Prevalence of diabetes in Zimbabwe: a systematic review with meta-analysis
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Diabetes appears to be a growing problem in the African region. This study aims to estimate the prevalence of diabetes in Zimbabwe by collating and analyzing previously published data.
Systematic review and meta-analysis of data reporting prevalence of diabetes in Zimbabwe was conducted based on the random effects model. We searched for studies published between January 1960 and December 2013 using MEDLINE, EMBASE and Scopus and University of Zimbabwe electronic publication libraries. In the meta-analysis, sub-groups were created for studies conducted before 1980 and after 1980, to understand the potential effect of independence on prevalence.
Seven studies were included in the meta-analysis with a total of 29,514 study participants. The overall pooled prevalence of diabetes before 1980 was 0.44 % (95 % CI 0.0–1.9 %), after 1980 the pooled prevalence was 5.7 % (95 % CI 3.3–8.6 %).
This study showed that the prevalence of diabetes in Zimbabwe has increased significantly over the past three decades. This poses serious challenges to the provision of care and prevention of disabling co-morbidities in an already disadvantaged healthcare setting.
KeywordsPrevalence Systematic review Meta analysis Diabetes mellitus Zimbabwe
- Betz Brown J, Gagliardino JJ, Ramaiya K, for International Diabetes Federation (2009) Studies on the economic and social impact of diabetes in low- and middle-income countries. Presentation to IDF World Diabetes Congress. Montreal, October 2009. http://www.idf.org/webdata/docs/WDC-PC-IDF%20Impact%20Studies.pdf
- Blair Research Institute (1996) The early socio-demographic impact of the HIV-1 epidemic in rural Zimbabwe. Blair Research Institute, HarareGoogle Scholar
- Danaei G et al (2011) National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet 378(9785):31–40PubMedCrossRefGoogle Scholar
- Guidotti L, Gelfand M (1976) Frequency of Diabetes Mellitus in Mtoko. Centr Afr J Med 22(2):28–29Google Scholar
- Hakim JB, Mujuru N, Rusakaniko S, Gomo Z (2005) Zimbabwe noncommunicable disease risk factors (ZiNCoDs): preliminary report. Harare, Republic of Zimbabwe: Ministry of Health & Child Welfare, University of Zimbabwe, World Health Organization, United Nations Children’s Fund. http://www.who.int/chp/steps/STEPS_Zimbabwe_Data.pdf. Accessed 16 June 2014
- International Diabetes Federation (2013) IDF Diabetes Atlas, 6th edn. International Diabetes Federation, Brussels, Belgium. http://www.idf.org/diabetesatlas-new/how-to-cite
- Larsson R, Capili B, Eckert-Norton M, Colagreco JP, Anastasi JK (2006) Disorders of glucose metabolism in the context of human immunodeficiency virus infection. J AANP 18:92–103Google Scholar
- Levesque JF, Mukherjee S, Grimard D, Boivin A, Mishra S (2013) Measuring the prevalence of chronic diseases using population surveys by pooling self-reported symptoms, diagnosis and treatments: results from the World Health survey of 2003 for South Asia. Int J Public Health 58:435–447PubMedCrossRefGoogle Scholar
- McKinsey Global Institute (2010a) Lions on the move—the progress and potential of African economies. http://www.mckinsey.com/insights/africa/lions_on_the_move. Accessed 1 July 2014
- McKinsey Global Institute (2010b) Closing the R&D gap in African health care. http://www.mckinsey.com/insights/health_systems_and_services/closing_the_r_and_38d_gap_in_african_health_care. Accessed 1 July 2014
- Microsoft Office (2012) MetaXL. http://www.epigear.com/index_files/metaxl.html. Accessed 20 May 2014
- Ministry of Health and Child Welfare (2009) Zimbabwe National Health Strategy for Zimbabwe 2009–2013: equity and quality in health: a people’s right. MOHCW, ZimbabweGoogle Scholar
- Murithi T, Mawadza A, Institute for Justice and Reconciliation (South Africa) (2011) Zimbabwe in transition: A view from within. Fanele, Auckland Park, South AfricaGoogle Scholar
- Steyn K, Damasceno A (2006) Lifestyle and related risk factors for chronic diseases. In: Jamison DT, Feachem RG, Makgoba MW, et al (eds) Disease and mortality in SUB-Saharan Africa, 2nd edition. World Bank, Washington. Chapter 18. http://www.ncbi.nlm.nih.gov/books/NBK2290/
- United Nations Population Fund (2007) State of world population 2007: unleashing the potential of urban growth. http://www.unfpa.org/swp/2007/english/introduction.html. Accessed 18 June 2014
- World Bank (2008) World development indicators database. http://ddpext.worldbank.org.ezproxy.lib.monash.edu.au/ext/ddpreports/ViewSharedReport?&CF=1&REPORT_ID=9147&REQUEST_TYPE=VIEWADVANCED&HF=N&WSP=N. Accessed 20 June 2014
- World Health Organization (1999) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. WHO/NCD/NCS/99.2, GenevaGoogle Scholar
- World Health Organization (2014) Global Health Observatory Data Repository, Life Expectancy Data. http://apps.who.int/gho/data/view.main.690?lang=en. Accessed 20 June 2014
- Zhang PZX, Brown JB, Vistisen D, Sicree RA, Shaw J, Nichols GA (2009) Economic Impact of Diabetes. In Diabetes Atlas, IDF. 4th edition. International Diabetes Federation, BrusselsGoogle Scholar