227773 “They say eating carbohydrates or sugar” – Perceptions and daily experiences of people living with diabetes and hypertension in Lagos, Nigeria

Tuesday, November 9, 2010

Titilayo A. Okoror, PhD , Department of Health and Kinesiology & African American Studies Research Center, Purdue University, West Lafayette, IN
Idris Oladipo, MB, BS , Department of Family Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria
Rhonda Belue, PhD , Health Policy and Administration, Penn State University, University Park, PA
Adeniyi Adelakun, MB BS , Department of Family Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria
Purpose: While research has examined the prevalence of hypertension and diabetes in sub-Saharan Africa, few studies have examined patients' management of these conditions in such limited resource settings. The purpose of this study was to explore patients' perceptions and daily experiences in managing diabetes and hypertension among a clinic-based sample in Lagos, Nigeria. Methods: Forty semi-structured interviews were conducted with patients seeking care for hypertension and/or diabetes at a primary care clinic in Lagos Nigeria in 2009. Interviews were conducted in English, and using the PEN-3 cultural model, interview questions explored participants' perceptions about causes and treatment of hypertension and diabetes, family role in disease management efforts, and their experiences in managing the conditions on a daily basis. Analysis was guided by the PEN-3 model and content analysis was used to identify emergent themes. Results: Participants' average age was 57 years and over 50% were females (26). Over a third (14) had co-morbid hypertension and diabetes. Majority believed that diabetes was caused by sugar or sugary foods, while some believed that hypertension was caused by “working and worrying”, and some believed it was caused by “drinking too much and living a reckless life.” Majority of the participants seek western treatment, although some also use traditional medicine. Most participants expressed receiving support from family members. Issues related to access to medical care, cost of medication, and following physician's advice also emerged. Conclusions: Understanding patients' perceptions and daily experiences in managing hypertension and diabetes in Nigeria can provide insights for intervention efforts

Learning Areas:
Chronic disease management and prevention
Social and behavioral sciences

Learning Objectives:
Discuss perceptions of hypertension and diabetes among patients in Lagos Nigeria Identify issues related to chronic disease management in Lagos Nigeria

Keywords: Diabetes, Hypertension

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed and supervised the data collection of the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.