ArticleGlobal health action2023
Drivers of cardiovascular disease risk factors in slums in Kampala, Uganda: a qualitative study.
Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 4 citations in OpenAlex.
- Comparison of Risk Stratification Tools for Atherosclerotic Cardiovascular Disease and Cardiovascular-Kidney-Metabolic Syndrome in Primary Care.Medical sciences (Basel, Switzerland) · 2025Observational
- Cardiovascular disease risk estimation among slums residents of Lucknow using QRISK3 calculator.Journal of education and health promotion · 2025Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
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Abstract
backgroundCardiovascular disease (CVD) risk factors are increasing in many sub-Saharan African countries and disproportionately affecting communities in urban slums. Despite this, the contextual factors that influence CVD risk among slum communities have not been fully documented to guide interventions to prevent and control the disease.
objectiveThis study explored the drivers of CVD risk factors in slums in Kampala, Uganda.
methodsThis qualitative study employed focus group discussions (FGDs) to collect data among slum residents. A total of 10 FGDs separate for gender and age group were held in community public places. Discussions were audio-recorded, transcribed, and transcripts analysed thematically with the aid of Atlas ti 7.0. Study themes and sub-themes are presented supported by participant quotations.
resultsFive themes highlighted the drivers of CVD risk factors in slum communities. (1) Poverty: a critical underlying factor which impacted access and choice of food, work, and housing. (2) Poverty-induced stress: a key intermediate factor that led to precarious living with smoking and alcohol use as coping measures. (3) The social environment which included socialisation through drinking and smoking, and family and peers modelling behaviours. (4) The physical environment such as the high availability of affordable alcohol and access to amenities for physical activity and healthy foods. (5) Knowledge and information about CVD risk factors which included understanding of a healthy diet and the dangers of smoking and alcohol consumption.
conclusionTo address CVD risk in slums, broad-ranging multisectoral interventions are required, including economic empowerment of the slum population, stress reduction and coping interventions, and alcohol legislation. Also, there is a need for community CVD sensitisation and screening as well as increasing access to physical activity amenities and healthy foods within slums.
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