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Title: Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study
Author: Nyaaba, Gertrude Nsorma
Stronks, Karien
Meeks, Karlijn
Beune, Erik
Owusu-Dabo, Ellis
Addo, Juliet
Graft Aikins, Ama de
Mockenhaupt, Frank
Bahendeka, Silver
Klipstein-Grobusch, Kerstin
Smeeth, Liam
Agyemang, Charles
Keywords: Hipertensió
Ètnies d'Àfrica
Àfrica subsahariana
Ethnic groups in Africa
Sub-Saharan Africa
Issue Date: 26-Mar-2019
Publisher: Springer International Publishing
Abstract: Hypertension (HTN) control is crucial in preventing HTN-related complications such as stroke and coronary heart disease. Yet, HTN control remains suboptimal particularly among sub-Saharan African (SSA) populations partly due to poor self-management. Self-management of HTN is influenced by social support, but the evidence on the role of social support on HTN control particularly among SSA populations is limited. This study assessed the association between multiple proxies for social support and HTN control among Ghanaians resident in Ghana and Europe. The Research on Obesity and Diabetes among African Migrants (RODAM) study participants with HTN and who self-reported HTN (n\xE2\x80\x89=\xE2\x80\x891327) were included in this analysis. Logistic regression was used to assess the association between proxies of social support and HTN control (SBP\xE2\x80\x89<\xE2\x80\x89140\xC2\xA0mmHg and DBP\xE2\x80\x89<\xE2\x80\x8990\xC2\xA0mmHg) with adjustments for age and socioeconomic status (SES). Among Ghanaian males in both Europe and Ghana, cohabiting with more than two persons was associated with increased odds of having HTN controlled. Male hypertensive patients cohabiting with \xE2\x89\xA5\xE2\x80\x895 persons had the highest odds of having HTN controlled after adjustment for age and SES (OR 0.30; 95% CI 0.16-0.57; 0.60; 0.34-1.04, respectively). This association was not observed among females. Relationship status, frequency of religious activity attendance and satisfaction with social support did not show any significant association with HTN control. Our study shows that cohabitation is significantly associated with HTN control but in males only. The other proxies for social support appeared not to be associated with HTN control. Involving persons living with Ghanaian men with HTN in the treatment process may help to improve adherence to HTN treatment. Further research is needed to explore in-depth, how these social support proxies could contribute to improved HTN control among SSA populations.
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It is part of: Internal and Emergency Medicine, 2019
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ISSN: 1828-0447
Appears in Collections:Articles publicats en revistes (ISGlobal)

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