探索患者对非传染性疾病行为风险因素的理解：南非布什巴克里奇地区糖尿病和高血压的研究

Exploring patients' understanding of behavioral risk factors for non-communicable diseases: a study on diabetes and hypertension in Bushbuckridge, South Africa.

作者信息

Pilusa Thabo D, Ntimana Cairo B, Maphakela Mahlodi P, Maimela Eric

机构信息

Department of Public Health, University of Limpopo, Limpopo, South Africa.

DIMAMO Population Health Research Centre, University of Limpopo, Sovenga St, Polokwane, 0727, South Africa.

出版信息

BMC Public Health. 2025 Apr 8;25(1):1320. doi: 10.1186/s12889-025-22514-9.

DOI:10.1186/s12889-025-22514-9

PMID:40200323

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977867/

Abstract

BACKGROUND

Non-communicable diseases (NCDs) account for 41 million annual deaths worldwide, or 74% of all deaths. Notably, 86% of the 17 million premature deaths attributed to NCDs occur in low- and middle-income countries. Despite the burden of these diseases, many patients lack sufficient knowledge of behavioral risk factors that contribute to NCDs. The study aimed to explore the knowledge of patients diagnosed with diabetes and hypertension about behavioral risk factors contributing to non-communicable diseases.

METHOD

The study employed a qualitative, explorative, and descriptive design. Data was collected through semi-structured interviews, and participants were selected purposively. The data analysis followed Tesch's open thematic approach, applied at various levels and based on patient-provided text data, with the thematic analysis, the researcher was able to organize and interpret the data presented in the themes systematically.

RESULTS

Four major themes emerged regarding the understanding of behavioral risk factors for non-communicable diseases among patients diagnosed with diabetes and hypertension. These include unhealthy eating habits and poor lifestyle choices, mental health issues and stress, challenges patients face in adhering to medications, and optimal management of their conditions, cultural practices, and beliefs.

CONCLUSION

The study shed some insights into the knowledge of patients diagnosed with diabetes and hypertension about behavioral risk factors contributing to NCD. They indicated that witchcraft, cultural beliefs, and inadequate health education could have resulted in NCDs, which influenced them to consult traditional healers before coming to the health facility. The observations of participants underscore the urgent need for targeted interventions to improve the knowledge of patients regarding behavioral risk factors for NCDs.

摘要

背景

非传染性疾病（NCDs）每年在全球造成4100万人死亡，占所有死亡人数的74%。值得注意的是，在归因于非传染性疾病的1700万过早死亡中，86%发生在低收入和中等收入国家。尽管这些疾病负担沉重，但许多患者对导致非传染性疾病的行为风险因素缺乏足够的了解。该研究旨在探讨被诊断患有糖尿病和高血压的患者对导致非传染性疾病的行为风险因素的了解情况。