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Year : 2017  |  Volume : 24  |  Issue : 1  |  Page : 48-55

Predictors of quality of life in patients with diabetes mellitus in two tertiary health institutions in Ghana and Nigeria

1 Department of Medical Biochemistry, University of Ghana School of Biomedical and Allied Health Sciences, Legon, Accra, Ghana
2 Department of Biostatistics, University of Ghana, School of Public Health, Legon, Accra, Ghana
3 Department of Child Health, University College Hospital, Ibadan, Nigeria
4 Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana
5 Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria
6 Department of Anesthesia, Korle-Bu Teaching Hospital, Accra, Ghana
7 Department of Medicine and Therapeutics, KBTH; Joan Agama – Deceased 8th March 2014, Ghana
8 Department of Population Psychology, St. John's University, Jamaica; School of Medicine, New York state University, USA
9 Department of Family Medicine, University of Minnesota, Minneapolis, MN, USA
10 Diabetes Clinic, Korle-Bu Teaching Hospital, Accra, Ghana
11 School of Medicine, New York state University, USA

Correspondence Address:
Grace K Ababio
Department of Medical Biochemistry, University of Ghana School of Biomedical and Allied Health Sciences, P. O. Box 143, Accra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/npmj.npmj_3_17

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Background: Patients with chronic diseases such as Type 2 diabetes mellitus (DM) usually have a relatively poor quality of life (QoL), because the cost of care (living expenses and health) or diet restrictions are heavily felt by these patients, and this is of a public health concern. However, limited data on DM QoL exist in Ghana and Nigeria. This makes it imperative for data to be collated in that regard. Materials and Methods: We adopted the Strengthening The reporting of observational studies in epidemiology (STROBE) consensus checklist to survey the patients with DM seen at the diabetic clinic at the Department of Medicine of the Korle-Bu Teaching Hospital and University College Hospital, Ibadan, Nigeria. Patients with Type 2 DM aged 40 years and older were recruited by using systematic random sampling method. The World Health Organization Quality of Life-BREF, diabetes empowerment scale, and DM knowledge scale were used to assess QoL, patient empowerment, and knowledge of DM, respectively. The predictors of QoL were determined using multiple linear regression analyses. Results: A total of 198 patients in Ghana and 203 patients in Nigeria completed the survey, with female-to-male ratio being 3:1 and 2:1, respectively. The overall QoL in both countries was relatively low: 56.19 ± 8.23 in Ghana and 64.34 ± 7.34 in Nigeria. In Ghana, significant correlates of higher scores on the QoL scale were medication adherence (P = 0.02) and employment status (P = 0.02). Among patients in Nigeria, employment status (P = 0.02) and DM empowerment (0.03) were significant predictors of QoL in patients with DM. Conclusion: Our study revealed an association between a number of psychosocial factors and QoL among patients with DM in Ghana and Nigeria.

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