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Main Title: Self-management of diabetes in Sub-Saharan Africa: a systematic review
Author(s): Stephani, Victor
Opoku, Daniel
Beran, David
Type: Article
Language Code: en
Abstract: Background The prevalence of diabetes in sub-Saharan Africa has increased rapidly over the last years. Self-management is a key element for the proper management, but strategies are currently lacking in this context. This systematic review aims to describe the level of self-management among persons living with type 2 diabetes mellitus in sub-Saharan Africa. Method Relevant databases including PubMed, Web of Science and Google Scholar were searched up to September 2016. Studies reporting self-management behavior of people with type 2 diabetes mellitus and living in sub-Saharan Africa were included. Results A total of 550 abstracts and 109 full-text articles were assessed. Forty-three studies, mainly observational, met the inclusion criteria. The studies showed that patients rarely self-monitored their glucose levels, had low frequency/duration of physical activity, moderately adhered to recommended dietary and medication behavior, had poor level of knowledge regarding diabetes related complications and sought traditional or herbal medicines beside of their biomedical treatment. The analysis also revealed a lack of studies on psychosocial aspects. Conclusion Except for the psychosocial area, there is a good amount of recent studies on self-management behavior of type 2 diabetes mellitus sub-Saharan Africa. These studies indicate that self-management in sub-Saharan Africa is poor and therefore a serious threat to the health of individuals and the health systems capacity.
Issue Date: 29-Sep-2018
Date Available: 29-Nov-2018
DDC Class: 610 Medizin und Gesundheit
Subject(s): diabetes
type 2 diabetes
Sponsor/Funder: TU Berlin, Open-Access-Publikationsfonds – 2018
Journal Title: BMC Public Health
Publisher: BioMed Central
Publisher Place: London
Volume: 18
Issue: 1
Article Number: 1148
Publisher DOI: 10.1186/s12889-018-6050-0
ISSN: 1471-2458
Appears in Collections:FG Management im Gesundheitswesen » Publications

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