Evidence map›Paper›PMID 30058263›Full record

ArticleJournal of diabetes2019

Epidemiology of prediabetes and diabetes in Namibia, Africa: A multilevel analysis.

Victor T Adekanmbi, Olalekan A Uthman, Sebhat Erqou, Justin B Echouffo-Tcheugui, Meera N Harhay, Michael O Harhay

Open access · hybridAbstract read
In one paragraph

Article in Journal of diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Prevalence of prediabetes and associated risk factors among peri-urban dwelling adults in Blantyre, Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2025
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  15. Abnormal Glucose Metabolism and Associated Risk Factors Among Adults in Mekelle City, Ethiopia.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Victor T AdekanmbiDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0002-7394-1640
Olalekan A UthmanWarwick-Centre for Applied Health Research and Delivery, Division of Health Sciences, University of Warwick Medical School, Coventry, UK.
Sebhat ErqouDepartment of Medicine, Brown University, Providence, Rhode Island, USA.
Justin B Echouffo-TcheuguiDepartment of Medicine, Division of Endocrinology, Diabetes & Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Meera N HarhayDepartment of Medicine, Division of Nephrology and Hypertension, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Michael O HarhayDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-0553-674X
Drexel University · USBrigham and Women's Hospital · USBrown University · USCardiff University · GBLiverpool School of Tropical Medicine · GB

Funding

Patterns and Implications of Functional Decline Among Kidney Transplant CandidatesK23DK105207 · NIDDK · DREXEL UNIVERSITY · PI HARHAY, MEERA NAIR · 2015 to 2019
$861k
Improving the measurement and analysis of long-term, patient-centered outcomes following acute respiratory failureR00HL141678 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MICHAEL OSCAR · 2020 to 2022
$747k
Improving the measurement and analysis of long-term, patient-centered outcomes following acute respiratory failureK99HL141678 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MICHAEL OSCAR · 2018 to 2019
$214k
HCRW_National Centre for Population Health and Wellbeing Research (NCPHWR)National Institute for Health ResearchNHLBI NIH HHS K99 HL141678NHLBI NIH HHS K99-HL141678NHLBI NIH HHS R00 HL141678NIDDK NIH HHS K23 DK105207NIDDK NIH HHS K23-DK105207Official Development Assistance (ODA)
6 · The paper itself

Abstract

backgroundDiabetes is a leading cause of progressive morbidity and early mortality worldwide. Little is known about the burden of diabetes and prediabetes in Namibia, a Sub-Saharan African (SSA) country that is undergoing a demographic transition.

methodsWe estimated the prevalence and correlates of diabetes (defined as fasting [capillary] blood glucose [FBG] ≥126 mg/dL) and prediabetes (defined by World Health Organization [WHO] and American Diabetes Association [ADA] criteria as FBG 110-125 and 100-125 mg/dL, respectively) in a random sample of 3278 participants aged 35-64 years from the 2013 Namibia Demographic and Health Survey.

resultsThe prevalence of diabetes was 5.1% (95% confidence interval [CI]: 4.2-6.2), with no evidence of gender differences (P = 0.45). The prevalence of prediabetes was 6.8% (95% CI 5.8-8.0) using WHO criteria and 20.1% (95% CI 18.4-21.9) using ADA criteria. Male sex, older age, higher body mass index (BMI), and occupation independently increased the odds of diabetes in Namibia, whereas higher BMI was associated with a higher odds of prediabetes, and residing in a household categorized as "middle wealth index" was associated with a lower odds of prediabetes (adjusted odds ratio 0.71; 95% credible interval 0.46-0.99). There was significant clustering of prediabetes and diabetes at the community level.

conclusionsOne in five adult Namibians has prediabetes based on ADA criteria. Resources should be invested at the community level to promote efforts to prevent the progression of this disease and its complications.

Indexed as

AdultBlood GlucoseDiabetes MellitusFastingFemaleHealth SurveysHumansLogistic ModelsMaleMiddle AgedMultilevel AnalysisMultivariate AnalysisNamibiaPrediabetic StatePrevalenceBlood Glucosecommunity factorsdiabetesmultilevel analysisNamibiasocioeconomic status多层面分析社会经济状况社区因素糖尿病纳米比亚

Identifiers

PMID30058263
PMCPMC6318039
OpenAlexW2887144201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.