Lay Representations of Chronic Diseases in Ghana: Implications for Primary Prevention
Identifieur interne : 000717 ( Main/Exploration ); précédent : 000716; suivant : 000718Lay Representations of Chronic Diseases in Ghana: Implications for Primary Prevention
Auteurs : A. De Graft Aikins [Ghana, Royaume-Uni] ; A. Anum [Ghana] ; C. Agyemang [Pays-Bas] ; J. Addo [Royaume-Uni] ; O. Ogedegbe [États-Unis]Source :
- Ghana Medical Journal [ 0016-9560 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs de risque, Femelle, Ghana (épidémiologie), Groupes focalisés, Humains, Maladie chronique (), Maladie chronique (psychologie), Maladie chronique (épidémiologie), Mâle, Prévention primaire, Recherche qualitative, Santé en zone urbaine, Santé en zone rurale, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- psychologie : Maladie chronique.
- épidémiologie : Ghana, Maladie chronique.
- Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs de risque, Femelle, Groupes focalisés, Humains, Maladie chronique, Mâle, Prévention primaire, Recherche qualitative, Santé en zone urbaine, Santé en zone rurale, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Chronic Disease (epidemiology), Chronic Disease (prevention & control), Chronic Disease (psychology), Female, Focus Groups, Ghana (epidemiology), Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Primary Prevention, Qualitative Research, Risk Factors, Rural Health, Urban Health.
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : Chronic Disease.
- prevention & control : Chronic Disease.
- psychology : Chronic Disease.
- Adult, Aged, Aged, 80 and over, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Primary Prevention, Qualitative Research, Risk Factors, Rural Health, Urban Health.
Abstract
Ghana's health system is ill-equipped to tackle the country's double burden of infectious and chronic diseases. The current focus is on empowering lay communities to adopt healthy practices to prevent chronic diseases. Understanding how individuals make sense of health, illness and chronic illnesses is an important first step to developing practical interventions.
Six focus group discussions with lay people (N= 51) in Accra, Nkoranza and Kintampo to explore: (1) knowledge of prevalent chronic diseases in Ghana; (2) chronic disease causal theories; and (3) chronic disease treatment.
Nineteen conditions were listed cumulatively. Diabetes and hypertension were listed by all groups. Rural groups included HIV/AIDS on their list as well as diseases with alleged spiritual roots, in particular epilepsy and sickle cell disease. Multiple causal theories were presented for diabetes and hypertension; cancers were attributed to toxic foods; asthma attributed to environmental pollution. Biomedical care was preferred by the majority. Lay representations were drawn from multiple sources: medical professionals and chronically ill individuals were the most legitimate knowledge sources.
This study provides insights on how lay representations of common chronic diseases and their major risk factors provide public health specialists with the conceptual tools to develop primary prevention strategies. The first challenge will be to train health experts to provide accurate information in practical language that lay people can understand and apply to their daily lives. A second challenge will be to develop sustainable behaviour-change interventions. Best practices from other African countries can inform interventions in Ghana.
Url:
PubMed: 23661819
PubMed Central: 3645147
Affiliations:
- Ghana, Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Hollande-Septentrionale, Région du Grand Accra, État de New York
- Accra, Amsterdam, Legon (Ghana), Londres
- Université d'Amsterdam, Université du Ghana
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Le document en format XML
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De Graft Aikins</name><affiliation wicri:level="4"><nlm:aff id="A1">Regional Institute for Population Studies, University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Institute for Population Studies, University of Ghana, Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">LSE Health, London School of Economics and Political Science, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>LSE Health, London School of Economics and Political Science, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Anum, A" sort="Anum, A" uniqKey="Anum A" first="A" last="Anum">A. Anum</name><affiliation wicri:level="4"><nlm:aff id="A3">Department of Psychology, University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Psychology, University of Ghana, Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Agyemang, C" sort="Agyemang, C" uniqKey="Agyemang C" first="C" last="Agyemang">C. 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Ogedegbe</name><affiliation wicri:level="2"><nlm:aff id="A6">Division of General Internal Medicine at the School of Medicine, New York University, New York, US</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of General Internal Medicine at the School of Medicine, New York University, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">Ghana Medical Journal</title><idno type="ISSN">0016-9560</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chronic Disease (epidemiology)</term><term>Chronic Disease (prevention & control)</term><term>Chronic Disease (psychology)</term><term>Female</term><term>Focus Groups</term><term>Ghana (epidemiology)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Primary Prevention</term><term>Qualitative Research</term><term>Risk Factors</term><term>Rural Health</term><term>Urban Health</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs de risque</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Groupes focalisés</term><term>Humains</term><term>Maladie chronique ()</term><term>Maladie chronique (psychologie)</term><term>Maladie chronique (épidémiologie)</term><term>Mâle</term><term>Prévention primaire</term><term>Recherche qualitative</term><term>Santé en zone urbaine</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladie chronique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Maladie chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Focus Groups</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Primary Prevention</term><term>Qualitative Research</term><term>Risk Factors</term><term>Rural Health</term><term>Urban Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs de risque</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Maladie chronique</term><term>Mâle</term><term>Prévention primaire</term><term>Recherche qualitative</term><term>Santé en zone urbaine</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background</title><p>Ghana's health system is ill-equipped to tackle the country's double burden of infectious and chronic diseases. The current focus is on empowering lay communities to adopt healthy practices to prevent chronic diseases. Understanding how individuals make sense of health, illness and chronic illnesses is an important first step to developing practical interventions.</p></sec><sec sec-type="methods"><title>Methods</title><p>Six focus group discussions with lay people (N= 51) in Accra, Nkoranza and Kintampo to explore: (1) knowledge of prevalent chronic diseases in Ghana; (2) chronic disease causal theories; and (3) chronic disease treatment.</p></sec><sec sec-type="results"><title>Results</title><p>Nineteen conditions were listed cumulatively. Diabetes and hypertension were listed by all groups. Rural groups included HIV/AIDS on their list as well as diseases with alleged spiritual roots, in particular epilepsy and sickle cell disease. Multiple causal theories were presented for diabetes and hypertension; cancers were attributed to toxic foods; asthma attributed to environmental pollution. Biomedical care was preferred by the majority. Lay representations were drawn from multiple sources: medical professionals and chronically ill individuals were the most legitimate knowledge sources.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>This study provides insights on how lay representations of common chronic diseases and their major risk factors provide public health specialists with the conceptual tools to develop primary prevention strategies. The first challenge will be to train health experts to provide accurate information in practical language that lay people can understand and apply to their daily lives. A second challenge will be to develop sustainable behaviour-change interventions. Best practices from other African countries can inform interventions in Ghana.</p></sec></div></front></TEI><affiliations><list><country><li>Ghana</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Hollande-Septentrionale</li><li>Région du Grand Accra</li><li>État de New York</li></region><settlement><li>Accra</li><li>Amsterdam</li><li>Legon (Ghana)</li><li>Londres</li></settlement><orgName><li>Université d'Amsterdam</li><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="De Graft Aikins, A" sort="De Graft Aikins, A" uniqKey="De Graft Aikins A" first="A" last="De Graft Aikins">A. De Graft Aikins</name></region><name sortKey="Anum, A" sort="Anum, A" uniqKey="Anum A" first="A" last="Anum">A. Anum</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="De Graft Aikins, A" sort="De Graft Aikins, A" uniqKey="De Graft Aikins A" first="A" last="De Graft Aikins">A. De Graft Aikins</name></region><name sortKey="Addo, J" sort="Addo, J" uniqKey="Addo J" first="J" last="Addo">J. Addo</name></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Agyemang, C" sort="Agyemang, C" uniqKey="Agyemang C" first="C" last="Agyemang">C. Agyemang</name></region></country><country name="États-Unis"><region name="État de New York"><name sortKey="Ogedegbe, O" sort="Ogedegbe, O" uniqKey="Ogedegbe O" first="O" last="Ogedegbe">O. Ogedegbe</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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