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Background Poor glycaemic control is the most challenging issue in diabetes care globally. The glycated haemoglobin (HbA1c) value is the most standard monitoring parameter for appropriate glycaemic control status.Objective To assess the patterns of glycaemic control and associated factors among patients with diabetes attending medical referral clinics in North-West Ethiopia.Design An institution-based cross-sectional study.Setting This study was conducted in two public hospitals (Felege-Hiwot Comprehensive Specialized Hospital and Tibebe Ghion Specialized Hospital), Amhara National Regional State, North-West Ethiopia.Participants A total of 355 adult patients with diabetes were included in the study using a systematic sampling technique. Patients were recruited from both hospitals proportionally between July and September 2021.Outcome measures Glycaemic control was assessed using HbA1c levels. Data were collected using a checklist and structured questionnaire and analysed using a binary logistic regression model.Results The overall prevalence of poor glycaemic control was 66.2% (95% CI 61.1% to 71%). Age 31–45 years (AOR=0.30, 95% CI 0.12 to 0.75), 46–60 years (AOR=0.12, 95% CI 0.04 to 0.33) and >60 years (AOR=0.09, 95% CI 0.02 to 0.31), lower educational status (AOR=3.48, 95% CI 1.01 to 12.01), type 2 diabetes (AOR=3.36, 95% CI 1.56 to 7.27), poor adherence to antidiabetic drugs (AOR=4.18, 95% CI 1.70 to 10.30), physical inactivity (AOR=4.30, 95% CI 2.11 to 8.76), longer duration of diabetes mellitus (AOR=2.06, 95% CI 1.13 to 3.75) and high body mass index (AOR=3.83, 95% CI 1.31 to 11.19) were associated with poor glycaemic control.Conclusion The prevalence of poor glycaemic control was high. Age, lower educational status, type 2 diabetes, physical inactivity, high body mass index, longer duration of diabetes and poor adherence to antidiabetic drugs were associated with uncontrolled glycaemia.

Abstract Background Despite the high economic and mortality burden of chronic kidney disease, studies on survival and predictors of mortality among patients on hemodialysis in Ethiopia especially in the Amhara region are scarce considering their importance to identify some modifiable risk factors for early mortality to improve the patient’s prognosis. So, this study was done to fill the identified gaps. The study aimed to assess survival and predictors of mortality among end-stage renal disease patients on hemodialysis in Amhara regional state, Ethiopia, 2020/2021. Method Institution-based retrospective record review was conducted in Felege Hiwot, Gonder, and Gambi hospitals from March 5 to April 5, 2021. A total of 436 medical records were selected using a simple random sampling technique. A life table was used to estimate probabilities of survival at different time intervals. Multivariable cox regression was used to identify risk factors for mortality. Result Out of the 436 patients 153 (35.1%) had died. The median survival time was 345 days with a mortality rate of 1.89 per 1000 person-days (95%CI (1.62, 2.22)). Patients live in rural residences (AHR = 1.48, 95%CI (1.04, 2.12)), patients whose cause of CKD was hypertension (AHR = 1.49, 95%CI (1.01, 2.23)) and human immune virus (AHR = 2.22, 95%CI (1.41, 3.51)), and patients who use a central venous catheter (AHR = 3.15, 95%CI (2.08, 4.77)) had increased risk of death while staying 4 h on hemodialysis (AHR = 0.43, 95%CI (0.23, 0.80)) decreases the risk of death among chronic kidney disease patients on hemodialysis. Conclusions The overall survival rate and median survival time of chronic kidney disease patients on hemodialysis were low in the Amhara region as compared with other developing Sub–Saharan African counties.

Objective: This study aimed to assess the risky driving behavior and associated factors among drivers in Debre Tabor town, Ethiopia, 2020. Methods: This study was a mixed type community-based cross-sectional survey of 564 and 11 participants for quantitative and qualitative study by using a self-administered questionnaire and an interview method, respectively, and the analysis was carried out in 2021. Results: Eighty-two-point one percent (82.1%) of drivers were engaged in risky driving behavior. Driving at night, never attending religious events/ceremonies, driving >8 h/day, believing income is insufficient, weak law enforcement, training institutions problem, being Bajaj driver, and being a non-governmental-driver were significantly associated with risky driving behavior. Conclusion: Risky driving behavior was high among drivers. Being non-governmental driver was the protective factor of risky driving behavior however the rest variables were the risk factors for risky driving behavior. To overcome the problem, appropriate law enforcement measures should be taken.

Abstract Objective Civil servants are disposing individuals to sedentary lifestyle and, may lead to overweight and obesity. Thus, the purpose of the study was to identify factors associated with overweight and obesity among employees in Ethiopia ministries. Result Respondents who were age 45 years and above [AOR = 11.56, 95% CI 3.75–35.56], 35–44 years [AOR = 11.17, 95% CI 3.89–32.06] and 25–34 [AOR = 3.08 95% CI 1.07–8.83] were more likely to be overweight/obesity as compared to those who were in age category of 18–24 years. The study also found that ever alcohol consumption [AOR = 2.27, 95% CI 1.23, 4.16] was associated with increased risk of overweight and obesity as compared to non-consumers. Another risk factor was adult who did not practice ten minutes’ walk per day, more likely to overweight and obesity [AOR = 11.28, 95% CI 5.96–21.36] as compared to the counter parts. Similarly, participants who did not involve physical activity (sport) [AOR = 2.42% 95% CI 1.36–4.30] were 2.42 times more likely to overweight and obesity as compared to those who had physical activity. Sector-wise occupational health program should be developed in work placed to decrease identified risk factors.

Abstract Objective Premarital sex is voluntary sexual intercourse between unmarried persons. Prevalence and factors associated with premarital sexual practice in the study area are lacking. Thus, the aims of this study were to determine the prevalence and to identify factors associated with premarital sexual practice among Debretabor high school youths. Results The prevalence of premarital sex among Debretabor town high school youths was 22.5% of which 63.9% of them were males. Among those high school youths, the majority (60.2%) had their first sexual intercourse at the age of 15–19 years. The main reason for initiation of sexual intercourse was due to fell in love which accounts 48.1%, followed by sexual desire 22.2%. Predictors that are risk for premarital sex were youths who did not attend religious education [AOR = 7.4, 95% CI (3.32, 16.43)], having boy or girl friends [AOR = 9.66, 95% CI (4.80, 19.43)], drinking alcohol every day [AOR = 9.43, 95% CI (2.86, 31.14)] and less than twice a week [AOR = 2.52, 95% CI (1.22, 5.21)], watching pornography film [AOR = 5.15, 95% CI (2.56, 10.37)] and youths came from rural residing families [AOR = 0.51, 95% CI (0.27, 0.96)].

Background: People living with human immunodeficiency virus (HIV) are facing an increased burden of noncommunicable diseases (NCDs) comorbidity. There is, however, paucity of information on the magnitude of HIV-NCDs comorbidity, its associated factors, and how the health system is responding to the double burden in Ethiopia. Objective: To determine the magnitude of comorbidity between HIV and hypertension or diabetes and associated factors among HIV-positive adults receiving antiretroviral therapy (ART) in Bahir Dar city, Ethiopia. Methods: A facility-based cross-sectional study was conducted among 560 randomly selected HIV-positive adults taking ART. Data were collected using a structured questionnaire and analyzed using SPSS version 23. Descriptive statistics were used to describe the data. A logistic regression model was fit to identify associated factors with comorbidity of HIV and NCDs. Results: The magnitude of comorbidity was 19.6% (95% confidence interval (CI): 16.0–23.0). Being older (55 and above years) adjusted odds ratio (AOR: 8.5; 95% CI: 3.2–15.1), taking second-line ART regimen containing tenofovir (AOR: 2.7; 95% CI: 1.3–5.6), and increased body mass index (BMI) ≥25 (AOR: 2.7; 95% CI: 1.2–6.5) were the factors associated with comorbidity. Participants reported that they were not managed in an integrated and coordinated manner. Conclusions: The magnitude of comorbidity among adults was high in the study area. Being older, second-line ART regimen and high BMI ≥25 increased the odds of having NCDs among HIV-positive adults. Targeted screening for the incidences of NCDs, addressing modifiable risk factors, and providing integrated care would help to improve the quality of life comorbid patients.

Background: Pain management is a crucial component of patient care that promotes relaxation, lowers complications, improves quality of life, and shortens hospital stays. Several studies assessed the nurses' pain management practices in Ethiopia. However, the findings of these studies are highly variable and inconsistent. Therefore, the study aims to determine the overall prevalence of pain management practice and associated factors among nurses working in Ethiopia., Method: The study included all observational quantitative research articles conducted among nurses in Ethiopia. We used Google Scholar, PubMed, Cochrane Library, and Scopus searching databases. The Newcastle-Ottawa Scale was used to check the study quality. Then I2 statistics and Cochran's Q test were used to evaluate heterogeneity. The Funnel, Egger's test, and non-parametric trim and fill effect tests were used to check publication bias by using a random effect model. Finally, we conducted subgroup analysis and sensitivity tests to evaluate statistical heterogeneity and the presence or absence of any influential study., Result: In the final analysis, we included eighteen studies, and 4,213 nurses participated. The overall pooled prevalence of nurses with good pain management practice was 43.79% (95% CI: 38.52, 49.06%). In-service training AOR; 95% CI 3.21 (1.87, 4.54), good knowledge AOR; 95% CI 2.44 (1.78, 3.09), positive attitudes AOR; 95% CI 2.84 (1.24, 4.44), and pain management guidelines in health facilities AOR; 95% CI 3.46 (1.48, 5.44) were the significant associated factors with pain management practice among nurses in Ethiopia., Conclusion: This study found that over half of Ethiopian nurses had poor pain management practices. Knowledge, attitude, training, and pain management guidelines in health facilities were significant factors. Therefore, health managers and stakeholders should prioritize pain management awareness, attitudes, availability of guidelines, and in-service training to improve patient care and outcomes., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2025 Munie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)