| dc.description.abstract | The world is currently facing numerous health-related challenges including both communicable and non-communicable diseases. Although, the burden of TB and DM are individually known, there is limited information about the TB and Diabetes mellitus double burden as well as the risk factors associated in Uganda. A prospective crosssectional study was conducted at Kisenyi Health centre IV TB unit and diabetic clinic. Was carried out to determine the prevalence of Tuberculosis and Diabetes Mellitus double burden and associated risk factors among patients attending Kisenyi Health centre IV in Kampala Uganda. Participants were selected using convenience and purposive sampling to represent their demographic characteristics and associated risk factors. Data was descriptively analyzed in STATA version 16, furthermore logistic regression was conducted to determine the odds ratios for the risk factors associated of TB and DM double burden. Out of 165 participants, 50% were aged 31-50years and 58% had only attained primary level of education. In addition, 87% were HIV negative. The prevalence of TB and DM independently was 52% and 52% respectively whereas only 3.6 %= 4% suffered double burden of the two diseases and only one participant suffered a triple burden (TB, DM and HIV). Prolonged thirst showed a statistically significant association with double burden (cOR=8.25, CI: 0.94-72.31, p=0.05) as it was 8.25 times more likely as an indicator of the disease outcome. Participants aged 31-50 years were 1.4 times more likely to suffer double burden than those of the younger age group but this was statistically insignificant (cOR=1.4, p=0.69, CI:0.25-
7.99). Participants with ‘widowed’ marital status were 1.73 times more likely to suffer double burden compared those in other categories, but it was statistically insignificant (cOR=1.73, p=0.63, CI: 0.17-16.70). Participants with only primary level of education were about 2 times more likely to suffer double burden compared to those who had attained higher level of education (cOR=2.16, p=0.48, CI:0.24-19.16). The present study revealed that Tuberculosis and Diabetes Mellitus double burden is prevalent in Uganda but at low levels and that age, level of education and BMI were important independent risk factors. The study recommends that clear strategic interventions like strengthening health system by the Ministry of Health (MOH) and, also implementing partners and researcher organizations carry out nationwide in-depth studies to determine the prevalence of the double burden as well the associated risk factors in Uganda. | en_US |
