldwide especially in low-income countries like Ethiopia where there is incredible increase in Diabetes Mellitus magnitude and the highest burden of Tuberculosis. Despite the fact that Diabetes Mellitus impairs immunity and leads to infectious diseases such as Tuberculosis, the global importance of Diabetes Mellitus as a Tuberculosis-risk factor is still not well known. Moreover, large scale screening of Diabetes Mellitus in Tuberculosis patients has not been launched yet. Objective: The objective of this study was to determine the prevalence of Diabetes mellitus and its associated factors among adult Tuberculosis patients attending Tuberculosis clinics in health facilities of Dire Dawa town from March 10 to April 15 2017. Methodology: Health Facility based cross sectional study was conducted among 421 Tuberculosis patients in all health facilities of Dire-Dawa administrational council. Data was xiv collected using structured questionnaire in all Tuberculosis clinics. Anthropometric data assessment (height, weight) and Fasting blood sugar were done for all participants. Data was entered and analyzed using SPSS statistical software version 22. Bivariate and Multi variable logistic regression analysis was performed to identify factors associated with Diabetes Mellitus. Odds ratio along with 95% CI was used to measure the strength of the association. Level of statistical significance declared at p-value less than 0.05. Result: The prevalence of Diabetes Mellitus in this study was 13.5%. Age 26-40[(AOR=6, 95% CI:(1.28,27.5)] Age ≥41[(AOR = 9, 95% CI: (1.9, 44.4)] and family history of diabetes [(AOR = 3.14, 95% CI: (1.23, 8.02)] were found to have statistically significant association with Diabetes mellitus. Conclusion: This study found that the magnitude of Diabetes mellitus among TB patients was higher than the national estimated prevalence of Diabetes mellitus in Ethiopia. This study suggests the need for screening each TB patient for Diabetes