Artikel: The emergence of a diabetes pocket in Nigeria: the result of a spatial analysis
GeoJournal. 2019 Oct., v. 84, no. 5
2019
Abstract: Diabetes mellitus (DM) is a major chronic degenerative disease in the world including Nigeria which has the largest number of DM cases in Africa. Despite the huge public health impact, little on the geographic analysis and determinants of DM in the ... ...
Abstract | Diabetes mellitus (DM) is a major chronic degenerative disease in the world including Nigeria which has the largest number of DM cases in Africa. Despite the huge public health impact, little on the geographic analysis and determinants of DM in the country is understood. Therefore the study investigated the geographical variations in DM prevalence in Nigeria with the aid of Global Moran‘s I, Local Moran’s I and spatial regression techniques. Enugu State has the highest DM prevalence rate in the country. There was not only evidence of geographic clustering of DM (I = 0.30, z = 3.49; p < 0.05) but the existence of a DM pocket in the southeastern part of Nigeria comprising Abia, Anambra, Enugu and Imo states. Obesity and educational attainment collectively explain 31 (OLS model) and 33 (Spatial error model) percent of the variation in the geographical pattern of DM in the country. Possible explanations for the diabetes pocket and the observed geographical pattern include the prevalent socio-cultural practices and traditional dietary patterns, symbolic significance of obesity, low level of education and high level of urbanization. From the policy perspective, the study proposes a regional policy intervention among other recommendations. |
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Schlagwörter | diabetes mellitus ; eating habits ; educational status ; issues and policy ; models ; obesity ; public health ; urbanization ; Nigeria |
Sprache | Englisch |
Erscheinungsverlauf | 2019-10 |
Umfang | p. 1149-1164. |
Erscheinungsort | Springer Netherlands |
Dokumenttyp | Artikel |
ZDB-ID | 715360-0 |
ISSN | 1572-9893 ; 0343-2521 |
ISSN (online) | 1572-9893 |
ISSN | 0343-2521 |
DOI | 10.1007/s10708-018-9911-2 |
Datenquelle | NAL Katalog (AGRICOLA) |
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