PMID- 25361727
OWN - NLM
STAT- MEDLINE
DCOM- 20150626
LR  - 20190221
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 7
DP  - 2014
TI  - Understanding and living with glaucoma and non-communicable diseases like 
      hypertension and diabetes in the Jhaukhel-Duwakot Health Demographic Surveillance 
      Site: a qualitative study from Nepal.
PG  - 25358
LID - 10.3402/gha.v7.25358 [doi]
AB  - BACKGROUND: Primary open-angle glaucoma (POAG) is one of the most common causes 
      of irreversible blindness. A possible association between POAG and 
      non-communicable diseases such as hypertension and diabetes suggests that the 
      incidence of POAG may increase. People with POAG in Nepal usually present late to 
      hospital and have poor knowledge of glaucoma. OBJECTIVES: Anticipating a 
      knowledge gap regarding these diseases, this study aimed to explore the knowledge 
      of POAG, hypertension, and diabetes in the community and barriers to health care. 
      DESIGN: We conducted this qualitative study in the Jhaukhel-Duwakot Health 
      Demographic Surveillance Site (JD-HDSS), a peri-urban community near Kathmandu, a 
      capital city of Nepal. To study how disease influences knowledge, we conducted 
      focus group discussions separately for men and women with and without 
      pre-existing POAG, hypertension, and diabetes. Data were analyzed using the 
      framework analysis approach. RESULTS: Although people suffering from POAG, 
      hypertension, and/or diabetes exhibited adequate knowledge of hypertension and 
      diabetes, they lacked in-depth knowledge of POAG. People believed mostly in 
      internal health locus of control. Perception of disease consequences and impact 
      of disease on daily life was influenced by pre-existing POAG, hypertension, 
      and/or diabetes but only in men. Gender disparity was observed regarding health 
      literacy, health perception, and health barriers, which put women in a more 
      difficult situation to tackle their health. We also revealed a gap between 
      knowledge, attitude, and practice of health among women and healthy men. 
      CONCLUSION: Although people in JD-HDSS exhibited adequate knowledge regarding 
      hypertension and diabetes, they lacked in-depth knowledge about POAG. This study 
      demonstrated gender difference in health literacy and access to health care, 
      making women more vulnerable towards disease. We also demonstrated a gap between 
      knowledge, attitude, and practice of health. However, tailored health literacy 
      programs may bring changes in the health status in the community.
FAU - Shakya-Vaidya, Suraj
AU  - Shakya-Vaidya S
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 
      suraj.shakya-vaidya@gu.se.
FAU - Povlsen, Lene
AU  - Povlsen L
AD  - Nordic School of Public Health NHV, Gothenburg, Sweden.
FAU - Shrestha, Binjwala
AU  - Shrestha B
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of 
      Community Medicine and Public Health, Institute of Medicine, Tribhuvan 
      University, Maharajgunj, Kathmandu, Nepal.
FAU - Grjibovski, Andrej M
AU  - Grjibovski AM
AD  - Department of International Public Health, Norwegian Institute of Public Health, 
      Oslo, Norway.
FAU - Krettek, Alexandra
AU  - Krettek A
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Nordic School 
      of Public Health NHV, Gothenburg, Sweden.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141020
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Adult
MH  - Diabetes Mellitus/*epidemiology
MH  - Female
MH  - Focus Groups
MH  - Glaucoma, Open-Angle/*epidemiology
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Hypertension/*epidemiology
MH  - Male
MH  - Middle Aged
MH  - Nepal/epidemiology
MH  - Population Surveillance
MH  - Qualitative Research
MH  - *Quality of Life
PMC - PMC4212074
OTO - NOTNLM
OT  - barriers to health care
OT  - diabetes
OT  - health literacy
OT  - hypertension
OT  - non-communicable disease
OT  - primary open-angle glaucoma
EDAT- 2014/11/02 06:00
MHDA- 2015/06/27 06:00
PMCR- 2014/10/20
CRDT- 2014/11/02 06:00
PHST- 2014/07/03 00:00 [received]
PHST- 2014/08/23 00:00 [revised]
PHST- 2014/09/23 00:00 [accepted]
PHST- 2014/11/02 06:00 [entrez]
PHST- 2014/11/02 06:00 [pubmed]
PHST- 2015/06/27 06:00 [medline]
PHST- 2014/10/20 00:00 [pmc-release]
AID - 25358 [pii]
AID - 10.3402/gha.v7.25358 [doi]
PST - epublish
SO  - Glob Health Action. 2014 Oct 20;7:25358. doi: 10.3402/gha.v7.25358. eCollection 
      2014.