肯尼亚内罗毕糖尿病风险和预防的看法:一种定性和变化理论的发展研究
Anthony Muchai Manyara1,2,3, Elizabeth Mwaniki2, Jason M R Gill4
1School of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.
PloS one
|February 13, 2024
概括
肯尼亚的2型糖尿病预防需要多元组件策略. 干预措施应促进教育和支持健康的环境,特别是在低收入城市地区,以应对不断上升的利率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 促进健康 促进健康
背景情况:
- 肯尼亚的2型糖尿病发病率不断上升,特别是在城市环境中.
- 迫切需要基于证据的本地预防干预措施.
- 探索糖尿病风险因素,并在不同社会经济社区共同制定预防策略.
研究的目的:
- 为了探索两个内罗毕社区的糖尿病风险因素.
- 共同创建一个适合当地环境的糖尿病预防变革理论.
- 为肯尼亚制定有效的糖尿病预防干预措施提供信息.
主要方法:
- 对内罗毕低收入 (n=15) 和中等收入 (n=14) 社区中年居民进行深入访谈的专题分析.
- 应用行为变化轮框架来告知变化理论.
- 通过采访受访者的子集 (n=13) 验证变化理论.
主要成果:
- 影响预防实践的关键因素包括知识,生活方式的理解,社会影响和环境对健康食品和体育活动的准入.
- 建议的策略:加强糖尿病教育 (特别是低收入人群),支持改变生活方式,实施查,改善社会/身体环境.
- 社区成员建议进行门对门活动和为健康教育提供戏剧;低收入居民表示担心政府对基础设施的优先考虑.
结论:
- 多组分干预措施对于肯尼亚的糖尿病预防至关重要.
- 个人层面的战略包括教育和技能提升.
- 人口层面的战略应促进支持性的社会和物理环境,重点关注低收入社区.
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