A cross-sectional study on socio-demographic correlates of self-reported self-care practices for hypertension and type 2 diabetes among adults living in rural Kenya
2024

Self-Care Practices for Hypertension and Diabetes in Rural Kenya

Sample size: 435 publication 10 minutes Evidence: moderate

Author Information

Author(s): Schwarz MacKenna, Gyawali Bishal, Nkonge-Ngumba Dorothy Mwari, Anekha Sylvia Khamati, Ngure Miriam, Dræbel Tania Aase

Primary Institution: Department of Public Health, Global Health Section, University of Copenhagen, Copenhagen, Denmark

Hypothesis

What socio-demographic factors are associated with self-reported self-care practices for hypertension and type 2 diabetes among adults living in rural Kenya?

Conclusion

The study found that age and ward location significantly influence self-care practices for hypertension, but not for type 2 diabetes.

Supporting Evidence

  • 37% of participants self-reported hypertension and 15.4% reported type 2 diabetes.
  • 94% of individuals with type 2 diabetes lacked sufficient fruit and vegetable consumption.
  • 71.4% of individuals with hypertension had undergone blood pressure screening.

Takeaway

Older people and those living in certain areas are better at taking care of their health when they have high blood pressure, but this isn't the case for diabetes.

Methodology

A community-based cross-sectional study using data from the 2019 Baseline Assessment of the Prevention and Control of Non-Communicable Disease Project, involving 435 participants.

Potential Biases

Self-reporting may lead to recall and social desirability bias.

Limitations

The study's cross-sectional design limits causal inference, and self-reported data may introduce bias.

Participant Demographics

Participants were primarily adults aged 18 and above, with a mean age of 49.1 years, predominantly female (60.5%), and mostly married (65.1%).

Statistical Information

P-Value

p=0.007 for age and p=0.033 for ward in relation to hypertension self-care practices.

Confidence Interval

95% CI: 1.53–14.27 for age and 95% CI: 0.09–0.90 for ward.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12913-024-12088-4

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