Título:
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Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study
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Autor/a:
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Nyaaba, Gertrude Nsorma; Stronks, Karien; Meeks, Karlijn; Beune, Erik; Owusu-Dabo, Ellis; Addo, Juliet; Graft Aikins, Ama de; Mockenhaupt, Frank; Bahendeka, Silver; Klipstein-Grobusch, Kerstin; Smeeth, Liam; Agyemang, Charles
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Abstract:
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Hypertension (HTN) control is crucial in preventing
HTN-related complications such as stroke and coronary heart
disease. Yet, HTN control remains suboptimal particularly among
sub-Saharan African (SSA) populations partly due to poor
self-management. Self-management of HTN is influenced by social
support, but the evidence on the role of social support on HTN
control particularly among SSA populations is limited. This
study assessed the association between multiple proxies for
social support and HTN control among Ghanaians resident in Ghana
and Europe. The Research on Obesity and Diabetes among African
Migrants (RODAM) study participants with HTN and who
self-reported HTN (n\xE2\x80\x89=\xE2\x80\x891327) were included
in this analysis. Logistic regression was used to assess the
association between proxies of social support and HTN control
(SBP\xE2\x80\x89<\xE2\x80\x89140\xC2\xA0mmHg and
DBP\xE2\x80\x89<\xE2\x80\x8990\xC2\xA0mmHg) with adjustments
for age and socioeconomic status (SES). Among Ghanaian males in
both Europe and Ghana, cohabiting with more than two persons was
associated with increased odds of having HTN controlled. Male
hypertensive patients cohabiting with \xE2\x89\xA5\xE2\x80\x895
persons had the highest odds of having HTN controlled after
adjustment for age and SES (OR 0.30; 95% CI 0.16-0.57; 0.60;
0.34-1.04, respectively). This association was not observed
among females. Relationship status, frequency of religious
activity attendance and satisfaction with social support did not
show any significant association with HTN control. Our study
shows that cohabitation is significantly associated with HTN
control but in males only. The other proxies for social support
appeared not to be associated with HTN control. Involving
persons living with Ghanaian men with HTN in the treatment
process may help to improve adherence to HTN treatment. Further
research is needed to explore in-depth, how these social support
proxies could contribute to improved HTN control among SSA
populations. |
Materia(s):
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-Hipertensió -Migrants -Ètnies d'Àfrica -Àfrica subsahariana -Europa -Hypertension -Ethnic groups in Africa -Sub-Saharan Africa -Europe |
Derechos:
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cc by (c) Nyaaba et al., 2019
http://creativecommons.org/licenses/by/3.0/es/ |
Tipo de documento:
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Artículo Artículo - Versión publicada |
Editor:
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Springer International Publishing
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