The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana
Abstract Sub-Saharan Africa is undergoing an epidemiological transition driven by rapid, unprecedented demographic, socio-cultural, and economic transitions. These transitions are driving increases in the risk and prevalence of diabetes and other non-communicable diseases (NCDs). As NCDs rise, sever...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-17376-y |
| _version_ | 1797388004315103232 |
|---|---|
| author | Joseph Kangmennaang Alhassan Siiba Ebenezer Dassah Moses Kansanga |
| author_facet | Joseph Kangmennaang Alhassan Siiba Ebenezer Dassah Moses Kansanga |
| author_sort | Joseph Kangmennaang |
| collection | DOAJ |
| description | Abstract Sub-Saharan Africa is undergoing an epidemiological transition driven by rapid, unprecedented demographic, socio-cultural, and economic transitions. These transitions are driving increases in the risk and prevalence of diabetes and other non-communicable diseases (NCDs). As NCDs rise, several attempts have been made to understand the individual level factors that increase NCDs risks, knowledge, and attitudes around specific NCDs as well as how people live and manage NCDs. While these studies are important, and enhance knowledge on chronic diseases, little attention has been given to the role of social and cultural environment in managing chronic NCDs in underserved settings. Using purposive sampling among persons living with Diabetes Mellitus (PLWD) and participating in diabetes programs from regional and municipal hospitals in the three underserved regions in Ghana (n = 522), we assessed diabetes management and supportive care needs of PLWDs using linear latent and mixed models (gllamm) with binomial and a logit(log) link function. The result indicates that PLWDs with strong perceived social support (OR = 2.27, p ≤ 0.05) were more likely to report good diabetes management compared to PLWDs with weak perceived social support. The built environment, living with other health conditions, household wealth, ethnicity and age were associated with diabetes management. Overall, the study contributes to wider discussions on the role changing built and socio-cultural environments in the rise of diet-related diseases and their management as many Low- and Middle-Income Countries (LMICs) experience rapid epidemiological and nutrition transitions. |
| first_indexed | 2024-03-08T22:34:24Z |
| format | Article |
| id | doaj.art-8154b1d77f2940519bcb67989da639b7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T22:34:24Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-8154b1d77f2940519bcb67989da639b72023-12-17T12:32:39ZengBMCBMC Public Health1471-24582023-12-0123111210.1186/s12889-023-17376-yThe role of social support and the built environment on diabetes management among structurally exposed populations in three regions in GhanaJoseph Kangmennaang0Alhassan Siiba1Ebenezer Dassah2Moses Kansanga3School of Kinesiology and Health Studies, Queen’s UniversitySchool of Kinesiology and Health Studies, Queen’s UniversityDepartment of Global and International Health, Kwame Nkrumah University of Science and TechnologyDepartment of Geography, The George Washington UniversityAbstract Sub-Saharan Africa is undergoing an epidemiological transition driven by rapid, unprecedented demographic, socio-cultural, and economic transitions. These transitions are driving increases in the risk and prevalence of diabetes and other non-communicable diseases (NCDs). As NCDs rise, several attempts have been made to understand the individual level factors that increase NCDs risks, knowledge, and attitudes around specific NCDs as well as how people live and manage NCDs. While these studies are important, and enhance knowledge on chronic diseases, little attention has been given to the role of social and cultural environment in managing chronic NCDs in underserved settings. Using purposive sampling among persons living with Diabetes Mellitus (PLWD) and participating in diabetes programs from regional and municipal hospitals in the three underserved regions in Ghana (n = 522), we assessed diabetes management and supportive care needs of PLWDs using linear latent and mixed models (gllamm) with binomial and a logit(log) link function. The result indicates that PLWDs with strong perceived social support (OR = 2.27, p ≤ 0.05) were more likely to report good diabetes management compared to PLWDs with weak perceived social support. The built environment, living with other health conditions, household wealth, ethnicity and age were associated with diabetes management. Overall, the study contributes to wider discussions on the role changing built and socio-cultural environments in the rise of diet-related diseases and their management as many Low- and Middle-Income Countries (LMICs) experience rapid epidemiological and nutrition transitions.https://doi.org/10.1186/s12889-023-17376-yDiabetes managementSocial supportBuilt environmentEpidemiological transition |
| spellingShingle | Joseph Kangmennaang Alhassan Siiba Ebenezer Dassah Moses Kansanga The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana BMC Public Health Diabetes management Social support Built environment Epidemiological transition |
| title | The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana |
| title_full | The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana |
| title_fullStr | The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana |
| title_full_unstemmed | The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana |
| title_short | The role of social support and the built environment on diabetes management among structurally exposed populations in three regions in Ghana |
| title_sort | role of social support and the built environment on diabetes management among structurally exposed populations in three regions in ghana |
| topic | Diabetes management Social support Built environment Epidemiological transition |
| url | https://doi.org/10.1186/s12889-023-17376-y |
| work_keys_str_mv | AT josephkangmennaang theroleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT alhassansiiba theroleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT ebenezerdassah theroleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT moseskansanga theroleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT josephkangmennaang roleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT alhassansiiba roleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT ebenezerdassah roleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana AT moseskansanga roleofsocialsupportandthebuiltenvironmentondiabetesmanagementamongstructurallyexposedpopulationsinthreeregionsinghana |