Awah Paschal K, Kengne Andre P, Fezeu Leopold L K, Mbanya Jean-Claude
Health of Populations in Transition Research Group, Diabetes.ndocrine Unit, Department of Internal Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
Health Educ Res. 2008 Aug;23(4):612-20. doi: 10.1093/her/cym037. Epub 2007 Sep 25.
We set out to assess the perceived risk factors of cardiovascular diseases (CVDs) and diabetes mellitus in an urban setting using focus group discussions and in-depth interviews to collect data from different stakeholders constituting the triangle of care. Ethnomethodological analyses were done manually and with Ethnograph software. The results showed an awareness of emergence of CVD and diabetes in Cameroon and perceived relationships between risk factors and CVD and diabetes. The awareness of behavioural risk factors was higher than the biological ones, though perceptions about them were muddled. The main drawbacks for reducing risk factors were perceived to emerge from the lack of a national policy programme on non-communicable diseases; and the low level of awareness of the need to reduce these risk factors. The assessment illustrates that there is currently a mismatch between the needs and expectations of all the stakeholders regarding health promotion and advice on risk factors reduction and an apparent reluctance by health care providers to fulfil this role. This issue can only be addressed in countries of sub-Sahara through capacity building for control and prevention of CVD risk factors.
我们着手通过焦点小组讨论和深入访谈，从构成医疗三角关系的不同利益相关者那里收集数据，以评估城市环境中心血管疾病（CVDs）和糖尿病的感知风险因素。人种方法论分析通过人工和使用Ethnograph软件进行。结果显示喀麦隆对CVD和糖尿病的出现有所认识，并且知晓风险因素与CVD和糖尿病之间的关系。行为风险因素的知晓度高于生物风险因素，尽管对它们的认知较为混乱。人们认为降低风险因素的主要障碍源于缺乏关于非传染性疾病的国家政策计划，以及对降低这些风险因素必要性的低知晓度。该评估表明，目前所有利益相关者在健康促进和降低风险因素建议方面的需求与期望之间存在不匹配，而且医疗保健提供者明显不愿履行这一职责。只有通过撒哈拉以南国家在控制和预防CVD风险因素方面的能力建设，才能解决这个问题。
