Quality of life and Associated Factors among Children aged 5 to 18 years with Diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital

Background: This study aimed to determine the quality of life and describe associated factors among children aged 5-18 yearswith diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital.Methods: An explanatory sequential study design was used between November 2018 and March 2019. Univariate analysistogether with bivariate logistic regression analysis was used to determine quality of life and identify association between thequality of life at a p-value ˂ 0.05 respectively. Factors found to have a p-value ˂ 0.25 were included in the Multivariate logisticregression. A backward method was then applied to determine the best model that predicts quality of life among children.Data was analysed using STATA version 14. Data on the perception of quality of life of children with diabetes mellitus fromthe perspective of the children, caregivers and health workers was used to obtain qualitative results.Results: 115 children were recruited from the paediatric diabetic clinics. A low quality of life with a mean score of 77 ±15.58was reported with a mean age of 13 ± 3.9. Factors associated with quality of life included: age groups of 8-12 and 13-18years, primary education, secondary education, tertiary education, a single parent, living with relatives and primary caregiver being a relative other than the biological parents.Conclusion: A sub-optimal quality of life was observed among children with type 1 diabetes mellitus. The factors associatedwith good quality of life included; age between 5- 7 years, a child living with biological parents, a child being in primaryschool and higher parental level of education.Recommendation: Community health education and sensitization should be more focused towards the adolescent patients,single mothers, guardians and benefactors of children with diabetes mellitus. There is greater need for healthcare support inschools to mitigate the stigma experienced by these children.