- Title
- Determinants of type 2 Diabetes mellitus among HIV/AIDS patients on antiretroviral drugs in the OR Tambo District, SA
- Creator
- Nokwanda Edith Bam
- Date
- 2018
- Type
- PhD Manuscript
- Identifier
- http://hdl.handle.net/11260/2073
- Identifier
- vital:40815
- Description
- Background: Type 2 Diabetes mellitus (DM) is increasing in the context of HIV/AIDS as a result of the long-term effects of ARVS. Little is documented in South Africa on the determinants of type 2 DM in HIV/AIDS population although the prevalence is high (Moyo, et al., 2014). The purpose of this study was to describe the determinants of type 2 diabetes mellitus among HIV/AIDS patients on ARVS in the OR Tambo District. Methods: A quantitative research methodology using a case control retrospective study was used to describe the determinants of type 2 DM among HIV/AIDS patients in OR Tambo District. A sample of 177 (33%) cases with HIV/AIDS and type 2 DM was selected using a one stage stratified sampling with allocation proportion to size of each stratum of the four sub-districts of OR Tambo District. For example KSD 80 cases, Nyandeni 43; Qaukeni 36 and Mhlontlo 18. Two non-diabetic patients with HIV/AIDS were selected as controls per case unpaired and totalled up to 354 (67%) controls. A self - administration questionnaire adopted from WHO stepwise surveillance tool was used for data collection. Results: Findings of the study revealed five determinants of type 2 diabetes mellitus grouped as the socio-demographic determinants, levels of physical activities, types of diets, arterial blood pressure and body weight and types of combination antiretroviral therapies used in HIV/AIDS therapy. In addition the association of type 2 DM with HIV was shown to include ARV complications, number of years on ARVS and the tri-therapy versus fixed dose combination. Conclusion: Type 2 DM is a major complication of ARVS experienced by the cases at n=108 (61%) compared to others such as lipodystrophy n=10 (5.6%), skin disorders n=7 (3.9%) and bad dreams n=2 (1%). Consequently a multi-morbidity situation co-exists among the cases creating as shift from as single disease to a multiple-disease focus namely ARVS, anti-DM, anti-HPT etc. Recommendations on the HIV/AIDS and type 2 DM awareness and care intervention strategy were made to improve the health outcomes of type 2 DM patients in HIV/AIDS context in OR Tambo District.
- Format
- Publisher
- Department of Nursing: Faculty of Health Sciences
- Language
- English
- Rights
- Walter Sisulu University
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Collections
WSU Department of Physiology
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | PhD final_Bam.pdf | 3 MB | Adobe Acrobat PDF | View Details Download |