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Meta-Analysis
. 2020 Jul 1;30(4):623-638.
doi: 10.4314/ejhs.v30i4.18.

Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis

Teshome Tesfaye Habebo  1   2   3 , Ebrahim Jaafari Pooyan  2 , Ali Mohammad Mosadeghrad  2 , Getachew Ossabo Babore  4 , Blen Kassahun Dessu  5
Affiliations
Meta-Analysis

Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis

Teshome Tesfaye Habebo et al. Ethiop J Health Sci. .

Abstract

Background: Diabetes has no cure so far, but appropriate self-management contributes to delay or control its progression. However, poor self-management by diabetic patients adds to disease burden. The pooled prevalence of overall, and its main components of poor self-management among Ethiopian diabetic patients remain elusive. Hence, this study aimed to determine the prevalence of poor diabetes self-management behaviors among diabetic patients in Ethiopia.

Method: by using different combinations of search terms, we accessed articles done until February 15, 2020 through Pubmed, Scopus, Web of Science and Embase databases. Newcastle-Ottawa quality assessment scale was used for quality assessment, and STATA version 14 software along with the random-effects model was employed for statistical analyses. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA.) guideline was followed to report the results.

Result: Twenty-one studies with 7,168 participants were included in this meta-analysis. The overall pooled prevalence of poor self-management behavior among diabetic patients in Ethiopia was 49.79% (95% CI: 43.58%, 56.01%). Based on subgroup analysis, the estimated magnitudes of poor self-management by regions were 68.58% in Tigray, 55.46% in Harari, 54.74%, in Amhara, 40.90%, in SNNPRS and 37.06% in Addis Ababa. The worst (80.91%) and relatively better (24.65%) self-management components were observed on self-blood glucose monitoring and medication adherence, respectively.

Conclusion: One in two diabetic patients in Ethiopia had poor self-management. Thus, we strongly recommend to the ministry of health and universities to train diabetes health educators, and the health facilities to deliver tailored diabetes health education.

Keywords: Diabetes mellitus; Ethiopia; Meta-analysis; Prevalence; Systematic review; poor self-management.

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Figures

Figure1
Figure1
The process of systematic literature search and screening flow diagram on the prevalence of poor self-management behaviors among diabetic patients in Ethiopia, 2020
Figure 2
Figure 2
forest plot depicting the prevalence of poor self-management among DM patients in Ethiopia, 2020.
Figure 3
Figure 3
Prevalence of poor self-management behaviors among DM patients by region in Ethiopia, 2020.
Figure 4
Figure 4
Funnel plots depicting publication bias test of the 21 studies on prevalence of poor self-management among DM patients in Ethiopia, 2020.
Figure 5
Figure 5
Sensitivity analysis result of the 21 included studies in meta-analysis, 2020
See this image and copyright information in PMC

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