دورية أكاديمية
أعرض في EDS

Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.

التفاصيل البيبلوغرافية
العنوان: Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.
المؤلفون: Adeola J; David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Obiezu F; David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Odukoya O; Department of Community Health and Primary Care, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Nigeria., Igwilo U; Department of Community Health and Primary Care, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Nigeria., Usinoma A; Department of Community Health and Primary Care, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Nigeria., Bahiru E; Department of Cardiology, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., May FP; Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.; UCLA Center for Cancer Prevention and Control Research, UCLA Kaiser Permanente Center for Health Equity and Department of Health Policy and Management, Jonsson Comprehensive Cancer Center, Los Angeles, California, USA.
المصدر: Annals of global health [Ann Glob Health] 2023 Dec 13; Vol. 89 (1), pp. 88. Date of Electronic Publication: 2023 Dec 13 (Print Publication: 2023).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Ubiquity Press Country of Publication: United States NLM ID: 101620864 Publication Model: eCollection Cited Medium: Internet ISSN: 2214-9996 (Electronic) Linking ISSN: 22149996 NLM ISO Abbreviation: Ann Glob Health Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : London : Ubiquity Press
Original Publication: Philadelphia, PA : Elsevier Inc., [2014]-
مواضيع طبية MeSH: Cardiovascular Diseases*/epidemiology , Cardiovascular Diseases*/prevention & control , Cardiovascular Diseases*/etiology , Hypertension*/drug therapy, Male ; Humans ; Female ; Middle Aged ; Cross-Sectional Studies ; Nigeria/epidemiology ; Risk Reduction Behavior
مستخلص: Background: In Sub-Saharan Africa (SSA), the prevalence of hypertension is increasing due to many factors like rapid population growth, globalization, stress, and urbanization. We aimed to characterize the perceptions of cardiovascular disease (CVD) risk among individuals with hypertension living in Nigeria and identify barriers and facilitators to optimal hypertension management.
Methods: This cross-sectional survey study was conducted at a large teaching hospital in Lagos, Nigeria. We used a convenient sample of males and females, aged 18 or older, with a diagnosis of hypertension who presented for outpatient visits in the cardiology, nephrology, or family medicine clinics between November 1 and 30, 2020. A semiquantitative approach was utilized with a survey consisting of closed and open-ended questionnaires focused on patient knowledge, perceptions of CVD risk, and barriers and facilitators of behavioral modifications to reduce CVD risk.
Results: There were 256 subjects, and 62% were female. The mean age was 58.3 years (standard deviation (SD) = 12.6). The mean duration of the hypertension diagnosis was 10.1 years. Most participants were quite knowledgeable about hypertension; however, we observed some knowledge gaps, including a belief that too much "worrying or overthinking" was a major cause of hypertension and that an absence of symptoms indicated that hypertension was under control. Barriers to hypertension management include age, discomfort or pain, and lack of time as barriers to exercise. Tasteless meals and having to cook for multiple household members were barriers to decreasing salt intake. Cost and difficulty obtaining medications were barriers to medication adherence. Primary facilitators were family support or encouragement and incorporating lifestyle modifications into daily routines.
Conclusion: We identified knowledge gaps about hypertension and CVD among our study population. These gaps enable opportunities to develop targeted interventions by healthcare providers, healthcare systems, and local governments. Our findings also help in the promotion of community-based interventions that address barriers to hypertension control and promote community and family involvement in hypertension management in these settings.
Competing Interests: The authors have no competing interests to declare.
(Copyright: © 2023 The Author(s).)
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فهرسة مساهمة: Keywords: Cardiovascular Disease; Hypertension; Nigeria; Sub-Saharan Africa
تواريخ الأحداث: Date Created: 20231218 Date Completed: 20231219 Latest Revision: 20240221
رمز التحديث: 20240221
مُعرف محوري في PubMed: PMC10723016
DOI: 10.5334/aogh.4131
PMID: 38107602
قاعدة البيانات: MEDLINE
الوصف
تدمد:2214-9996
DOI:10.5334/aogh.4131