Prevalence And Associated Risk Factors Of Hypertension And Diabetes Coexistence Among Hypertensive And Diabetic Patients Attending Mitooma Hciv.

Hypertension and diabetes are important worldwide public-health challenge and because of their increasing coexistence in the population, they are major modifiable risk factor for cardiovascular and kidney disease

The aim of this study was to determine the prevalence and associated risk factors for hypertension diabetes coexistence among hypertensive and diabetic patients attending Mitooma HCIV.

This was a cross-sectional study designed that was carried out at Mitooma health center four. Systematic random sampling of participant was carried out to select the study participant at the clinic. A questionnaire was used to assess the socio-demographic distribution and the risks factors associated with co morbidity. Patients diagnosis were confirm that day from their medical as it was made by the Doctor

A total of 88 hypertensive and diabetic patients age >18years form Mitooma HCIV were taken as the subject for study. Out of 88 subject, the prevalence of hypertension diabetes co morbidity was found to be 22.73 %( n=20), hypertension only 50 %( n=44) and diabetes only 27.27% (n=24).Out of 20 coexistence, 65 %( n=13) had hypertension in diabetes and 35 %( n=7) had diabetes in hypertension. The socio-demographic variables associated with coexistence include age especially >70 year old, sex (male> female), primary education level, marital status (unmarried > married) and occupation (office work >peasant). Family history was the only significant factor (0.025 or 2.5%) for coexistence whiles other factors obesity (0.435 or 43.5%), alcohol (0.422 or 42.2%), smoking (0.405 or 40.5%) and physical inactivity (0.184) were not significant but had a relationship with coexistence.   

Among the hypertensive (50%) and diabetic (27.27%) patients attending Mitooma health center four, hypertensive diabetic clinic there was great number (22.73%) of hypertension diabetes coexistence .The coexistence trend toward increasing age, unmarried, less education,  in male more than female, those who earn less. There was a significant association of coexistence with the family history but obesity, smoking, alcohol used and lack of physical activity were not significant among hypertensive diabetic patients attending Mitooma HCIV.

The study sample was only representative of patients with hypertension and diabetes in Mitooma therefore the findings may not be generalized to all Mitooma district

Patients with either diabetes or hypertension should always be screened for their coexistence and they should be promoted to avoid the risk factors so as to prevent the co morbidity. More control of plasma glucose and blood pressure among these patients should be applied