PMID- 25312471
OWN - NLM
STAT- MEDLINE
DCOM- 20150908
LR  - 20220321
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 14
DP  - 2014 Oct 14
TI  - Type 2 diabetes in a rapidly urbanizing region of Ghana, West Africa: a 
      qualitative study of dietary preferences, knowledge and practices.
PG  - 1069
LID - 10.1186/1471-2458-14-1069 [doi]
LID - 1069
AB  - BACKGROUND: Urban centers in Sub-Saharan Africa, such as Kumasi, Ghana, are 
      especially impacted by the dual burden of infectious and non-communicable disease 
      (NCD), including a rise in type 2 diabetes mellitus (T2DM) prevalence. To develop 
      effective intervention programs, the World Health Organization recommends more 
      research to better understand the relationship between food consumption and the 
      escalation of non-communicable disease such as T2DM. This study provides 
      qualitative information about current food knowledge, attitudes and practices 
      among T2DM patients and their caregivers in the region of Kumasi, Ghana. METHODS: 
      In this qualitative study, three focus groups discussions of 30 persons total and 
      10 individual interviews were used to assess food preferences, knowledge, 
      attitudes and practices of patients with T2DM as well as caregivers responsible 
      for food preparation. Participants included both urban and rural dwellers. 
      Hospital-based health talks were observed, a dietician was interviewed, and 
      educational documents were collected. Themes were identified and coded using 
      Nvivo10 software. RESULTS: Findings suggest that messages regarding sweetened 
      foods, fats, use of seasonings and meal timing are followed. However, confusion 
      exists regarding the impact of fruits, food portioning, plantains and processed 
      foods on health outcomes for diabetic patients. Results also revealed a 
      problem-solving approach to increasing vegetable consumption, and a concern about 
      unhealthy food preferences among younger generations. CONCLUSIONS: Education 
      about the impact of commonly available carbohydrates on blood sugar should be 
      emphasized; messaging on portion sizes and certain foods should be more 
      consistent; the economic benefits of local vegetable consumption should be 
      promoted; and a research-informed, T2DM prevention campaign should be developed 
      specifically for younger generations.
FAU - Doherty, Megan L
AU  - Doherty ML
FAU - Owusu-Dabo, Ellis
AU  - Owusu-Dabo E
AD  - Kumasi Center for Collaborative Research in Tropical Medicine, Kwame Nkrumah 
      University of Science and Technology, Kumasi, Ghana. owusudabo@kccr.de.
FAU - Kantanka, Osei Sarfo
AU  - Kantanka OS
FAU - Brawer, Rickie O
AU  - Brawer RO
FAU - Plumb, James D
AU  - Plumb JD
LA  - eng
PT  - Journal Article
DEP - 20141014
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Caregivers
MH  - Diabetes Mellitus, Type 2/*prevention & control
MH  - *Feeding Behavior
MH  - Female
MH  - Focus Groups
MH  - Ghana
MH  - Health Education
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Regional Health Planning
MH  - Urbanization
PMC - PMC4287448
EDAT- 2014/10/15 06:00
MHDA- 2015/09/09 06:00
PMCR- 2014/10/14
CRDT- 2014/10/15 06:00
PHST- 2014/04/26 00:00 [received]
PHST- 2014/10/07 00:00 [accepted]
PHST- 2014/10/15 06:00 [entrez]
PHST- 2014/10/15 06:00 [pubmed]
PHST- 2015/09/09 06:00 [medline]
PHST- 2014/10/14 00:00 [pmc-release]
AID - 1471-2458-14-1069 [pii]
AID - 7358 [pii]
AID - 10.1186/1471-2458-14-1069 [doi]
PST - epublish
SO  - BMC Public Health. 2014 Oct 14;14:1069. doi: 10.1186/1471-2458-14-1069.