The Health Beliefs and Perceptions of Adults Living with Diabetes Type 2 in Nigeria



Abstract Views
943

Downloads
742

Citations

Share

##plugins.themes.bootstrap3.article.sidebar##

Submitted Sep 14, 2020
Published Sep 24, 2020
10.24018/ejmed.2020.2.5.468

Abstract viewed = 943 times

Table of Contents

##plugins.themes.bootstrap3.article.main##

Introduction: The disease burden of Type 2 diabetes in Nigeria amongst the 54 countries of the African continent. This is so in terms of disease prevalence, morbidity and mortality. Diabetes Type 2 is chronic condition requires regimented management in the form of self-care with implications for health-related behavior. Central to health-related behaviors is the focus on health beliefs and perceptions that underly self-management practices in public health. This systematic review explored health beliefs and perceptions of adults with Type 2 diabetes in Nigeria. The review’s objective was to identify challenges to self-management and role of belief systems in such challenges. The study also aimed to draw from the experiences of adults living with Type 2 diabetes in Nigeria to explore the design of future public health interventions.

Method: The following electronic databases- Medline via Web of Science; Cinahl via EBSCO; Web of Science and PubMed were consulted. In addition, Google Scholar, which is an index of other databases was also utilised. The studies were selected based on an inclusion and exclusion criteria. A systematic literature search generated thirteen relevant studies, which were synthesized to address the objectives.

Results: The findings indicated the complex circumstances in which Type 2 diabetes is experienced in the Nigerian population. Themes explored in this review included - lay understandings of type 2 diabetes; traditional healing beliefs and practices; health literacy and self-management; and access to diabetes services, support and counselling.

Conclusion: The findings called for the need to address challenges in terms of engaging beliefs to inform interventions, health education and healthcare delivery systems which impact on health outcomes of diabetics in Nigeria.

Keywords: Type 2 Diabetes Nigeria health beliefs self-management

Downloads

Download data is not yet available.

References

  1. URIC. Diabetes: a threat to developing countries. 2013.
     Google Scholar
  2. Levitt NS. Diabetes in Africa: epidemiology, management and healthcare challenges. Heart. 2008; 1;94(11):1376-82.
    DOI  |   Google Scholar
  3. Obinna, C. Alliance moves to reduce deaths from Non-communicable Diseases. 2018.
     Google Scholar
  4. Diabetes UK. Diabetes in Africa. 2018.
     Google Scholar
  5. Gbenga-Mustapha, O. Diabetes: Nigeria leads in Africa, says WHO. 2013.
     Google Scholar
  6. Oguejiofor, O., Odenigbo, C., & Onwukwe, C. Diabetes in Nigeria: Impact, challenges, future directions. Endocrinol Metab Synd. 2014; 3(2), 1-9.
    DOI  |   Google Scholar
  7. World Health Organisation. Global status report on noncommunicable diseases. 2010.
     Google Scholar
  8. International Diabetes Federation. IDF Diabetes Atlas Fifth edition. 2011.
     Google Scholar
  9. Miranda, J. J., Kinra, S., Casas, J. P., Davey Smith, G., & Ebrahim, S. Non‐communicable diseases in low‐and middle‐income countries: context, determinants and health policy. Tropical Medicine & International Health. 2008; 13(10), 1225-1234.
    DOI  |   Google Scholar
  10. Chinenye, S., Ogu, R., & Korubo I. Diabetes advocacy and care in Nigeria: A review. Nigerian Health Journal. 2015; 15(4), 145-150.
     Google Scholar
  11. Adeloye, D., Ige, J. O., Aderemi, A. V., Adeleye, N., Amoo, E. O., Auta, A., & Oni, G. Estimating the prevalence, hospitalisation and mortality from type 2 diabetes mellitus in Nigeria: a systematic review and meta-analysis. BMJ open. 2017; 7(5), e015424.
    DOI  |   Google Scholar
  12. Isara, A. R., Omonigho, L., & Olaoye, D. O. Non-medical management practices for type 2 diabetes in a teaching hospital in southern Nigeria. African Journal of Diabetes Medicine. 2014; 22(2).
     Google Scholar
  13. Onyekachukwu, O. O. Promoting Diabetes Self Management Education [DSME] through Community Based Care in Nigeria. International Journal of tropical disease & health. 2016; 19(3), 1-15.
    DOI  |   Google Scholar
  14. Ogbera, A. O., & Ekpebegh, C. Diabetes mellitus in Nigeria: The past, present and future. World journal of diabetes. 2014; 5(6), 905.
    DOI  |   Google Scholar
  15. Ogbera A.O, Ohwovoriole A.E, & Soyebi O. fatality among diabetic in-patients. J Clin Sci. 2002; 2(18).
     Google Scholar
  16. Fasanmade, O. A., & Dagogo-Jack, S. Diabetes care in Nigeria. Annals of global health. 2015; 81(6), 821-829.
    DOI  |   Google Scholar
  17. Cochrane Collaboration. Cochrane Reviewers’ Handbook. 2004.
     Google Scholar
  18. Bettany-Saltikov, J. How to do a systematic literature review in nursing: a step-by-step guide. McGraw-Hill Education. 2012.
     Google Scholar
  19. Greenhalgh, T. How to read a paper: The basics of evidence-based medicine. Chichester, West Sussex, UK: Wiley. 2014.
     Google Scholar
  20. Cronin, P., Ryan, F., & Coughlan, M. Undertaking a literature review: a step-by-step approach. British journal of nursing. 2008; 17(1), 38-43.
    DOI  |   Google Scholar
  21. Wakefield, A. Searching and critiquing the research literature. Nursing Standard (Royal College of Nursing (Great Britain). 2014; 28(39), 49-57.
    DOI  |   Google Scholar
  22. Guyatt G. H., Sackett D. L., & Cook D. J. Users’ guides to the medical literature. II. How to use an article about therapy or prevention. JAMA. 1993; 270 (21), 2598-2601.
    DOI  |   Google Scholar
  23. Ogundele, S. O., Dada, A. O., & Mosuro, O. R. Clinical profile, knowledge, and beliefs about diabetes among patients attending a Tertiary Health Centre in Lagos: A cross sectional survey. Nigerian journal of clinical practice. 2016; 19(4), 508-512.
    DOI  |   Google Scholar
  24. Adisa, R., Alutundu, M. B., & Fakeye, T. O. Factors contributing to nonadherence to oral hypoglycemic medications among ambulatory type 2 diabetes patients in Southwestern Nigeria. Pharmacy Practice. 2009; 7(3), 163.
    DOI  |   Google Scholar
  25. Okolie, V. U., Ehiemere, O. I., Peace, I. N., & Ngozi, K. I. I. Knowledge of diabetes management and control by diabetic patients at Federal Medical Center Umuahia Abia State, Nigeria. International Journal of Medicine and Medical Sciences. 2009; 1(9), 353-358.
     Google Scholar
  26. Jasper, U. S., Ogundunmade, B. G., Opara, M. C., Akinrolie, O., Pyiki, E. B., & Umar, A. Determinants of diabetes knowledge in a cohort of Nigerian diabetics. Journal of Diabetes & Metabolic Disorders. 2014; 13(1), 39.
    DOI  |   Google Scholar
  27. Awodele, O., & Osuolale, J. Medication adherence in type 2 diabetes patients: Study of patients in Alimosho General Hospital, Igando, Lagos, Nigeria. African Health Sciences. 2015; 15(2), 513-522.
    DOI  |   Google Scholar
  28. Adejoh, S. O. Diabetes knowledge, health belief, and diabetes management among the Igala, Nigeria. Sage Open, 4(2). J. U. Duncombe, “Infrared navigation—Part I: An assessment of feasibility,” IEEE Trans. Electron Devices. 2014; 11, 34-39.
    DOI  |   Google Scholar
  29. Adisa, R., Fakeye, T. O., & Fasanmade, A. Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in southwestern Nigeria. Pharmacy Practice. 2011; 9(2), 72.
    DOI  |   Google Scholar
  30. Nwankwo, C.H., Nandy, B., & Nwankwo, B.O. Factors influencing diabetes management outcome among patients attending government health facilities in South East, Nigeria. International Journal of Tropical Medicine. 2010; 5(2), 28-36.
    DOI  |   Google Scholar
  31. Yusuff, K., Obe, O., & Joseph, B. Adherence to anti-diabetic drug therapy and self management practices among type-2 diabetics in Nigeria. Pharmacy World & Science. 2008; 30(6), 876-883.
    DOI  |   Google Scholar
  32. Adisa, R., & Fakeye, T. Treatment non-adherence among patients with poorly controlled type 2 diabetes in ambulatory care settings in southwestern Nigeria. African Health Sciences. 2014; 14(1), 1-10.
    DOI  |   Google Scholar
  33. Adibe, M., Okonta, J. M., Udeogaranya, P., Ayogu, E., Ubaka, C., Isah, A., Amorha, K., Akunne, M. and Onyeanusi, C. Diabetes self-care knowledge among type 2 diabetic outpatients in south-eastern Nigeria. Scientific research and essays. 2009; 9(12), 548-556.
     Google Scholar
  34. Jackson, I. L., Adibe, M. O., Okonta, M. J., & Ukwe, C. V. Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharmacy practice. 2014; 12(3).
    DOI  |   Google Scholar
  35. Awotidebe, T. O., Adedoyin, R. A., Afolabi, M. A., & Opiyo, R. Knowledge, attitude and practice of exercise for plasma blood glucose control among patients with type-2 diabetes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2016; 10(2), S1-S6.
    DOI  |   Google Scholar
  36. International Diabetes Federation. IDF Diabetes Atlas Fifth edition. 2011.
     Google Scholar
  37. Kelley, H. H., & Michela, J. L. Attribution theory and research. Annual review of psychology. 1980; 31(1), 457-501.
    DOI  |   Google Scholar
  38. Larsen, P.D. Chronic illness. Jones & Bartlett Learning. 2009.
     Google Scholar
  39. Segall, A., & Fries, C. J. Pursuing health and wellness: Healthy societies, healthy people. Oxford University Press. 2011.
     Google Scholar
  40. Storni, C. Patients' lay expertise in chronic self‐care: a case study in type 1 diabetes. Health Expectations. 2013; 18(5), 1439-1450.
    DOI  |   Google Scholar
  41. Bury, M., & Gabe, J. The sociology of health and illness: A reader (Routledge student readers). London; New York: Routledge. 2004.
     Google Scholar
  42. Bowling, A. Research methods in health: Investigating health and health services (Fourth ed.). Maidenhead, Berkshire, England: Open University Press. 2014.
     Google Scholar
  43. Shaw, I., & Kauppinen-Toropainen, K. Constructions of health and illness: European perspectives. Aldershot: Ashgate. 2004.
     Google Scholar
  44. Ezuruike, U. F., & Prieto, J. M. The use of plants in the traditional management of diabetes in Nigeria: pharmacological and toxicological considerations. Journal of Ethnopharmacology. 2014; 155(2), 857-924.
    DOI  |   Google Scholar
  45. Chinenye, S., Uloko, A. E., Ogbera, A. O., Ofoegbu, E. N., Fasanmade, O. A., Fasanmade, A. A., & Ogbu, O. O. Profile of Nigerians with diabetes mellitus–Diabcare Nigeria study group: Results of a multicenter study. Indian journal of endocrinology and metabolism. 2012; 16(4), 558.
    DOI  |   Google Scholar
  46. Rutebemberwa, E., Lubega, M., Katureebe, S. K., Oundo, A., Kiweewa, F., & Mukanga, D. Use of traditional medicine for the treatment of diabetes in Eastern Uganda: a qualitative exploration of reasons for choice. BMC International Health and Human Rights. 2013; 13(1), 1.
    DOI  |   Google Scholar
  47. Chikezie, P. C., Ojiako, O. A., & Nwufo, K. C. Overview of anti-diabetic medicinal plants: the Nigerian research experience. J Diabetes Metab. 2015; 6(6), 546.
    DOI  |   Google Scholar
  48. Tyessi, K. Health Minister announces plans to create department of traditional medicine. 2018.
     Google Scholar
  49. Protheroe, J., Rowlands, G., Bartlam, B., & Levin-Zamir, D. Health literacy, diabetes prevention, and self-management. Journal of diabetes research. 2017.
    DOI  |   Google Scholar
  50. Hayden, J. A. Introduction to health behavior theory. Jones & Bartlett Learning. 2009.
     Google Scholar
  51. Bandura, A. Self-efficacy: The exercise of control. New York: W.H. Freeman. 1997.
     Google Scholar
  52. Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. D., Lee, Y. L., & Wang, Y. H. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient education and counseling. 2016; 99(2), 287-294.
    DOI  |   Google Scholar
  53. Mitchell, G. Adherence to medications: Towards a shared understanding. Nurse Prescribing. 2014; 12(11), 564-568.
    DOI  |   Google Scholar
  54. Orem, D., Taylor, Susan Gebhardt, & Renpenning, Kathie McLaughlin. Nursing: Concepts of practice (6th ed.). St. Louis, Mo; London: Mosby. 2001.
     Google Scholar
  55. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(7): e1000097.
    DOI  |   Google Scholar