Research Article

Prevalence of Hyperhomocysteinaemia and Associated Factors among Ethiopian Adult Population in a 2015 National Survey

Table 3

Factors associated with hyperhomocysteinaemia in the Ethiopian adult population, 2015.

Variables n (%)Homocysteine concentration (Hcy)Adjusted OR (95% CI) value
<15 μmol/L≥15 μmol/L

Sex
 Female1714 (69.9)739 (30.1)1<0.001
 Male879 (51.0)843 (49.0)2.16 (1.79, 2.62)

Age (years)
 15–291107 (68.1)518 (31.9)1
 30–44934 (61.2)592 (38.8)1.31 (1.08, 1.58)0.007
 45–59412 (55.8)327 (44.2)1.80 (1.41, 2.30)<0.001
 60–69140 (49.1)145 (50.9)2.06 (1.47, 2.90)<0.001

Geographic region
 Addis Ababa109 (53.2)96 (46.8)1
 Tigray467 (68.5)215 (31.5)0.50 (0.33, 0.76)0.001
 Afar85 (50.9)82 (49.1)1.23 (0.74, 2.03)0.433
 Amhara595 (74.9)199 (25.1)0.34 (0.22, 0.51)<0.001
 Oromia639 (66.5)322 (33.5)0.53 (0.36, 0.79)0.002
 Somali84 (30.4)192 (69.6)3.19 (1.90, 5.34)<0.001
 B. Gumuz103 (48.1)111 (51.9)1.02 (0.62, 1.67)0.954
 SNNPR359 (68.1)168 (31.9)0.49 (0.32, 0.74)0.001
 Gambela105 (43.9)134 (56.1)1.47 (0.82, 2.62)0.194
 Harari33 (55.9)26 (44.1)1.31 (0.56, 3.07)0.536
 Dire Dawa14 (275)37 (72.5)3.37 (1.46, 7.78)0.005

Occupational status
 Unemployed281 (63.0)165 (37.0)1
 Employed209 (55.1)170 (44.9)1.17 (0.76, 1.82)0.470
 Skilled worker1437 (61.5)899 (38.5)1.11 (0.77, 1.59)0.583
 Housewife/homemaker646 (67.4)313 (32.6)1.04 (0.69, 1.55)0.863

Level of education
 No formal education1365 (52.6)862 (54.5)1
 Primary education960 (37.0)512 (32.4)0.96 (0.79, 1.17)0.697
 Secondary education157 (6.1)102 (6.4)1.18 (0.82, 1.70)0.379
 College and above111 (4.3)106 (6.7)1.52 (0.98, 2.37)0.063

Income quartiles (×1000 birr)
 <121491 (69.6)844 (65.6)1
 12–18257 (12.0)165 (12.8)1.17 (0.85, 1.62)0.337
 18–23.3110 (5.1)96 (7.5)1.09 (0.75, 1.59)0.643
 23.3–30128 (6.0)85 (6.6)1.22 (0.79, 1.89)0.380
 >30157 (7.3)97 (7.5)1.16 (0.76, 1.78)0.493

Physical activity level
 Low385 (15.0)224 (14.3)1
 Moderate454 (17.6)225 (14.4)1.02 (0.77, 1.36)0.889
 High1734 (67.4)1116 (71.3)1.30 (1.02, 1.66)0.034

Fruit and vegetable consumption
 Yes46 (1.8)4 (0.3)1
 No2547 (98.2)1578 (99.7)9.57 (2.83, 32.30)<0.001

Blood sugar level (mg/dl)
 Normal (<110)2364 (63.2)1376 (36.8)1
 Impaired fasting glucose (110–125)95 (51.4)90 (48.6)1.26 (0.73, 2.16)0.413
 Raised blood sugar (≥126)71 (59.7)48 (40.3)1.44 (0.76, 2.74)0.266

High-density lipoprotein level (HDL)Φ
 Normal824 (58.9)576 (41.1)1
 Low1691 (64.3)939 (35.7)1.09 (0.93, 1.29)0.291

Currently smoking
 No2487 (63.1)1455 (36.9)1
 Yes106 (45.5)127 (54.5)0.84 (0.58, 1.20)0.336

Raised blood pressure/on blood pressure medication Δ
 No2193 (63.5)1260 (36.5)1
 Yes400 (55.4)322 (44.6)1.55 (1.27, 1.91)<0.001

ΦHDL level: low HDL level for males, <40 mg/dl, and for females, <50 mg/dl. ΔSBP = systolic blood pressure; DBP = diastolic blood pressure; raised blood pressure (SBP ≥ 140 and/or DBP ≥ 90 mmHg).