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Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana

Thesis (MMeD) -- Stellenbosch University, 2015 Thesis

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Main Author: Baruti, Violet
Other Authors: Pather, Michael
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2015
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access_status_str Open Access
author Baruti, Violet
author2 Pather, Michael
author_browse Baruti, Violet
Pather, Michael
author_facet Pather, Michael
Baruti, Violet
author_sort Baruti, Violet
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MMeD) -- Stellenbosch University, 2015 Thesis
format Thesis
id oai:scholar.sun.ac.za:10019.1/97218
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:45:13.015Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/97218 Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana Baruti, Violet Pather, Michael University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences Diabetes control -- Socio-economic status Diabetes -- Research -- Botswana Diabetes -- Treatment -- Botswana Glycaemic control -- Socio-economic status Metabolism -- Disorders -- Botswana Digestive organs -- Diseases Thesis (MMeD) -- Stellenbosch University, 2015 Thesis ENGLISH ABSTRACT Background Literature supports a relationship between low income status and poor diabetes control. However this relationship has not been assessed in Botswana. Aim To determine the relationship between socio-economic status and diabetes control in patients presenting to PMH. Objectives To measure the degree of glycaemic control; to determine the relationship between glycaemic control and monthly income as well as between glycaemic control and lifestyle modification factors;to describe the relationship between glycaemic control and core social welfare indicators. Methods A cross-sectional study, conducted over a 3 months in Gaborone, The questionnaire assessed self-care activities, monthly household earnings and core social welfare indicators among diabetes patients attending PMH. A total of 240 patients were randomly selected to complete the questionnaire. Routine HbA1c values were studied alongside questionnaire responses. Results A total of 58 (24%) participants with HbA1c between 4.0%-7.0% were well controlled, 96 (40%) of participants were poorly controlled (7.1%-9.0%) and 86 (36%) in the very poorly controlled category with HbA1c >9.0%. Of the well-controlled category, 59% lived on a monthly income between P0- P5000(the lowest income bracket). Only 3% participants in this category earned above P20000 monthly (the highest income bracket). Of the 40% poorly controlled participants, 69% fell in the lowest income bracket. No participants in this poorly controlled category earned above P20000 monthly. There were 40% participants in 4 the very poorly controlled category. Of these, 63% earned between P0 - P5000. Only 2 participants with HbA1c values of 9.1 earned above P20000. Conclusion In this study high HbA1c percentages were associated with low monthly income levels and low scores in lifestyle modification factors. Participants with poor access to core welfare indicators also had poor glycaemic control. This study suggests that poor socio-economic status is directly related to poor glycaemic control in patients attending PMH diabetes clinic. AFRIKAANSE OPSOMMING : Geen Afrikaanse opsomming geskikbaar nie 2015-07-23T05:16:00Z 2015-07-23T05:16:00Z 2015-12 Thesis http://hdl.handle.net/10019.1/97218 en_ZA University of Stellenbosch 22 pages application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Diabetes control -- Socio-economic status
Diabetes -- Research -- Botswana
Diabetes -- Treatment -- Botswana
Glycaemic control -- Socio-economic status
Metabolism -- Disorders -- Botswana
Digestive organs -- Diseases
Baruti, Violet
Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title_full Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title_fullStr Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title_full_unstemmed Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title_short Socio-economic status and diabetes control in patients presenting to Princess Marina hospital (PMH), Gaborone, Botswana
title_sort socio economic status and diabetes control in patients presenting to princess marina hospital pmh gaborone botswana
topic Diabetes control -- Socio-economic status
Diabetes -- Research -- Botswana
Diabetes -- Treatment -- Botswana
Glycaemic control -- Socio-economic status
Metabolism -- Disorders -- Botswana
Digestive organs -- Diseases
url http://hdl.handle.net/10019.1/97218
work_keys_str_mv AT barutiviolet socioeconomicstatusanddiabetescontrolinpatientspresentingtoprincessmarinahospitalpmhgaboronebotswana