Richard Ayah|Mark D. Joshi|Rosemary Wanjiru|Elijah Kaharo Njau|CF Otieno|Enos H N Njeru|Kenneth Mutai
A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi, Kenya
University of Nairobi|University of Nairobi|University of Nairobi|University of Nairobi|University of Nairobi|University of Nairobi|University of Nairobi
urban slum populations africa continue grow faster national populations health strategies focus noncommunicable diseases ncd segment population generally lacking determined prevalence diabetes associated cardiovascular disease cvd risk factors correlates kibera nairobis largest slumwe conducted populationbased household survey utilising cluster sampling probability proportional size households selected using random walk method consenting residents aged 18 years recruited steps instrument administered random capillary blood sugar rcbs obtained known persons diabetes subjects rcbs 111 8 hours fasting blood sugar fbs drawn diabetes defined rcbs 111 mmoll fbs 70 mmoll prior diagnosis receiving diabetes drug treatmentout 2061 enrolled 509 males mean age 334 years 87 minimum primary education 106 ever blood sugar measurement age adjusted prevalence diabetes 53 95 ci 4264 prevalence increased age peaking 105 95 ci 68143 4554 year age category diabetes mellitus dm correlates 131 smoking 749 alcohol consumption 757 high level physical activity 163 obese 29 overweight higher rates womenamong persons diabetes odds obesity elevated waist circumference hypertension three two three fold respectively compared without diabetes cardiovascular risk factors among subjects diabetes high mirrored entire sample however significantly higher use tobaccothis previously unstudied urban slum high prevalence dm yet low screening rates key correlates include cigarette smoking high alcohol consumption however high levels physical activity also reported findings important implications ncd prevention care rapidly growing youthful urban slum population policy makers need focus attention strategies address communicable diseases non communicable diseases well