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Care-Seeking Dynamics among Patients with Diabetes Mellitus and Hypertension in Selected Rural Settings in Kenya

Bibliographic Data

ID15515477
AuthorsMiriam Karinja (0000-0003-0474-9492, Swiss Tropical and Public Health Institute, corresponding author), Goonaseelan Pillai (0000-0002-5658-3837, University of Cape Town), Raymond G Schlienger (0000-0001-5160-0872, Novartis (Switzerland)), Raymond Schlienger (Quantitative Safety and Epidemiology, Chief Medical Office & Patient Safety, Novartis Pharma AG, 4033 Basel, Switzerland), Marcel Tanner (0000-0002-1205-6971, Swiss Tropical and Public Health Institute), Bernhards Ogutu (0000-0002-0992-5654, Strathmore University)
Year2019
Volume16
Issue11
Pages2016-2016
Publication date2019-06-06
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16112016
PMID31174248
OpenAlexW2948624332
LanguageEN
Citations received2
References cited28

Diabetes mellitus and hypertension are two common non-communicable diseases (NCDs) that often coexist in patients. However, health-seeking behaviour in patients with diabetes mellitus or hypertension has not been extensively studied especially in low- and middle-income countries. This study aimed to examine care-seeking dynamics among participants diagnosed with diabetes and/or hypertension across nine counties in rural Kenya. We conducted a cross-sectional study among adults diagnosed with diabetes and/or hypertension through face-to-face interviews. Of the 1100 participants, 69.9% had hypertension, 15.5% diabetes while 14.7% had both. The mean age of the respondents was 64 years. The majority of the respondents (86%) were on allopathic treatment. Hospital admission, having a good self-rated health status and having social support for illness, were positively associated with appropriate health-seeking behaviour while use of alcohol and pharmacy or chemist as source of treatment were negatively associated with appropriate health-seeking behaviour. Our study found a high prevalence of appropriate health-seeking behaviour among respondents with the majority obtaining care from government facilities. The results are evidence that improving public health care services can promote appropriate health-seeking behaviour for non-communicable diseases and thus improve health outcomes

Diabetes mellitus · Environmental health · Family medicine · Government (linguistics · Health care · Non-communicable disease · Public health · Rural area · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Microfinance and Financial Inclusion · Nursing · Gerontology · Pharmacy

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    Open Access•Ryuichi Ohta, Chiaki Sano•International Journal of…•2022

  • Socioeconomic inequalities in hypertension in Kenya

    Open Access•Thomas Wiswa John, Samwel Maina Gatimu•International Journal for Equity…•2020

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    Open Access•Robert Beaglehole, JoAnne E Epping‐Jordan et al.•The Lancet•2008

  • Screening for diabetes and hypertension in a rural low income setting in western Kenya utilizing home-based and community-based strategies

    Open Access•Sonak Pastakia, Sonak D Pastakia et al.•Globalization and Health•2013

  • Young professionals for health development

    Open Access•Duncan Mwangangi Matheka, Joseph Nderitu et al.•Global Health Action•2013

  • What Contributes to the Regularity of Patients with Hypertension or Diabetes Seeking Health Services? A Pilot Follow-Up, Observational Study in Two Sites in Hubei Province, China

    Open Access•Da Feng, Ray Serrano et al.•International Journal of…•2016

  • Prevalence of hypertension and associated cardiovascular risk factors in an urban slum in Nairobi, Kenya

    Open Access•Mark Joshi, Mark David Joshi et al.•BMC Public Health•2014

Citations per year0.33
Citation span2020 - 2022 (3)
Highly citedNo
Open DOISci-HubOpen Access
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