@article{fdi:010061848,
  title = {{P}revalence of diabetes in {N}orthern {A}frican countries : the case of {T}unisia},
  author = {{B}en {R}omdhane, {H}. and {B}en {A}li, {S}. and {A}issi, {W}. and {T}raissac, {P}ierre and {A}ounallah-{S}khiri, {H}. and {B}ougatef, {S}. and {M}aire, {B}ernard and {D}elpeuch, {F}rancis and {A}chour, {N}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {A}lthough diabetes is recognized as an emerging disease in {A}frican and {M}iddle {E}ast, few population-based surveys have been conducted in this region. {W}e performed a national survey to estimate the prevalence of type 2 diabetes ({T}2{D}) and to evaluate the relationship between this diagnosis, demographic and socioeconomic variables. {M}ethods: {T}he study was conducted on a random sample of 6580 households (940 in each region). 7700 subjects adults 35-70 years old were included in the analyses. {T}2{D} was assessed on the basis of a questionnaire and fasting blood glucose level according to the {WHO} criteria. {A}ccess to health care and diabetes management were also assessed. {R}esults: {O}verall, the prevalence of {T}2{D} was 15.1%. {T}here were sharp urban vs. rural contrasts, the prevalence of diabetes being twice higher in urban area. {H}owever, the ratio urban/rural varied from 3 in the less developed region to 1.6 in the most developed ones. {A} sharp increase of prevalence of {T}2{D} with economic level of the household was observed. {F}or both genders those with a family history of {T}2{D} were much more at risk of {T}2{D} than those without. {A}wareness increase with age, economic level and were higher amongst those with family history of {T}2{D}. {D}rugs were supplied by primary health care centers for 57.7% with a difference according to gender, 48.9% for men vs. 66.0% women (p < 0.001) and area, 53.3% on urban area vs. 75.2% on rural one (p < 0.001). {C}onclusions: {T}hrough its capacity to provide the data on the burden of diabetes in the context of the epidemiological transition that {N}orth {A}frica is facing, this survey will not only be valuable source for health care planners in {T}unisia, but will also serve as an important research for the study of diabetes in the region where data is scarce. {I}n this context, {NCD}s emerge as an intersectoral challenge and their social determinants requiring social, food and environmental health policy.},
  keywords = {{P}revalence ; {T}ype 2 {D}iabetes ; {D}iagnosed ; {U}ndiagnosed ; {I}mpaired fasting glucose ; {S}ociodemographic factors ; {TUNISIE}},
  booktitle = {},
  journal = {{B}mc {P}ublic {H}ealth},
  volume = {14},
  numero = {},
  pages = {art. 86 [13 ]},
  ISSN = {1471-2458},
  year = {2014},
  DOI = {10.1186/1471-2458-14-86},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061848},
}