International Health最新文献_第8页

Active surveillance of immunization adverse effects: a multicentre, open-label, three-arm randomized uncontrolled trial in Ethiopia. 主动监测免疫接种不良反应：埃塞俄比亚的一项多中心、开放标签、三臂随机无对照试验。

IF 2.5 4区医学

International Health Pub Date : 2024-06-03 DOI: 10.1093/inthealth/ihae040

Dawit Getachew Assefa, Tizalegn Tesefaye, Etaferaw Bekele, Genet Geberemickeal, Andualem Mebratu, Aschalew Gossaye Ejigu, Tariku Nigatu, Eden Dagnachew Zeleke

{"title":"Active surveillance of immunization adverse effects: a multicentre, open-label, three-arm randomized uncontrolled trial in Ethiopia.","authors":"Dawit Getachew Assefa, Tizalegn Tesefaye, Etaferaw Bekele, Genet Geberemickeal, Andualem Mebratu, Aschalew Gossaye Ejigu, Tariku Nigatu, Eden Dagnachew Zeleke","doi":"10.1093/inthealth/ihae040","DOIUrl":"https://doi.org/10.1093/inthealth/ihae040","url":null,"abstract":"Background: Participant-centred active adverse event following immunization (AEFI) surveillance can offer real-time vaccine safety data and help in signal detection. This study aimed to evaluate the effectiveness of participant-centred active adverse events (AEs) surveillance following measles immunization in Gedeo Zone health facilities in Ethiopia.Methods: An open-label, multicentred, three-arm randomized uncontrolled trial was conducted from 1 June to 21 October 2023. After assessing enrolment eligibility, the study participants were randomized into three groups (short message service [SMS], telephone interview, and diary card). They were expected to report AEs in children 1 week after receiving immunization. Binary and multivariable logistic regression and χ2 tests were used to analyse the data.Results: Among the 396 participants randomized into the three groups, 80.8% (320 participants) reported back about their children's AE status. Participants in the telephone interview group exhibited a substantially superior response rate (93.2% of 132 participants; p<0.00001) compared with the SMS (71.2%) and diary card (78%) groups. The likelihood of reporting the status of AEs experienced by children was lower by 77% (adjusted odds ratio 0.23 [95% confidence interval 0.1 to 0.52], p-value <0.00001) in the diary card group compared with the telephone interview group.Conclusions: In this study, a telephone interview was found to be the best method for AEFI reporting. Participant-centred active AE surveillance could potentially permit more rapid identification of emerging safety signals. Trial registration: https://clinicaltrials.gov/ct2/show/NCT05803538.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Progress towards the elimination of trachoma in Nigeria. 尼日利亚在消除沙眼方面取得的进展。

IF 2.5 4区医学

International Health Pub Date : 2024-05-31 DOI: 10.1093/inthealth/ihae035

Caleb D Mpyet, Nicholas Olobio, Sunday Isiyaku, Teyil Wamyil-Mshelia, Grace Ajege, Christopher Ogoshi, Francisca Olamiju, Ijeoma Achu, Mohammed Dantani Adamu, Nasiru Muhammad, Aliyu Mohammed Jabo, Philomena Orji, Adamani William, Alice Venyir Ramyil, Ana Bakhtiari, Sarah Boyd, Michaela Kelly, Cristina Jimenez, Amir Bedri Kello, Anthony W Solomon, Emma M Harding-Esch, Paul Courtright

{"title":"Progress towards the elimination of trachoma in Nigeria.","authors":"Caleb D Mpyet, Nicholas Olobio, Sunday Isiyaku, Teyil Wamyil-Mshelia, Grace Ajege, Christopher Ogoshi, Francisca Olamiju, Ijeoma Achu, Mohammed Dantani Adamu, Nasiru Muhammad, Aliyu Mohammed Jabo, Philomena Orji, Adamani William, Alice Venyir Ramyil, Ana Bakhtiari, Sarah Boyd, Michaela Kelly, Cristina Jimenez, Amir Bedri Kello, Anthony W Solomon, Emma M Harding-Esch, Paul Courtright","doi":"10.1093/inthealth/ihae035","DOIUrl":"10.1093/inthealth/ihae035","url":null,"abstract":"Trachoma is targeted for elimination as a public health problem worldwide by 2030. In Nigeria, elimination activities are implemented at the local government area (LGA) level. They started in 2002 by conducting baseline population-based prevalence surveys (PBPSs), which continued in a systematic manner with engagement from the Global Trachoma Mapping Project in 2013, and subsequently Tropical Data. The results led to the development of Nigeria's first trachoma action plan and its subsequent revision with additional information. Following 449 baseline PBPSs, 122 LGAs had an active trachoma prevalence above the elimination threshold, requiring interventions, while 231 LGAs required community-based interventions for trichiasis management. By 2021, >34 million antibiotic treatments had been provided in 104 LGAs, with 89 LGAs eliminating active trachoma. Nationally, water and sanitation coverages increased by 3% and 18%, respectively, in 7 y. Systematic trichiasis case finding and management were carried out in 231 LGAs, resulting in the management of 102 527 people. Fifty-four LGAs decreased trichiasis prevalence unknown to the health system to <0.2% in persons ≥15 y of age. Where this elimination prevalence threshold was reached, trichiasis services were transitioned to routine eye/healthcare systems. Such progress relied on strong leadership and coordination from the national trachoma program and tremendous support provided by partners. Attaining elimination of trachoma as a public health problem in Nigeria by 2030 is feasible if funding support is sustained.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tropical Data: supporting health ministries worldwide to conduct high-quality trachoma surveys. 热带数据：支持世界各地的卫生部门开展高质量的沙眼调查。

IF 2.5 4区医学

International Health Pub Date : 2024-05-31 DOI: 10.1093/inthealth/ihae036

E M Harding-Esch, A Bakhtiari, S Boyd, C Burgert-Brucker, R Butcher, M Dejene, A Harte, P J Hooper, C Jimenez, E M Taylor, T Millar, C Mpyet, J M Ngondi, L A Rotondo, A W Solomon

引用次数: 0

Human papillomavirus vaccine coverage among immigrant adolescents in Alberta: a population-based cohort study. 艾伯塔省移民青少年的人类乳头瘤病毒疫苗接种率：一项基于人群的队列研究。

IF 2.5 4区医学

International Health Pub Date : 2024-05-24 DOI: 10.1093/inthealth/ihae038

Crystal Du, Don Voaklander, Salima Meherali, Yuba Raj Paudel, Shannon E MacDonald

{"title":"Human papillomavirus vaccine coverage among immigrant adolescents in Alberta: a population-based cohort study.","authors":"Crystal Du, Don Voaklander, Salima Meherali, Yuba Raj Paudel, Shannon E MacDonald","doi":"10.1093/inthealth/ihae038","DOIUrl":"https://doi.org/10.1093/inthealth/ihae038","url":null,"abstract":"Background: Little is known about human papillomavirus (HPV) vaccination among immigrant children in Canada. We conducted a study in Alberta, Canada to assess HPV vaccine coverage among school-aged immigrant children compared with non-immigrant children.Methods: This cohort study analysed population-based linked administrative health data to measure HPV vaccine coverage for 346 749 school-aged children, including 31 656 immigrants. Coverage was examined at 12 y of age from 2008 to 2018 for females, and from 2014 to 2018 for males and both sexes combined; vaccine series completion was considered receipt of three doses, with initiation (one or more dose) as a supplementary analysis. Multivariable logistic regression examined the association of vaccine coverage with migration status, adjusting for sociodemographic variables.Results: Between 2014 and 2018, HPV vaccination coverage among immigrant children at age 12 y was significantly higher (52.58%) compared with non-immigrant children (47.41%). After controlling for place of residence, income quintile, biological sex and year, immigrant children had 1.10 greater odds (95% confidence interval 1.07 to 1.14) of receiving three doses of HPV vaccine compared with non-immigrant children. Immigrants from Asia and Africa had the highest coverage (60.25-68.78%), while immigrants from North America, Oceania and South America had the lowest coverage (39.97-48.36%).Conclusions: It is encouraging that immigrant children had higher HPV vaccine coverage compared with non-immigrants. Among immigrants, routine immunization promotion strategies should be tailored based on the country of origin.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Education and non-communicable diseases in India: an exploration of gendered heterogeneous relationships. 印度的教育与非传染性疾病：对性别异质性关系的探索。

IF 2.5 4区医学

International Health Pub Date : 2024-05-24 DOI: 10.1093/inthealth/ihae037

Jhumki Kundu, Srinivas Goli, K S James

{"title":"Education and non-communicable diseases in India: an exploration of gendered heterogeneous relationships.","authors":"Jhumki Kundu, Srinivas Goli, K S James","doi":"10.1093/inthealth/ihae037","DOIUrl":"https://doi.org/10.1093/inthealth/ihae037","url":null,"abstract":"Background: While the association between education and non-communicable diseases (NCDs) is well established, it remains unclear whether this association varies by gender. The aim of this study was to examine two critical research questions: whether the association of education and NCDs is conditioned by gender and, if so, what are the factors contributing to this?Methods: Data from the Longitudinal Aging Study in India Wave 1 (2017-2018) was used for the empirical analysis. The study employs bivariate, binary logistic regression and Oaxaca decomposition analyses.Results: The results reveal that the net likelihood of having at least one chronic NCD increases with an increase in education level for men (<5 y of schooling: odds ratio [OR] 1.18 [95% confidence interval {CI} 1.09 to 1.28]; ≥10 y of schooling: OR 1.43 [95% CI 1.33 to 1.53]). However, for women, the result showed a contrasting pattern. The decomposition analysis revealed that the distinctive roles of marital status and working status in the diagnosis of morbidity for men and women are the key factors behind the gendered heterogeneous relationship of education and NCDs in India.Conclusions: The study found that it is important to acknowledge the potential impact of self-reporting bias in morbidity data while examining the relationship between education and NCDs.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obesity, beverage consumption and sleep patterns in rural African women in relation to advertising of these beverages. 非洲农村妇女的肥胖、饮料消费和睡眠模式与这些饮料广告的关系。

IF 2.5 4区医学

International Health Pub Date : 2024-05-11 DOI: 10.1093/inthealth/ihae031

Merling Phaswana, Zandile June-Rose Mchiza, Sunday Olawale Onagbiye, Philippe Jean-Luc Gradidge

{"title":"Obesity, beverage consumption and sleep patterns in rural African women in relation to advertising of these beverages.","authors":"Merling Phaswana, Zandile June-Rose Mchiza, Sunday Olawale Onagbiye, Philippe Jean-Luc Gradidge","doi":"10.1093/inthealth/ihae031","DOIUrl":"https://doi.org/10.1093/inthealth/ihae031","url":null,"abstract":"Background: The burden of obesity-related, non-communicable diseases in South Africa is persistent, with poor and black South African women particularly vulnerable. The purpose of the present study was to determine relationships between obesity, physical activity, sleep patterns and beverage consumption among black South African women in a rural village in the Limpopo province.Methods: A cross-sectional study was conducted among 200 rural-dwelling African women. Data were collected on beverage consumption, sociodemographic information, sleep patterns and anthropometry using self-reported questionnaires.Results: The mean body mass index (BMI) was 28.5±7.3 kg/m2, with 40% being classified as obese (BMI ≥30 kg/m2) and the mean sleep score was 4.68±2.51. Participants with very bad habitual sleeping patterns consumed significantly more sugar-sweetened beverages and alcohol than those with very good sleeping patterns. We also observed that when total coffee with sugar, fruit juice, total sugar-sweetened beverages and weight decreased the number of hours participants slept increased.Conclusions: The study identified significant associations between body weight, sleep duration and sugar-sweetened beverage consumption among rural black South African women. This underscores a need to address unhealthy lifestyle behaviours to lower incidences of non-communicable diseases in rural-dwelling women.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors and circulation pattern of respiratory syncytial virus in children under 2 years in Maputo, Mozambique. 莫桑比克马普托两岁以下儿童呼吸道合胞病毒的风险因素和传播模式。

IF 2.5 4区医学

International Health Pub Date : 2024-05-08 DOI: 10.1093/inthealth/ihae033

Mirela Pale, Almiro Tivane, Tinne Gils, Adilson Bauhofer, Neuza Nguenha, Loira Machalele, Félix Gundane, Aunésia Marrurele, Judite Salência, Délcio Muteto, Josina Chalufo-Chilundo, Marilda Siqueira, Tufária Mussá

{"title":"Risk factors and circulation pattern of respiratory syncytial virus in children under 2 years in Maputo, Mozambique.","authors":"Mirela Pale, Almiro Tivane, Tinne Gils, Adilson Bauhofer, Neuza Nguenha, Loira Machalele, Félix Gundane, Aunésia Marrurele, Judite Salência, Délcio Muteto, Josina Chalufo-Chilundo, Marilda Siqueira, Tufária Mussá","doi":"10.1093/inthealth/ihae033","DOIUrl":"https://doi.org/10.1093/inthealth/ihae033","url":null,"abstract":"Background: Evidence on risk factors for respiratory syncytial virus (RSV) in low-resource settings is limited. In Mozambican children <2 y of age with severe acute respiratory infection (SARI), we explored risk factors for RSV, described its seasonal variation and assessed associations between RSV and a life-threatening condition.Methods: We retrospectively included participants presenting in 2017-2018 in two hospitals in Maputo. RSV was detected and subtyped using real-time quantitative reverse transcription polymerase chain reaction on nasopharyngeal swabs. We used logistic regression and χ2 tests to assess associations and Spearman's correlation coefficient to assess the correlation between weather measurement and RSV positivity.Results: RSV was detected in 23.1% (n=109) of 472 included children and in 50.0% (20/40) of those <3 months old. Being <3 months (vs >1 y) was associated with RSV (adjusted odds ratio 4.3 [95% confidence interval 2.1-8.5]). RSV status was not associated with experiencing a life-threatening condition. RSV A and B co-circulated during the study period, but one type predominated in each year. In 2017, the RSV positivity rate was correlated with monthly average temperature (r=0.793, p=0.002) and precipitation (r=0.596, p=0.041).Conclusions: In Mozambican children with SARI, RSV was prevalent, especially in neonates. However, RSV was not associated with a life-threatening condition.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and predictors of traditional medicine use among persons with diabetes in Africa: a systematic review. 非洲糖尿病患者使用传统药物的普遍性和预测因素：系统综述。

IF 2.5 4区医学

International Health Pub Date : 2024-05-01 DOI: 10.1093/inthealth/ihad080

Emmanuel Ekpor, Eric Osei, Samuel Akyirem

{"title":"Prevalence and predictors of traditional medicine use among persons with diabetes in Africa: a systematic review.","authors":"Emmanuel Ekpor, Eric Osei, Samuel Akyirem","doi":"10.1093/inthealth/ihad080","DOIUrl":"10.1093/inthealth/ihad080","url":null,"abstract":"The utilization of traditional medicine (TM) is prevalent among the general population in Africa; however, its use among individuals with diabetes in the region remains underdocumented. This review aimed to synthesize the available literature to identify the prevalence and predictors of TM use among persons with diabetes in Africa. A systematic search was conducted across multiple databases, including MEDLINE, Embase, CINAHL, and AMED, covering studies published from 2000 to April 2023. Of 1560 records identified, 24 articles met the inclusion criteria. The prevalence of TM use varied significantly, ranging from 12.4% to 77.1%, with a median prevalence of 50%. TM was commonly used concurrently with conventional medicine (CM) (35.4-88.4%), with a majority (63.8-91.3%) not disclosing TM use to healthcare providers. Female gender, long diabetes duration, use of oral antiglycaemic medication and family history of diabetes emerged as the most common factors that predicted the use of TM. This review highlights the widespread use of TM among individuals with diabetes in Africa, often in conjunction with CM. The high prevalence of undisclosed TM use emphasizes the urgent need for healthcare providers to actively inquire about TM use during clinical consultations to address potential herb-drug interactions and adverse effects.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"252-260"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11062204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and determinants of cardiovascular risk factors in Lesotho: a population-based survey. 莱索托心血管风险因素的普遍性和决定因素：一项基于人口的调查。

IF 2.5 4区医学

International Health Pub Date : 2024-05-01 DOI: 10.1093/inthealth/ihad058

Lucia González Fernández, Emmanuel Firima, Ravi Gupta, Mamoronts'ane Pauline Sematle, Makhebe Khomolishoele, Manthabiseng Molulela, Matumaole Bane, Raphaela Meli, Mosa Tlahali, Tristan Lee, Frédérique Chammartin, Felix Gerber, Thabo Ishmael Lejone, Irene Ayakaka, Maja Weisser, Alain Amstutz, Niklaus Daniel Labhardt

{"title":"Prevalence and determinants of cardiovascular risk factors in Lesotho: a population-based survey.","authors":"Lucia González Fernández, Emmanuel Firima, Ravi Gupta, Mamoronts'ane Pauline Sematle, Makhebe Khomolishoele, Manthabiseng Molulela, Matumaole Bane, Raphaela Meli, Mosa Tlahali, Tristan Lee, Frédérique Chammartin, Felix Gerber, Thabo Ishmael Lejone, Irene Ayakaka, Maja Weisser, Alain Amstutz, Niklaus Daniel Labhardt","doi":"10.1093/inthealth/ihad058","DOIUrl":"10.1093/inthealth/ihad058","url":null,"abstract":"Background: There are no recent data on the prevalence of cardiovascular risk factors (CVDRFs) in Lesotho. This study aims to assess the prevalence of CVDRFs and their determinants.Methods: We conducted a household-based, cross-sectional survey among adults ≥18 y of age in 120 randomly sampled clusters in two districts.Results: Among 6061 participants, 52.2% were female and their median age was 39 y (interquartile range 27-58). The overall prevalence of overweight, diabetes, elevated blood pressure (BP) and tobacco use was 39.9%, 5.3%, 21.6% and 24.9%, respectively. Among participants, 34.6% had none, 45.2% had one and 20.2% had two or more CVDRFs. Women were more likely to have two or more CVDRFs (20.7% vs 12.3%). Overall, 7.5% of participants had elevated total cholesterol, 52.7% had low high-density lipoprotein cholesterol and 1.6% had elevated low-density lipoprotein cholesterol. Among younger participants (18-29 y), 16.1% reported tobacco use, 28.6% were overweight, 1.5% had diabetes and 3.5% had elevated BP. Household wealth positively correlated with the prevalence of elevated BP, overweight and diabetes, whereas tobacco use was higher among people in the lowest three wealth quintiles.Conclusions: CVDRFs are highly prevalent in Lesotho across age and sex groups, underlining the importance of strengthening prevention and care programs in Lesotho and similar settings in southern Africa.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"313-324"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11062187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10375157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of stigma among persons with type 2 diabetes in Africa: a systematic review. 非洲 2 型糖尿病患者的污名化经历：系统综述。

IF 2.5 4区医学

International Health Pub Date : 2024-05-01 DOI: 10.1093/inthealth/ihad045

Samuel Akyirem, Emmanuel Ekpor

{"title":"Experience of stigma among persons with type 2 diabetes in Africa: a systematic review.","authors":"Samuel Akyirem, Emmanuel Ekpor","doi":"10.1093/inthealth/ihad045","DOIUrl":"10.1093/inthealth/ihad045","url":null,"abstract":"Diabetes stigma is a pervasive social phenomenon with significant impacts on individuals living with type 2 diabetes mellitus (T2DM). Despite the negative health impact of diabetes stigma, little is known about the experience of this phenomenon in Africa. This review aimed to synthesize existing quantitative and qualitative studies that examine the experiences and outcomes of T2DM stigma in Africa. A mixed studies review methodology was utilized to conduct this research. Relevant articles were identified by searching the Cumulative Index to Nursing and Allied Health Literature, PubMed, MEDLINE and PsycINFO databases. The mixed method appraisal tool was used to assess the quality of included studies. Of 2626 records identified, 10 articles met the inclusion criteria. The prevalence of diabetes stigma was as high as 70%. The results of the review indicate that individuals with T2DM in Africa are labelled as 'having HIV', 'nearing their death' and 'wasting resources'. These experiences were associated with low quality of life, disease concealment and avoidance of self-management behaviours. The findings highlight the urgent need for further stigma-centric studies to fully understand how T2DM stigma is experienced in Africa. The evidence from such studies would inform the development and evaluation of effective interventions to address this social consequence of T2DM.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"231-239"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11062194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0