title: Diabetes mellitus among HIV-infected individuals in follow-up care at University of Gondar Hospital, Northwest Ethiopia.
abstract: To assess the prevalence of diabetes mellitus (DM) and associated factors among HIV-infected adults in northwest Ethiopia.
  
  
  
  Hospital-based cross-sectional study.
  
  
  
  HIV clinic of the University of Gondar Hospital, Ethiopia.
  
  
  
  All HIV-infected adults who visited the HIV clinic from December 2013 to the end of February 2014 were the source population.
  
  
  
  A structured and pretested questionnaire incorporating the WHO STEPwise approach was used. A multivariate logistic regression analysis was applied to assess factors associated with DM.
  
  
  
  The overall prevalence of type 2 DM was 8% (95% CI 5.5% to 10.5%). The prevalence of DM was higher (13.2%; 95% CI 8.0% to 18.3%) among subjects receiving pre-antiretroviral treatment (pre-ART) than among those taking ART (5.1%; 95% CI 2.6% to 7.6%). Thirteen (35.1%) of the DM cases were newly identified during the study. Obesity (adjusted OR (AOR) 6.55; 1.20 to 35.8), hypertension (AOR 3.45; 1.50 to 7.90), being in the pre-ART group (AOR 4.47; 1.80 to 11.08), hypertriglyceridaemia (AOR 2.24; 1.02 to 49.5) and tertiary-level education (AOR 11.8; 2.28 to 61.4) were associated with DM.
  
  
  
  Overall DM prevalence was high, particularly among subjects in the pre-ART group. More educated, hypertensive and obese HIV-infected adults were more likely to have DM as a comorbidity. Health policy and the clinical management of HIV-infected individuals should take into account the rising DM.
authors.affiliation: Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Solomon Mekonnen
authors.initials: SM
authors.lastname: Abebe
authors.affiliation: School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Assefa
authors.initials: A
authors.lastname: Getachew
authors.affiliation: School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Solomon
authors.initials: S
authors.lastname: Fasika
authors.affiliation: School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Mulugeta
authors.initials: M
authors.lastname: Bayisa
authors.affiliation: School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Abayneh
authors.initials: A
authors.lastname: Girma Demisse
authors.affiliation: School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
authors.forename: Nebiyu
authors.initials: N
authors.lastname: Mesfin
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000009:adverse effects; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D050171:Dyslipidemias / Q000453:epidemiology; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents