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Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees

BACKGROUND: Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies. AIM: The aim of this study was to determine the relationship between physician lif...

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Autores principales: Ameh, Pius O., Yakubu, Kenneth, Miima, Miriam, Popoola, Olugbemi, Mohamoud, Gulnaz, von Pressentin, Klaus B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489155/
https://www.ncbi.nlm.nih.gov/pubmed/31038332
http://dx.doi.org/10.4102/phcfm.v11i1.1701
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author Ameh, Pius O.
Yakubu, Kenneth
Miima, Miriam
Popoola, Olugbemi
Mohamoud, Gulnaz
von Pressentin, Klaus B.
author_facet Ameh, Pius O.
Yakubu, Kenneth
Miima, Miriam
Popoola, Olugbemi
Mohamoud, Gulnaz
von Pressentin, Klaus B.
author_sort Ameh, Pius O.
collection PubMed
description BACKGROUND: Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies. AIM: The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA. SETTING: FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA. METHODS: A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following collation of responses, the relationship between the participants’ CVD prevention knowledge, lifestyle practices and CVD counselling rates was assessed. RESULTS: Of the 174 participants (53% response rate), 83% were married, 51% were females and the mean age was 39.2 (standard deviation [SD] 7.6) years. Most of the participants responded accurately to the CVD prevention knowledge items, but few had accurate responses on prioritising care by 10-year risk. Most participants had less than optimal lifestyle practices except for smoking, vegetable or fruit ingestion and sleep habits. Most participants (65%) usually counselled patients on nutrition, but less frequently on weight management, exercise, smoking and alcohol. The region of practice and physicians with poor lifestyle were predictive of patient counselling rates. CONCLUSION: Training on patient counselling and self-awareness for CVD prevention may influence patient counselling practice. Promoting quality training on patient counselling among FPs as well as a healthy self-awareness for CVD prevention is thus needed. The complex relationship between physician lifestyle and patient counselling warrants further study. KEYWORDS: family physicians; cardiovascular diseases; lifestyle counselling; sub-Saharan Africa; online survey; family medicine trainee.
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spelling pubmed-64891552019-05-02 Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees Ameh, Pius O. Yakubu, Kenneth Miima, Miriam Popoola, Olugbemi Mohamoud, Gulnaz von Pressentin, Klaus B. Afr J Prim Health Care Fam Med Original Research BACKGROUND: Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies. AIM: The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA. SETTING: FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA. METHODS: A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following collation of responses, the relationship between the participants’ CVD prevention knowledge, lifestyle practices and CVD counselling rates was assessed. RESULTS: Of the 174 participants (53% response rate), 83% were married, 51% were females and the mean age was 39.2 (standard deviation [SD] 7.6) years. Most of the participants responded accurately to the CVD prevention knowledge items, but few had accurate responses on prioritising care by 10-year risk. Most participants had less than optimal lifestyle practices except for smoking, vegetable or fruit ingestion and sleep habits. Most participants (65%) usually counselled patients on nutrition, but less frequently on weight management, exercise, smoking and alcohol. The region of practice and physicians with poor lifestyle were predictive of patient counselling rates. CONCLUSION: Training on patient counselling and self-awareness for CVD prevention may influence patient counselling practice. Promoting quality training on patient counselling among FPs as well as a healthy self-awareness for CVD prevention is thus needed. The complex relationship between physician lifestyle and patient counselling warrants further study. KEYWORDS: family physicians; cardiovascular diseases; lifestyle counselling; sub-Saharan Africa; online survey; family medicine trainee. AOSIS 2019-03-26 /pmc/articles/PMC6489155/ /pubmed/31038332 http://dx.doi.org/10.4102/phcfm.v11i1.1701 Text en © 2019. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Ameh, Pius O.
Yakubu, Kenneth
Miima, Miriam
Popoola, Olugbemi
Mohamoud, Gulnaz
von Pressentin, Klaus B.
Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title_full Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title_fullStr Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title_full_unstemmed Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title_short Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
title_sort lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-saharan african family physicians and trainees
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489155/
https://www.ncbi.nlm.nih.gov/pubmed/31038332
http://dx.doi.org/10.4102/phcfm.v11i1.1701
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