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Prevalence and Associated Factors of Diabetes Mellitus in Benin

Open Journal of Epidemiology 2015年第3期5卷 163-171页

作者： Alphonse Kpozehouen Francois Djrolo Charles J.Sossa Akpa R.Gbary Yessito Chouehanou dieudonné fambo Yessouf Tchabi Roger Salamon Dismand S. Houinato Assistant Professor Biostatistics/Epidemiology Institut Régional de Santé Publique Route des Esclaves Université d'Abomey-Calavi Ouidah Bénin Professor of Diabetology Faculty of Health Sciences Cotonou Benin Assistant Professor Nutrition/Public Health Institut Régional de Santé Publique Route des Esclaves Université d'Abomey-Calavi Ouidah Bénin Associate Professor of Epidemiology/Public Health Institut Régional de Santé Publique Route des Esclaves Université d'Abomey-Calavi Ouidah Bénin Programme National de Lutte contre les Maladies non Transmissibles Ministère de la Santé Cotonou Bénin Professor of Epidemiology ISPED Université de Bordeaux 2 Bordeaux France Professor of Neurology and Epidemiology Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN) Faculty of Health Sciences Cotonou and National Program for Non-communicable Diseases Control Ministry of Health Cotonou Benin

Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-sectional survey, using the World Health Organisation (WHO)’s instrument for stepwise surveillance (STEPS) of non-communicable diseases risk factors. A five-stage random sample of 25 to 64 years old male and female adults living in Benin participated in structured interviews and their size, weight and blood pressure were measured according to standardized procedures. Glycaemia was measured using ACCUTREND? test strips for capillary blood glucose. Prevalence and means were computed with their 95% confidence interval and standard error respectively, taking into account the sampling design. Prevalence was compared by Khi2 and means by Student’s t test. Univariate and multivariate logistic regressions were performed to identify socio-demographic diabetes’s risk factors. Results: A total of 3772 adults participated in the study. The average age of respondents was 44.2 years. Overall, 68.3% of subjects were illiterate, 82.4% lived in rural areas, 82.57% were self-employed, 20% overweight, 7.51% obese and the prevalence of hypertension was 29.5 p.100. The prevalence of diabetes mellitus was 1.4 p.100 [CI95% = (0.94:2.05)]. This prevalence was higher in men than in women (2.1% vs. 0.8%, p = 0.0031). This prevalence was higher in urban areas than in rural areas. The Littoral department had the highest prevalence (3.4%), followed by the Collines department (2.7%), Donga (2.4%) and Borgou (2.3%). As many as 49.3% of subjects diagnosed with diabetes mellitus were not aware of their status. The age group of 56 - 64 years had the highest risk [OR = 6.6, IC95% = (1.6;22.4)]. The risk of diabetes was higher in people living in urban areas than in people living in rural areas [OR = 3.04 CI95% = (1.6;6.0)]. After controlling for confounding factors, risk factors of diabet

关键词： Prevalence Risk Factors Diabetes Mellitus Benin

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Women Breast Cancer: Knowledge, Attitudes, Practices and Factors Associated with Early Screening in the Municipality of Abomey-Calavi in Benin in 2018

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Open Journal of Epidemiology 2024年第1期14卷 131-156页

作者： Stéphane Arold Bidossessi Senahoun Nicolas Hamondji Amegan Mahougnon Hugues Serge Dohou Hermann Comlanvi Agbedjinou Lucresse Corine Fassinou Tècle Edwige Korogone Armand Ibikounle dieudonné fambo Joël Gamêlé Mikponhoué Christiane Tshabu Aguemon Ecole Doctorale des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Ecole de Santé Publique de l’Université de Montréal Québec Canada Unité de Formation et de Recherche en Médecine Cardiovasculaire Faculté de Médecine de l’Université de Parakou Parakou Bénin Ecole de Santé Publique Université Libre de Bruxelles Bruxelles Belgique Ecole Nationale des Techniciens Supérieurs en Santé Publique et en Surveillance Epidémiologique Université de Parakou Parakou Bénin Faculté des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin

Background: Breast cancer is the dominant cancer in women in both developed and developing countries. The objective of this study was to assess the knowledge, attitudes, practices and factors associated with early breast cancer screening among women in the Municipality of Abomey-Calavi in Benin. Methods: This was a cross-sectional, descriptive, analytical study with prospective data collection from October 1 to 8, 2018, involving 1740 women in the Municipality of Abomey-Calavi, aged 18 years or older and selected by WHO four-stage random cluster sampling. Consenting women who were mentally competent, 18 years of age or older at the time of the survey, and residing continuously in the Municipality of Abomey-Calavi for the last six months prior to the survey were included. On the other hand, women who belonged to a breast cancer prevention service, women in whom secondary screening was noted, or non-consenting women were not included. The initial minimum size was estimated by the Schwartz formula with a cluster effect of k = 2. Information was collected by questionnaire survey, entered with Epidata 3.1. Fr and analyzed with R Studio 3.5.1. software. Results: The mean age of the women surveyed was 32.0 ± 11.5 years with a range of 18 and 71 years. Regarding knowledge, the clinical manifestation known by the majority of women was the presence of a nodule (68.50%). In the series, 1308 (75.17%) declared having heard about breast cancer once before, either on the radio, television or from friends and 726 (55.50%) had heard about breast cancer screening. Five hundred and twelve (70.52%) of the 726 who had heard of breast cancer said they knew that breast cancer could be screened earlier. Breast self-examination was the most cited screening method (67.58%). The disease is of natural origin according to 37.84% of them. Regarding attitudes and practices, the prevalence of early breast cancer screening was 12.93%, of which 11.67% declared that they had checked themselves to kno

关键词： Breast Cancer Early Screening Knowledge Practices Attitudes Associated Factors

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