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. 2022 Mar;32(2):381-392.
doi: 10.4314/ejhs.v32i2.19.

Health-Related Quality of Life of Patients with Type 2 Diabetes Mellitus and Hypertension in Addis Ababa, Ethiopia

Tariku Shimels  1 , Rodas Asrat Kassu  2 , Gelila Bogale  3 , Mahteme Bekele Muleta  1 , Gizachew Tadesse Akalu  4 , Abrham Getachew  1 , Zewdneh Shewamene  5 , Melsew Getnet  1 , Mebratu Abraha  1
Affiliations

Health-Related Quality of Life of Patients with Type 2 Diabetes Mellitus and Hypertension in Addis Ababa, Ethiopia

Tariku Shimels et al. Ethiop J Health Sci. 2022 Mar.

Abstract

Background: The aim of this study was to assess the health-related quality of life of patients with T2DM and hypertension attending public health facilities in Addis Ababa, Ethiopia.

Methods: A cross-sectional study was conducted from 1st through 30th August 2020 at the selected institutions. Health facilities were chosen purposively based on patient load. Participants were drawn after proportional to size allocation. A translated EQ-5D-3L, and EQ-VAS instrument was used to collect the data. Analysis was done using SPSS v.26.0. Both parametric and non-parametric models were applied in the analysis.

Results: Of the 409 participants included, the majority were in the age group of 46-60 (36.0%), females (56.0%), from hospitals (54.8%), jobless (25.4%), and married (63.3%). Over two-thirds of the patients reported no problems with self-care, usual activity, and depression/anxiety. All dimensions showed an increasing proportion of moderate to severe problems in the age group beyond 45. Facility type, comorbid condition and age showed a statistically significant score difference for QoL. The overall prevalence of any problem was 59.0%. Education level, visit to a health center, and marriage showed lower odds of affected HRQoL whereas, lower monthly income and presence of comorbidities were opposite.

Conclusion: HRQoL of patients in the study settings was suboptimal and below the general population. Attributes, such as education, facility type, marital status, income level, and comorbid status have a statistically significant association with HRQoL. Arrangement of a safe and quality health services is paramount, especially, during the COVID-19 pandemic.

Keywords: Addis Ababa; EQ-5D-3L; EQ-VAS; Ethiopia; HRQoL; Quality of life; T2DM and hypertension.

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Figures

Figure 1
Figure 1
Mean rank difference of GQoL between single versus any additional chronic comorbidity among patients with T2DM and hypertension attending public health facilities in Addis Ababa, Ethiopia, August 2020
Figure 2
Figure 2
Mean rank difference of GQoL score between patients with chronic non-communicable diseases attended at heath centers versus hospitals in Addis Ababa, Ethiopia, August 2020
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