Department of Epidemiology and Biostatistics, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Department of Population and Behavioural Sciences, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
PLoS One. 2024 Sep 6;19(9):e0308402. doi: 10.1371/journal.pone.0308402. eCollection 2024.
In Sub-Saharan Africa (SSA), there is a noticeable shift from infectious diseases to chronic non-communicable diseases (CNCDs) based on recent studies. However, other studies suggest that social support can significantly improve self-care, increase knowledge of disease symptoms, and ultimately increase overall well-being in patients with CNCDs. In this study, we investigated the influence of perceived social support on treatment adherence among adults living with CNCDs in the Ho Municipality.
This was a health facility-based cross-sectional study among 432 adults living with cancer, diabetes, chronic kidney disease (CKD), stroke, and hypertension in the Ho Municipality of the Volta Region, Ghana. We adopted the Multi-dimensional Scale of Perceived Social Support (MSPSS), Medication Adherence Rating Scale and independent items to collect data. Logistic regression models were used to analyze the data with STATA v17.0 at 95% Confidence Intervals with statistical significance set at p<0.05.
Majority of the participants (62%) reported high levels of perceived social support. While friends were the main source of support (69.4%), significant others provided the least support (45.4%). Among the dimensions of treatment adherence, participants demonstrated the highest adherence to reviews/check-ups (98.8%), while medication adherence had the highest level of non-adherence (38%). We did not find a significant association between perceived social support and overall treatment adherence, except for individuals with low perceived social support from friends (aOR = 8.58, 95% CI = 4.21,17.52), who were more likely to exhibit high adherence to behavioural and lifestyle recommendations.
While the majority of respondents reported high perceived social support, there was no significant link between social support and overall treatment adherence. However, individuals with low support from friends showed a notably increased adherence to behavioural and lifestyle recommendations. This underscores the nuanced impact of social support on specific aspects of adherence, highlighting the need for targeted interventions tailored to individual support networks.
基于最近的研究，撒哈拉以南非洲（SSA）地区的传染病明显向慢性非传染性疾病（CNCDs）转变。然而，其他研究表明，社会支持可以显著改善自我护理，增加对疾病症状的了解，最终提高 CNCD 患者的整体幸福感。在这项研究中，我们调查了感知社会支持对 Ho 市 CNCD 患者治疗依从性的影响。
这是一项基于卫生机构的横断面研究，涉及加纳沃尔塔地区 Ho 市的 432 名癌症、糖尿病、慢性肾脏病（CKD）、中风和高血压患者。我们采用多维感知社会支持量表（MSPSS）、药物依从性评分量表和独立项目收集数据。使用 STATA v17.0 进行逻辑回归模型分析，置信区间为 95%，统计学意义设定为 p<0.05。
大多数参与者（62%）报告了高水平的感知社会支持。虽然朋友是主要的支持来源（69.4%），但重要他人提供的支持最少（45.4%）。在治疗依从性的各个维度中，参与者在复查/检查方面表现出最高的依从性（98.8%），而在药物依从性方面表现出最高的不依从性（38%）。我们没有发现感知社会支持与整体治疗依从性之间存在显著关联，除了那些从朋友那里获得低感知社会支持的个体（aOR = 8.58，95%CI = 4.21,17.52），他们更有可能高度遵守行为和生活方式建议。
尽管大多数受访者报告了高水平的感知社会支持，但社会支持与整体治疗依从性之间没有显著联系。然而，从朋友那里获得低支持的个体表现出对行为和生活方式建议的明显更高的依从性。这突显了社会支持对特定依从性方面的细微影响，强调了需要针对个体支持网络量身定制的针对性干预措施。
