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Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study

BACKGROUND: Hypertension is the leading risk factor for mortality worldwide and is more common in sub-Saharan Africa than any other region. Work to date confirms that a lack of human and material resources for healthcare access contributes to this gap. The ways in which patients’ knowledge and attit...

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Autores principales: Lynch, Hayley M., Green, Aliza S., Clarke Nanyonga, Rose, Gadikota-Klumpers, Darinka D., Squires, Allison, Schwartz, Jeremy I., Heller, David J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937689/
https://www.ncbi.nlm.nih.gov/pubmed/31888767
http://dx.doi.org/10.1186/s12939-019-1109-9
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author Lynch, Hayley M.
Green, Aliza S.
Clarke Nanyonga, Rose
Gadikota-Klumpers, Darinka D.
Squires, Allison
Schwartz, Jeremy I.
Heller, David J.
author_facet Lynch, Hayley M.
Green, Aliza S.
Clarke Nanyonga, Rose
Gadikota-Klumpers, Darinka D.
Squires, Allison
Schwartz, Jeremy I.
Heller, David J.
author_sort Lynch, Hayley M.
collection PubMed
description BACKGROUND: Hypertension is the leading risk factor for mortality worldwide and is more common in sub-Saharan Africa than any other region. Work to date confirms that a lack of human and material resources for healthcare access contributes to this gap. The ways in which patients’ knowledge and attitudes toward hypertension determine their engagement with and adherence to available care, however, remains unclear. METHODS: We conducted an exploratory, qualitative descriptive study to assess awareness, knowledge, and attitudes towards hypertension and its management at a large private hospital in Kampala. We interviewed 64 participants (29 with hypertension and 34 without, 1 excluded) in English. General thematic analysis using the Integrated Conceptual Health Literacy Model was used to iteratively generate themes and categories. RESULTS: We identified three main themes: Timing of Hypertension Diagnosis, Aiming for Health Literacy, and the Influence of Knowledge on Behavior. Most participants with hypertension learned of their condition incidentally, speaking to the lack of awareness of hypertension as an asymptomatic condition. Drove nearly all participants to desire more information. However, many struggled to translate knowledge into self-management behaviors due to incomplete information and conflicting desires of participants regarding lifestyle and treatment. CONCLUSIONS: Internal patient factors had a substantial impact on adherence, calling attention to the need for educational interventions. Systemic barriers such as cost still existed even for those with insurance and need to be recognized by treating providers.
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spelling pubmed-69376892019-12-31 Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study Lynch, Hayley M. Green, Aliza S. Clarke Nanyonga, Rose Gadikota-Klumpers, Darinka D. Squires, Allison Schwartz, Jeremy I. Heller, David J. Int J Equity Health Research BACKGROUND: Hypertension is the leading risk factor for mortality worldwide and is more common in sub-Saharan Africa than any other region. Work to date confirms that a lack of human and material resources for healthcare access contributes to this gap. The ways in which patients’ knowledge and attitudes toward hypertension determine their engagement with and adherence to available care, however, remains unclear. METHODS: We conducted an exploratory, qualitative descriptive study to assess awareness, knowledge, and attitudes towards hypertension and its management at a large private hospital in Kampala. We interviewed 64 participants (29 with hypertension and 34 without, 1 excluded) in English. General thematic analysis using the Integrated Conceptual Health Literacy Model was used to iteratively generate themes and categories. RESULTS: We identified three main themes: Timing of Hypertension Diagnosis, Aiming for Health Literacy, and the Influence of Knowledge on Behavior. Most participants with hypertension learned of their condition incidentally, speaking to the lack of awareness of hypertension as an asymptomatic condition. Drove nearly all participants to desire more information. However, many struggled to translate knowledge into self-management behaviors due to incomplete information and conflicting desires of participants regarding lifestyle and treatment. CONCLUSIONS: Internal patient factors had a substantial impact on adherence, calling attention to the need for educational interventions. Systemic barriers such as cost still existed even for those with insurance and need to be recognized by treating providers. BioMed Central 2019-12-30 /pmc/articles/PMC6937689/ /pubmed/31888767 http://dx.doi.org/10.1186/s12939-019-1109-9 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Lynch, Hayley M.
Green, Aliza S.
Clarke Nanyonga, Rose
Gadikota-Klumpers, Darinka D.
Squires, Allison
Schwartz, Jeremy I.
Heller, David J.
Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title_full Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title_fullStr Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title_full_unstemmed Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title_short Exploring patient experiences with and attitudes towards hypertension at a private hospital in Uganda: a qualitative study
title_sort exploring patient experiences with and attitudes towards hypertension at a private hospital in uganda: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937689/
https://www.ncbi.nlm.nih.gov/pubmed/31888767
http://dx.doi.org/10.1186/s12939-019-1109-9
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