Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study

Abstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs....

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Main Authors: Clarisse Mapa-Tassou, Leopold K. Fezeu, Zakariaou Njoumemi, Eric Lontchi-Yimagou, Eugène Sobngwi, Jean Claude Mbanya
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-017-2197-0
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spelling doaj-88e55350177b4074b610dfa0ea4a76092020-11-24T21:22:13ZengBMCBMC Health Services Research1472-69632017-04-011711810.1186/s12913-017-2197-0Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional studyClarisse Mapa-Tassou0Leopold K. Fezeu1Zakariaou Njoumemi2Eric Lontchi-Yimagou3Eugène Sobngwi4Jean Claude Mbanya5Department of Public Health, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IUniversity of Paris 13, Sorbonne Paris Cité – UREN (Unité de Recherche en Epidémiologie Nutritionnelle), U557 Inserm; U1125 Inra; Cnam; CRNH IdFDepartment of Public Health, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IDiabetes Research and Training Centre and Division of Endocrinology, Department of Medicine, Albert Einstein College of MedicineDepartment of Internal Medicine and specialties, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IDepartment of Internal Medicine and specialties, Faculty of Medicine and Biomedical sciences, The University of Yaoundé IAbstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs. However, In Cameroon like in most developing countries, data on the impact of diabetes on the medical health system are scarce. We aimed to analyse the use of medical services and medicines attributable to T2D care in Yaoundé, Cameroon. Methods We conducted a cross-sectional study comparing the use of medical services and medicines on 500 people with T2D attending the diabetic outpatient units of three hospitals in Yaoundé and 500 people without diabetes matched for age, sex and residence. We performed multivariate logistic and quantile regressions to assess the effect of diabetes on the use of medical services and medicines and the presence of other chronic health problems. Models were adjusted for age, educational level, marital status, occupation and family income. Results Overall, the rate of use of health services was found to be greater in people with T2D than those without diabetes. People with T2D had greater odds of having an outpatient visit to any clinician (OR 97.1 [95% CI: 41.6–226.2]), to be hospitalised (OR 11.9 [95% CI: 1.6–87.9]), to take at least one medicine (OR 83.1 [37.1–185.8]) compared with people without diabetes. We also observed an association between diabetes and some chronic diseases/diabetes complications including hypertension (OR 9.2 [95% CI: 5.0–16.9]), cardiovascular diseases (OR 1.9 [95% CI: 0.8–4.9]), peripheral neuropathy (OR 6.2 [95% CI: 3.4–11.2]), and erectile dysfunction (OR 5.8 [95% CI: 2.7–12.1]). Conclusions This study showed that the presence of diabetes is associated with an increased use of health care services and medicines as well as with some chronic diseases/diabetes complications.http://link.springer.com/article/10.1186/s12913-017-2197-0Type 2 diabetesComplicationsMedical servicesMedicinesCameroonAfrica
collection DOAJ
language English
format Article
sources DOAJ
author Clarisse Mapa-Tassou
Leopold K. Fezeu
Zakariaou Njoumemi
Eric Lontchi-Yimagou
Eugène Sobngwi
Jean Claude Mbanya
spellingShingle Clarisse Mapa-Tassou
Leopold K. Fezeu
Zakariaou Njoumemi
Eric Lontchi-Yimagou
Eugène Sobngwi
Jean Claude Mbanya
Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
BMC Health Services Research
Type 2 diabetes
Complications
Medical services
Medicines
Cameroon
Africa
author_facet Clarisse Mapa-Tassou
Leopold K. Fezeu
Zakariaou Njoumemi
Eric Lontchi-Yimagou
Eugène Sobngwi
Jean Claude Mbanya
author_sort Clarisse Mapa-Tassou
title Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
title_short Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
title_full Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
title_fullStr Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
title_full_unstemmed Use of medical services and medicines attributable to type 2 diabetes care in Yaoundé, Cameroon: a cross-sectional study
title_sort use of medical services and medicines attributable to type 2 diabetes care in yaoundé, cameroon: a cross-sectional study
publisher BMC
series BMC Health Services Research
issn 1472-6963
publishDate 2017-04-01
description Abstract Background The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies health care utilisation and leads to an increase in medical care costs. However, In Cameroon like in most developing countries, data on the impact of diabetes on the medical health system are scarce. We aimed to analyse the use of medical services and medicines attributable to T2D care in Yaoundé, Cameroon. Methods We conducted a cross-sectional study comparing the use of medical services and medicines on 500 people with T2D attending the diabetic outpatient units of three hospitals in Yaoundé and 500 people without diabetes matched for age, sex and residence. We performed multivariate logistic and quantile regressions to assess the effect of diabetes on the use of medical services and medicines and the presence of other chronic health problems. Models were adjusted for age, educational level, marital status, occupation and family income. Results Overall, the rate of use of health services was found to be greater in people with T2D than those without diabetes. People with T2D had greater odds of having an outpatient visit to any clinician (OR 97.1 [95% CI: 41.6–226.2]), to be hospitalised (OR 11.9 [95% CI: 1.6–87.9]), to take at least one medicine (OR 83.1 [37.1–185.8]) compared with people without diabetes. We also observed an association between diabetes and some chronic diseases/diabetes complications including hypertension (OR 9.2 [95% CI: 5.0–16.9]), cardiovascular diseases (OR 1.9 [95% CI: 0.8–4.9]), peripheral neuropathy (OR 6.2 [95% CI: 3.4–11.2]), and erectile dysfunction (OR 5.8 [95% CI: 2.7–12.1]). Conclusions This study showed that the presence of diabetes is associated with an increased use of health care services and medicines as well as with some chronic diseases/diabetes complications.
topic Type 2 diabetes
Complications
Medical services
Medicines
Cameroon
Africa
url http://link.springer.com/article/10.1186/s12913-017-2197-0
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