Self-care Beliefs and Behaviors in Ugandan Adults With Type 2 Diabetes

Baumann, Linda C.; Opio, Christopher; Otim, Marcel; Olson, Lindsay; Ellison, Shanee

doi:10.1177/0145721709358460

Cited by 34 publications

(39 citation statements)

References 14 publications

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“…The review was restricted to manuscripts written in English. In total, 15 articles consisting of eight qualitative (26–33) and seven quantitative studies (34–40) met the inclusion criteria and were included in this review. Figure 1 shows the flow of included studies in this review.…”

Section: Resultsmentioning

confidence: 99%

Assessing evidence of inequalities in access to medication for diabetic populations in low- and middle-income countries: a systematic review

Christiani

Dhippayom

Chaiyakunapruk

2016

Global Health Action

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BackgroundInequalities in access to medications among people diagnosed with diabetes inlow- and middle-income countries (LMICs) is a public health concern since untreated diabetes can lead to severe complications and premature death.ObjectiveTo assess evidence of inequalities in access to medication for diabetes in adult populations of people with diagnosed diabetes in LMICs.DesignWe conducted a systematic review of the literature using the PRISMA-Equity guidelines. A search of five databases – PubMed, Cochrane, CINAHL, PsycINFO, and EMBASE – was conducted from inception to November 2015. Using deductive content analysis, information extracted from the selected articles was analysed according to the PRISMA-Equity guidelines, based on exposure variables (place of residence, race/ethnicity, occupation, gender, religion, education, socio-economic status, social capital, and others).ResultsFifteen articles (seven quantitative and eight qualitative studies) are included in this review. There were inconsistent findings between studies conducted in different countries and regions although financial and geographic barriers generally contributed to inequalities in access to diabetes medications. The poor, those with relatively low education, and people living in remote areas had less access to diabetes medications. Furthermore, we found that the level of government political commitment through primary health care and in the provision of essential medicines was an important factor in promoting access to medications.ConclusionsThe review indicates that inequalities exist in accessing medication among diabetic populations, although this was not evident in all LMICs. Further research is needed to assess the social determinants of health and medication access for people with diabetes in LMICs.

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Section: Resultsmentioning

confidence: 99%

Assessing evidence of inequalities in access to medication for diabetic populations in low- and middle-income countries: a systematic review

Christiani

Dhippayom

Chaiyakunapruk

2016

Global Health Action

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“…The authors of one article used the Household Food Insecurity Access Scale (HFIAS), a measure of food accessibility developed by the US Agency for International Development and validated for use in developing countries [39•]. However, scholars have identified the need to develop culturally relevant, globally appropriate measures that take into account typical local foods, as well as meal sizes and frequency [40]. Of the reviewed articles, four used qualitative methods, 26 used quantitative methods, and three used mixed methods.…”

Section: Review Methodsmentioning

confidence: 99%

The Intersection between Food Insecurity and Diabetes: A Review

et al. 2014

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Access to sufficient, safe, and nutritious food not only affects the health of people who experience food insecurity, but also their ability to manage health conditions, such as diabetes. When people find it difficult to access sufficient food, tailoring their food selection to a diabetes regimen is even more difficult. Food insecurity in North America is consistently more prevalent among households with a person living with diabetes, and similarly, diabetes is also more prevalent in food-insecure households. Diabetes management can be stressful due to the many required responsibilities; when compounded with food insecurity, it becomes an even greater challenge. As a result, many food-insecure diabetics find themselves caught between competing priorities such as procuring food, prescribed medications and supplies for diabetes, and managing other living expenses, potentially worsening their condition and overall health. Healthcare providers should be aware and informed about the significant role that food security can play in the prevention and management of diabetes.

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“…In study conducted in Nigeria to evaluate the level of knowledge among type 2 diabetics showed that knowledge is below mean score 39% ± 16.7% [62]. In a South African primary care setting, showed lower levels of diabetes knowledge with an average of 52.2% compared to their Indian counterparts with an average of 75.9% [63,64].…”

Section: Idf Atlasmentioning

confidence: 99%

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

M¹,

Tesfahun²,

Lamessa³

2016

J Diabetes Metab

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Background: Diabetes self-care behaviour adherence is considered to be the cornerstone in diabetes care. Hence, the success of long-term maintenance therapy for diabetes depends largely on the patients' adherence with self-care behaviour. and data were collected by using interviewer administered questionnaires. The data were entered into EPI-DATA version 3.1, and analysed by Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics were used for most variables; a bivariate analysis was employed to determine the presence of association between adherence to self-care behaviour with other variables at P-value less than 0.05. Multi-variable logistic regression was performed to identify independent predictors of glycaemic control and self-care behaviour adherence. Results:One hundred ninty four type 2 diabetics were participated in this study and 99 (51.0%) were Females. Mean age of participants was 50.3(±13.2) years, and 41.2% had good self-care behaviour adherence. Above one half (57.2%) had diabetes duration less than five years, with mean duration of diabetes 5.02 ± 3.8 years. Conclusion:In our study area adherence to self-care behaviour of the study subjects were low. So strategies that can improve these discrepancies like provision of diabetes self-care education and counselling especially on importance of self-monitoring of blood glucose, physical activity and problem solving should be considered by responsible bodies.

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Self-care Beliefs and Behaviors in Ugandan Adults With Type 2 Diabetes

Abstract: Results from this study highlight the challenges of diabetes self-care in resource-poor countries. Improving diabetes care will require systems-level interventions to provide access to basic resources as well as to social support and educational interventions.

Cited by 34 publications

References 14 publications

Assessing evidence of inequalities in access to medication for diabetic populations in low- and middle-income countries: a systematic review

Assessing evidence of inequalities in access to medication for diabetic populations in low- and middle-income countries: a systematic review

The Intersection between Food Insecurity and Diabetes: A Review

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

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