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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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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. |
format | Online Article Text |
id | pubmed-6937689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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