Evidence map›Paper›PMID 26090034›Full record

ArticleThe Pan African medical journal2015

Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: a study of focus group interviews.

Fortunate Atwine, Sally Hultsjö, Björn Albin, Katarina Hjelm

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  10. Health-Seeking Behaviors in Mozambique: A Mini-Study of Ethnonursing.International journal of environmental research and public health · 2022
    Article
  11. Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems.International journal of qualitative studies on health and well-being · 2021
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  17. Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana.African journal of primary health care & family medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Fortunate AtwineSchool of Health and Caring Sciences, Linnaeus University, Växjö, Sweden ; Department of Nursing, Mbarara University of Science and Technology (MUST), Mbarara, Uganda.
Sally HultsjöSchool of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Björn AlbinSchool of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Katarina HjelmDepartment of Social and Welfare Studies, University of Linköping, Campus Norrköping, Sweden.
Linnaeus University · SELinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealth-care seeking behaviour is important as it determines acceptance of health care and outcomes of chronic conditions but it has been investigated to a limited extent among persons with diabetes in developing countries. The aim of the study was to explore health-care seeking behaviour among persons with type 2 diabetes to understand reasons for using therapies offered by traditional healers.

methodsDescriptive study using focus-group interviews. Three purposive focus-groups were conducted in 2011 of 10 women and 7 men aged 39-72 years in Uganda. Data were collected through semi-structured interviews and qualitatively analysed according to a method described for focus-groups.

resultsReasons for seeking help from traditional healers were symptoms related to diabetes such as polydipsia, fatigue and decreased sensitivity in lower limbs. Failure of effect from western medicine was also reported. Treatment was described to be unknown extracts, of locally made products taken as herbs or food, and participants had sought help from different health facilities with the help of relatives and friends.

conclusionThe pattern of seeking care was inconsistent, with a switch between different health care providers under the influence of the popular and folk sectors. Despite beliefs in using different healthcare providers seeking complementary and alternative medicine, participants still experienced many physical health problems related to diabetes complications. Health professionals need to be aware of the risk of switches between different health care providers, and develop strategies to initiate health promotion interventions to include in the care actors of significance to the patient from the popular, folk and professional sectors, to maintain continuity of effective diabetes care.

Indexed as

Medicine, African TraditionalPatient Acceptance of Health CareAdultAgedDiabetes Mellitus, Type 2FemaleFocus GroupsHumansMaleMiddle AgedUgandaComplementary alternative medicinediabetes mellitushealth-care seeking behaviournursingtraditional healersUganda

Identifiers

PMID26090034
PMCPMC4450037
OpenAlexW2165429299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.