Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana

Godfrey Mutashambara Rwegerera, Thato Moshomo, Marea Gaenamong, Taibat Aderonke Oyewo, Sivasomnath Gollakota, Yordanka Piña Rivera, Anthony Masaka, Brian Godman, Meshack Shimwela, Dereje Habte

Research output: Contribution to journalArticle

Abstract

Background: Health-related quality of life (HRQOL) is an important aspect of diabetes mellitus care. The objective of the study was to determine the HRQOL of diabetes mellitus (DM) patients in Botswana as little known in Africa. Materials and methods: A cross-sectional study of 380 randomly selected DM patients in a tertiary clinic in Gaborone, Botswana was conducted to obtain Data on HRQOL and structured questionnaire was used to collect information on sociodemographic and clinical characteristics. Multivariate logistic regression to determine sociodemographic and clinical characteristics associated. Results: Majority of patients were female with no formal education or primary level of education. Mean HbA1c was 7.97% (SD: 2.02) and most patients had poor glycemic control. The majority had both worse physical composite score (PCS-12) and mental composite score (MCS-12), with worse proportions of the two. Female gender, older age ≥ 65 years, and the presence of three or more documented diabetic complications were associated with significant worse PCS-12. Presence of two diabetic complications, three or more diabetic complications, and musculoskeletal disease were associated with significant MCS-12. Conclusions: Diabetic patients in Botswana have relatively poor HRQOL. The fact that most patients present late with complications calls for policy attention to diagnose diabetes mellitus early and prevent associated complications, ultimately improving health-related quality of life among diabetes mellitus patients.
LanguageEnglish
Pages111-118
Number of pages8
JournalAlexandria Journal of Medicine
Volume54
Issue number2
Early online date9 Jun 2017
DOIs
StatePublished - 30 Jun 2018

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Botswana
Diabetes Mellitus
Quality of Life
Diabetes Complications
Musculoskeletal Diseases
Education
Cross-Sectional Studies
Logistic Models

Keywords

  • Botswana
  • diabetes mellitus
  • quality of life
  • musculoskeletal disease

Cite this

Rwegerera, G. M., Moshomo, T., Gaenamong, M., Oyewo, T. A., Gollakota, S., Rivera, Y. P., ... Habte, D. (2018). Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana. Alexandria Journal of Medicine, 54(2), 111-118. DOI: 10.1016/j.ajme.2017.05.010
Rwegerera, Godfrey Mutashambara ; Moshomo, Thato ; Gaenamong, Marea ; Oyewo, Taibat Aderonke ; Gollakota, Sivasomnath ; Rivera, Yordanka Piña ; Masaka, Anthony ; Godman, Brian ; Shimwela, Meshack ; Habte, Dereje. / Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana. In: Alexandria Journal of Medicine. 2018 ; Vol. 54, No. 2. pp. 111-118
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Rwegerera, GM, Moshomo, T, Gaenamong, M, Oyewo, TA, Gollakota, S, Rivera, YP, Masaka, A, Godman, B, Shimwela, M & Habte, D 2018, 'Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana' Alexandria Journal of Medicine, vol. 54, no. 2, pp. 111-118. DOI: 10.1016/j.ajme.2017.05.010

Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana. / Rwegerera, Godfrey Mutashambara; Moshomo, Thato; Gaenamong, Marea; Oyewo, Taibat Aderonke; Gollakota, Sivasomnath; Rivera, Yordanka Piña; Masaka, Anthony; Godman, Brian; Shimwela, Meshack; Habte, Dereje.

In: Alexandria Journal of Medicine, Vol. 54, No. 2, 30.06.2018, p. 111-118.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana

AU - Rwegerera,Godfrey Mutashambara

AU - Moshomo,Thato

AU - Gaenamong,Marea

AU - Oyewo,Taibat Aderonke

AU - Gollakota,Sivasomnath

AU - Rivera,Yordanka Piña

AU - Masaka,Anthony

AU - Godman,Brian

AU - Shimwela,Meshack

AU - Habte,Dereje

PY - 2018/6/30

Y1 - 2018/6/30

N2 - Background: Health-related quality of life (HRQOL) is an important aspect of diabetes mellitus care. The objective of the study was to determine the HRQOL of diabetes mellitus (DM) patients in Botswana as little known in Africa. Materials and methods: A cross-sectional study of 380 randomly selected DM patients in a tertiary clinic in Gaborone, Botswana was conducted to obtain Data on HRQOL and structured questionnaire was used to collect information on sociodemographic and clinical characteristics. Multivariate logistic regression to determine sociodemographic and clinical characteristics associated. Results: Majority of patients were female with no formal education or primary level of education. Mean HbA1c was 7.97% (SD: 2.02) and most patients had poor glycemic control. The majority had both worse physical composite score (PCS-12) and mental composite score (MCS-12), with worse proportions of the two. Female gender, older age ≥ 65 years, and the presence of three or more documented diabetic complications were associated with significant worse PCS-12. Presence of two diabetic complications, three or more diabetic complications, and musculoskeletal disease were associated with significant MCS-12. Conclusions: Diabetic patients in Botswana have relatively poor HRQOL. The fact that most patients present late with complications calls for policy attention to diagnose diabetes mellitus early and prevent associated complications, ultimately improving health-related quality of life among diabetes mellitus patients.

AB - Background: Health-related quality of life (HRQOL) is an important aspect of diabetes mellitus care. The objective of the study was to determine the HRQOL of diabetes mellitus (DM) patients in Botswana as little known in Africa. Materials and methods: A cross-sectional study of 380 randomly selected DM patients in a tertiary clinic in Gaborone, Botswana was conducted to obtain Data on HRQOL and structured questionnaire was used to collect information on sociodemographic and clinical characteristics. Multivariate logistic regression to determine sociodemographic and clinical characteristics associated. Results: Majority of patients were female with no formal education or primary level of education. Mean HbA1c was 7.97% (SD: 2.02) and most patients had poor glycemic control. The majority had both worse physical composite score (PCS-12) and mental composite score (MCS-12), with worse proportions of the two. Female gender, older age ≥ 65 years, and the presence of three or more documented diabetic complications were associated with significant worse PCS-12. Presence of two diabetic complications, three or more diabetic complications, and musculoskeletal disease were associated with significant MCS-12. Conclusions: Diabetic patients in Botswana have relatively poor HRQOL. The fact that most patients present late with complications calls for policy attention to diagnose diabetes mellitus early and prevent associated complications, ultimately improving health-related quality of life among diabetes mellitus patients.

KW - Botswana

KW - diabetes mellitus

KW - quality of life

KW - musculoskeletal disease

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JO - Alexandria Journal of Medicine

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Rwegerera GM, Moshomo T, Gaenamong M, Oyewo TA, Gollakota S, Rivera YP et al. Health-related quality of life and associated factors among patients with diabetes mellitus in Botswana. Alexandria Journal of Medicine. 2018 Jun 30;54(2):111-118. Available from, DOI: 10.1016/j.ajme.2017.05.010