Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study

被引：7

作者：

Nyaaba, Gertrude Nsorma ^{[1
,2
]}

Stronks, Karien ^{[1
]}

Meeks, Karlijn ^{[1
]}

Beune, Erik ^{[1
]}

Owusu-Dabo, Ellis ^{[3
]}

Addo, Juliet ^{[4
]}

Aikins, Ama de-Graft ^{[5
]}

Mockenhaupt, Frank ^{[6
,7
]}

Bahendeka, Silver ^{[8
]}

Klipstein-Grobusch, Kerstin ^{[9
,10
]}

Smeeth, Liam ^{[4
]}

Agyemang, Charles ^{[1
]}

机构：

[1] Univ Amsterdam, Amsterdam Univ Med Ctr, Dept Publ Hlth, APH,Res Inst, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[2] Univ Barcelona, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain

[3] Kwame Nkrumah Univ Sci & Technol, Sch Publ Hlth, Kumasi, Ghana

[4] London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London, England

[5] Univ Ghana, Reg Inst Populat Studies, Legon, Ghana

[6] Charite Univ Med Berlin, Berlin, Germany

[7] Inst Trop Med & Int Hlth, Berlin, Germany

[8] Uganda Martyrs Univ, MKPGMS, Kampala, Uganda

[9] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Julius Global Hlth, Utrecht, Netherlands

[10] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Div Epidemiol & Biostat, Johannesburg, South Africa

来源：

INTERNAL AND EMERGENCY MEDICINE | 2019年 / 14卷 / 06期

关键词：

Hypertension control; Social support; Sub-Saharan Africa; Migrant health; Ethnic minority groups; Ghana; Europe; HIGH BLOOD-PRESSURE; SOCIOECONOMIC-STATUS; HEALTH; MANAGEMENT; AMSTERDAM; ADHERENCE; DUTCH; NETHERLANDS; SURINAMESE; AWARENESS;

D O I：

10.1007/s11739-019-02075-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 = 1327) were included in this analysis. Logistic regression was used to assess the association between proxies of social support and HTN control (SBP < 140 mmHg and DBP < 90 mmHg) 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 >= 5 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.

引用

页码：957 / 966

页数：10

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