Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study
Background Cardiovascular disease (CVD) risk factors are increasing in many sub-Saharan African countries and disproportionately affecting communities in urban slums. Despite this, the contextual factors that influence CVD risk among slum communities have not been fully documented to guide intervent...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2022.2159126 |
| _version_ | 1797351920789094400 |
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| author | Rawlance Ndejjo Paineto Masengere Douglas Bulafu Lydia Nabawanuka Namakula Rhoda K. Wanyenze David Musoke Geofrey Musinguzi |
| author_facet | Rawlance Ndejjo Paineto Masengere Douglas Bulafu Lydia Nabawanuka Namakula Rhoda K. Wanyenze David Musoke Geofrey Musinguzi |
| author_sort | Rawlance Ndejjo |
| collection | DOAJ |
| description | Background Cardiovascular disease (CVD) risk factors are increasing in many sub-Saharan African countries and disproportionately affecting communities in urban slums. Despite this, the contextual factors that influence CVD risk among slum communities have not been fully documented to guide interventions to prevent and control the disease. Objective This study explored the drivers of CVD risk factors in slums in Kampala, Uganda. Methods This qualitative study employed focus group discussions (FGDs) to collect data among slum residents. A total of 10 FGDs separate for gender and age group were held in community public places. Discussions were audio-recorded, transcribed, and transcripts analysed thematically with the aid of Atlas ti 7.0. Study themes and sub-themes are presented supported by participant quotations. Results Five themes highlighted the drivers of CVD risk factors in slum communities. (1) Poverty: a critical underlying factor which impacted access and choice of food, work, and housing. (2) Poverty-induced stress: a key intermediate factor that led to precarious living with smoking and alcohol use as coping measures. (3) The social environment which included socialisation through drinking and smoking, and family and peers modelling behaviours. (4) The physical environment such as the high availability of affordable alcohol and access to amenities for physical activity and healthy foods. (5) Knowledge and information about CVD risk factors which included understanding of a healthy diet and the dangers of smoking and alcohol consumption. Conclusion To address CVD risk in slums, broad-ranging multisectoral interventions are required, including economic empowerment of the slum population, stress reduction and coping interventions, and alcohol legislation. Also, there is a need for community CVD sensitisation and screening as well as increasing access to physical activity amenities and healthy foods within slums. |
| first_indexed | 2024-03-08T13:07:37Z |
| format | Article |
| id | doaj.art-c6d0deb9815d429ba809753f1f927919 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-03-08T13:07:37Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-c6d0deb9815d429ba809753f1f9279192024-01-18T15:58:23ZengTaylor & Francis GroupGlobal Health Action1654-98802023-12-0116110.1080/16549716.2022.21591262159126Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative studyRawlance NdejjoPaineto MasengereDouglas Bulafu0Lydia Nabawanuka Namakula1Rhoda K. WanyenzeDavid Musoke2Geofrey MusinguziMakerere UniversityMakerere UniversityMakerere UniversityBackground Cardiovascular disease (CVD) risk factors are increasing in many sub-Saharan African countries and disproportionately affecting communities in urban slums. Despite this, the contextual factors that influence CVD risk among slum communities have not been fully documented to guide interventions to prevent and control the disease. Objective This study explored the drivers of CVD risk factors in slums in Kampala, Uganda. Methods This qualitative study employed focus group discussions (FGDs) to collect data among slum residents. A total of 10 FGDs separate for gender and age group were held in community public places. Discussions were audio-recorded, transcribed, and transcripts analysed thematically with the aid of Atlas ti 7.0. Study themes and sub-themes are presented supported by participant quotations. Results Five themes highlighted the drivers of CVD risk factors in slum communities. (1) Poverty: a critical underlying factor which impacted access and choice of food, work, and housing. (2) Poverty-induced stress: a key intermediate factor that led to precarious living with smoking and alcohol use as coping measures. (3) The social environment which included socialisation through drinking and smoking, and family and peers modelling behaviours. (4) The physical environment such as the high availability of affordable alcohol and access to amenities for physical activity and healthy foods. (5) Knowledge and information about CVD risk factors which included understanding of a healthy diet and the dangers of smoking and alcohol consumption. Conclusion To address CVD risk in slums, broad-ranging multisectoral interventions are required, including economic empowerment of the slum population, stress reduction and coping interventions, and alcohol legislation. Also, there is a need for community CVD sensitisation and screening as well as increasing access to physical activity amenities and healthy foods within slums.http://dx.doi.org/10.1080/16549716.2022.2159126alcoholdietphysical activitysmokingslums |
| spellingShingle | Rawlance Ndejjo Paineto Masengere Douglas Bulafu Lydia Nabawanuka Namakula Rhoda K. Wanyenze David Musoke Geofrey Musinguzi Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study Global Health Action alcohol diet physical activity smoking slums |
| title | Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study |
| title_full | Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study |
| title_fullStr | Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study |
| title_full_unstemmed | Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study |
| title_short | Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study |
| title_sort | drivers of cardiovascular disease risk factors in slums in kampala uganda a qualitative study |
| topic | alcohol diet physical activity smoking slums |
| url | http://dx.doi.org/10.1080/16549716.2022.2159126 |
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