Profil des diabétiques de 20 ans a 79 ans de l'enquête nationale sur la prévalence et caractéristiques du diabète en Côte d'Ivoire / NA

Le diabète constitue un problème de santé publique en Côte d'Ivoire. L'objectif général de la présente étude est de dresser le profil des diabétiques de l'enquête nationale sur la prévalence et les caractéristiques du diabète en Côte d'Ivoire chez les personnes de 20 ans à 79 ans.Il s'agit d'une étude transversale à visée analytique à partir d'une analyse secondaire des données de l'enquête nationale sur la prévalence et les caractéristiques du diabète en Côte d'Ivoire,réalisée du 25 Novembre au 22 Décembre 2017. Elle concerne193 sujetssur un total de 197 ayant participéà l'étude. Les facteurs associés au statut de diabétique(diabétique connu ou diabétique méconnu) ont été recherchés par la régression logistique binaire. L'étude primaire a porté sur 3198 personnes âgées de 20 ans à 79 ans.Les participants,en majorité de sexe féminin (59,05),avaient un âge moyen de 48,72 ans, vivaient en milieu urbain (78,1) et n'avaient pas de protection sociale ou assurance maladie (92,51%). De l'analyse multivariée, la probabilité d'ignorance de l'état d'hyperglycémie chronique chez les personnes âgées de 20 ans et 79 ans était plus élevée chez les diabétiques vivant en zone rurale, grignotant entre les principaux repas, non hypertenduset sans antécédent de diabète familial (p<0,05, OR>1). Cependant celle-ci est faible chez les diabétiques de plus de 50 ans (p<0,05, OR<1). Cette étude souligne la nécessité de l'adoption de stratégies appropriées et de la mise en œuvre d'interventions en faveur de la prévention, du dépistage, du diagnostic du diabète et de la prise en charge précoce des diabétiques en Côte d'Ivoire.

Diabetes is a public health problem in Côte d'Ivoire. The general objective of this study is to profile the diabetics of the national survey on the prevalence and characteristics of diabetes in Côte d'Ivoire among people aged 20 to 79 years. This is a cross-sectional study for analytical purposes based on a secondary analysis of data from the national survey on the prevalence and characteristics of diabetes in Côte d'Ivoire, carried out from November 25 to December 22, 2017. It concerns 193 subjects out of a total of 197 who participated in the study. Factors associated with diabetic status (known diabetic or unrecognized diabetic) were investigated by binary logistic regression. The primary study involved 3,198 people aged 20 to 79. The participants, mostlyfemale (59.05%), had an average age of 48.72 years, lived in urban areas (78.1%) and had no social protection or health insurance (92.51 %). From the multivariate analysis, the probability of being unaware of the chronic hyperglycemic state in people aged20 and 79 years was higher in diabetics living in rural areas, snacking between main meals, not hypertensive and without history of familial diabetes (p<0.05, OR>1). However, this is low in diabetics over 50 (p<0.05, OR<1). This study highlights the need for the adoption of appropriate strategies and the implementation of interventions for the prevention, screening, diagnosis of diabetes and early management of diabetics in Côte d'Ivoire.

Déterminants du recours au test de dépistage du VIH chez les femmes en âge de procréer au Burundi.

INTRODUCTION: In sub-Saharan Africa, particularly in Burundi, uptake of HIV testing, which is fundamental to initiating treatment is relatively low. The present study aims to identify the individual and contextual determinants related to the uptake of HIV testing among women of childbearing age in this country. MATERIALS AND METHODS: This was an analysis of secondary data from Burundi's 2016-2017 demographic and health surveys. Our target population was women aged 15 to 49. Data were analyzed with the software stata 15.1. In bivariate analysis, the chi-square test and simple logistic regression allowed us to identify the candidate variables for modeling at the 20% threshold. Multilevel binary logistic regression made it possible to identify the individual and contextual determinants of the uptake of HIV / AIDS testing in these women. RESULTS: Out of a total of 8,537 women included in this study, 17.63% were between 15 and 24 years old, 46.44% between 25 and 34 and 35.93% between 35 and 49. The individual determinants of uptaking HIV testing were age, level of education, parity, marital status, decision-making power, and frequency of radio listening. Note that 1.36% of the use of the HIV testing was attributable to the region and the place of residence was an important variable of the context. CONCLUSION: This analysis of population data from DHS surveys in Burundi made it possible to identify the individual and contextual determinants influencing the uptake of HIV testing in Burundi. Further qualitative research should also address the contextual barriers that influence the uptake of screening.

[Dietary habits among type 2 diabetic patients attending the Abidjan Diabetes Centre]. / Pratiques alimentaires des diabétiques de type 2 suivis au Centre Antidiabétique d'Abidjan.

Objectives: The prevalence of diabetes is rapidly increasing in sub-Saharan Africa. Healthy lifestyle and dietary conditions play a key role in the control of blood sugar imbalance and cardiovascular complications of diabetes. This study was designed to describe the profile and dietary habits of type 2 diabetic patients attending the Abidjan Diabetes Centre (CADA), and to identify related factors. Methods: This cross-sectional, descriptive and analytic study was conducted in 2014 at the CADA. A total of 384 patients were included. Results: Patients had a mean age of 56.2 (SD: 11.7) years and had been living with diabetes for a mean duration of 8.6 years. Main comorbidities associated with diabetes were overweight (56.8%) and high blood pressure (45.3%). More than one-half of patients (60.7%) did not have a good knowledge of the recommended diet for diabetics: 88.5% did not have regular meal times, 11.7% reported snacking and 61.5% had their meals outside of the home. In addition, 60.4% stated that, during the week preceding the survey, they had eaten at least one "not recommended" food, most commonly fatty meals and fried food (31.5%). Patients who did not know that eating fatty meals and fried food was not recommended for diabetics were 3 times more likely to each this type of food (p < 0.001). Conclusion: Strengthening nutritional support by therapeutic education sessions is a key strategy that should be implemented to improve dietary habits among type 2 diabetic patients in Ivory Coast.

[Abortion practices in high school students in Yamoussoukro, Côte d'Ivoire]. / Pratiques d?avortement chez des lycéennes à Yamoussoukro, Côte d?Ivoire.

INTRODUCTION: Induced abortion is illegal in Cote d'Ivoire, except when the mother's life is in danger. The primary objective of this study was to describe abortion practices among Yamoussoukro high school students. More specifically, this study estimated the prevalence of induced abortion, described the pathway and the methods used for abortion and determined any abortion-related complications. MATERIAL AND METHODS: This cross-sectional study was conducted in July 2011 on 312 randomly selected girls attending the Lycée Jeunes Filles in Yamoussoukro. RESULTS: These girls had a mean age (SD) of 16.1 (4.7) years; 258 (82.7%) of them had already had sexual intercourse and 81 (31.4%) had already been pregnant. Fifty (61.7% [56.3-67.1%]) of these 81 girls had already had an abortion. The abortion pathway was as follows: the main method was self-prescribed medication (70%) as first attempt, followed, in case of failure, by traditional healers (56.4%). Healthcare practitioners were usually consulted at the third attempt (85.7%). The most commonly used methods of abortion were drugs (91.9%), ingestion of plants/beverages (68.5%) and introduction of devices into the uterine cavity (62.3%). Twenty-two (44%) out of 50 induced abortions resulted in complications, mostly infectious complications (81.8%), and bleeding (68.2%). Complications were significantly associated with self-induced abortions or abortions performed by traditional healers (p < 0.001). CONCLUSION: More intensive sexual education, access to modern methods of contraception, awareness campaigns concerning the risks related to unwanted pregnancies and abortions performed by non-medical personnel need to be implemented to prevent school abortions. The quality and accessibility of post-abortion services also need to be reinforced.

[A description of the yaws infection and prevention conditions in the health district of Adzopé]. / Description de la situation du plan dans ie district sanitaire d'Adzopé : cas des localités d'Asseudji.

This article reports on a cross-sectional study which aims to describe the situation of yaws in the boroughs of Asseudji located in the health district of Adzopé. The study's population group consisted of 206 household heads, and 2182 subjects who were tested and examined for yaws. The primary sources of pollution levels for a household were domestic animal waste (100%) and garbage stored in close proximity to the household's dwelling (49%). Signs of over-crowding were found in 43.7% of households. The sore "mother yaw" is the most common manifestation of yaws (81.5%). However, the majority of household heads were ignorant of the supporting causes and risk factors (64.1%) and the contagious natures of the infection (52.9%). Among the 2182 subjects examined, 11 (5%) had contracted yaws. The proportion of households with at least one case of yaws was 3.4%. The results of this census demonstrate that swift and strong action should be taken in these towns to prevent the outbreak of an epidemic.