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Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study.
- Source :
- Global Health Action; 2023, Vol. 16 Issue 1, p1-11, 11p
- Publication Year :
- 2023
-
Abstract
- Cardiovascular disease (CVD) risk factors are increasing in many sub-Saharan African countries and disproportionately affecting communities in urban slums. Despite this, the contextual factors that influence CVD risk among slum communities have not been fully documented to guide interventions to prevent and control the disease. This study explored the drivers of CVD risk factors in slums in Kampala, Uganda. This qualitative study employed focus group discussions (FGDs) to collect data among slum residents. A total of 10 FGDs separate for gender and age group were held in community public places. Discussions were audio-recorded, transcribed, and transcripts analysed thematically with the aid of Atlas ti 7.0. Study themes and sub-themes are presented supported by participant quotations. Five themes highlighted the drivers of CVD risk factors in slum communities. (1) Poverty: a critical underlying factor which impacted access and choice of food, work, and housing. (2) Poverty-induced stress: a key intermediate factor that led to precarious living with smoking and alcohol use as coping measures. (3) The social environment which included socialisation through drinking and smoking, and family and peers modelling behaviours. (4) The physical environment such as the high availability of affordable alcohol and access to amenities for physical activity and healthy foods. (5) Knowledge and information about CVD risk factors which included understanding of a healthy diet and the dangers of smoking and alcohol consumption. To address CVD risk in slums, broad-ranging multisectoral interventions are required, including economic empowerment of the slum population, stress reduction and coping interventions, and alcohol legislation. Also, there is a need for community CVD sensitisation and screening as well as increasing access to physical activity amenities and healthy foods within slums. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR diseases risk factors
SOCIALIZATION
FOCUS groups
DISCUSSION
ECONOMIC impact
AGE distribution
FOOD security
WORK
COMMUNITIES
POVERTY areas
RISK assessment
QUALITATIVE research
SEX distribution
FOOD preferences
SOCIAL context
PHYSICAL activity
HEALTH literacy
SELF-efficacy
SOUND recordings
ALCOHOL drinking
HEALTH
INFORMATION resources
RESEARCH funding
THEMATIC analysis
HOUSING
SMOKING
NATURAL foods
PSYCHOLOGICAL adaptation
PSYCHOLOGICAL stress
Subjects
Details
- Language :
- English
- ISSN :
- 16549716
- Volume :
- 16
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Global Health Action
- Publication Type :
- Academic Journal
- Accession number :
- 174837909
- Full Text :
- https://doi.org/10.1080/16549716.2022.2159126