Diabetes mellitus and its association with hypertension in Ethiopia: a systematic review and meta-analysis

Tesfaye, Bekele and Alebel, Animut and Gebrie, Alemu and Zegeye, Abriham and Leshargie, Cheru Tesema and Ferede, Aster and Abera, Habtamu and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 (2019) Diabetes mellitus and its association with hypertension in Ethiopia: a systematic review and meta-analysis. Diabetes Research and Clinical Practice, 156:107838. pp. 1-12. ISSN 0168-8227


Background: Diabetes mellitus (DM) is a growing public health concern globally, including Ethiopia. Although numerous studies have been published from different parts of Ethiopia, no attempt is made so far to estimate the burden of DM at the national level. This study aims to estimate the pooled prevalence of DM and its association with hypertension in Ethiopia.

Methods: A systematic search was conducted in major databases. Two authors extracted the necessary data and analysis was conducted using STATA version 14. Heterogeneity across the studies was evaluated by Cochran’s Q test and I2 statistics.

Results: Eighteen studies with a total of 45,284 participants were included in this review. The pooled prevalence of DM was 4.99% (95% CI: 3.86%, 6.11%). Hypertension was significantly associated with DM (OR: 8.32; 95% CI: 3.05, 22.71).

Conclusion: The burden of DM in Ethiopia is considerable, and the association between diabetes and hypertension is significant. Based on the evidence, this review recommends establishing the coordinated national programs that counteract the increasing burden of DM in the country is very essential. In addition, early hypertension screening should be done in diabetic patients to control co-morbidity and further complications.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Faculty of Business, Education, Law and Arts - School of Commerce (1 Jul 2013 - 17 Jan 2021)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 26 Nov 2019 04:28
Last Modified: 02 Jun 2021 03:41
Uncontrolled Keywords: Diabetes mellitus; Ethiopia; Hypertension; Meta analysis; Systematic review
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
Fields of Research (2020): 42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
38 ECONOMICS > 3801 Applied economics > 380108 Health economics
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: https://doi.org/10.1016/j.diabres.2019.107838
URI: http://eprints.usq.edu.au/id/eprint/37358

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