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Prevalence of Poor Diabetes Self-Management Behaviors Among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis Publisher Pubmed



Habebo TT1, 2, 3 ; Pooyan EJ2 ; Mosadeghrad AM2 ; Babore GO4 ; Dessu BK5
Authors
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Authors Affiliations
  1. 1. Tehran University of Medical Sciences, international campus (TUMS-IC), Tehran, Iran
  2. 2. School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  3. 3. Kembata Tembaro zone Health department, Ethiopia
  4. 4. Department of nursing, college of medicine and health sciences, Wachemo University, Ethiopia
  5. 5. Department of anesthesia, college of health sciences and medicine, Wolaita Sodo University, Ethiopia

Source: Ethiopian journal of health sciences Published:2020


Abstract

Background: Diabetes has no cure so far, but appropriate self-management contributes to delay or control its progression. However, poor self-management by diabetic patients adds to disease burden. The pooled prevalence of overall, and its main components of poor self-management among Ethiopian diabetic patients remain elusive. Hence, this study aimed to determine the prevalence of poor diabetes self-management behaviors among diabetic patients in Ethiopia. Method: by using different combinations of search terms, we accessed articles done until February 15, 2020 through Pubmed, Scopus, Web of Science and Embase databases. Newcastle-Ottawa quality assessment scale was used for quality assessment, and STATA version 14 software along with the random-effects model was employed for statistical analyses. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA.) guideline was followed to report the results. Result: Twenty-one studies with 7,168 participants were included in this meta-analysis. The overall pooled prevalence of poor self-management behavior among diabetic patients in Ethiopia was 49.79% (95% CI: 43.58%, 56.01%). Based on subgroup analysis, the estimated magnitudes of poor self-management by regions were 68.58% in Tigray, 55.46% in Harari, 54.74%, in Amhara, 40.90%, in SNNPRS and 37.06% in Addis Ababa. The worst (80.91%) and relatively better (24.65%) self-management components were observed on self-blood glucose monitoring and medication adherence, respectively. Conclusion: One in two diabetic patients in Ethiopia had poor self-management. Thus, we strongly recommend to the ministry of health and universities to train diabetes health educators, and the health facilities to deliver tailored diabetes health education. Copyright: © 2020 Teshome Tesfaye Habebo, et al.