Evidence map›Paper›PMID 40161298›Full record

ArticleFrontiers in nutrition2025

Three lessons on diabetes for global health professionals, researchers and policy-makers from the people of Ga Mashie.

Olutobi Adekunle Sanuade, Lydia O Okoibhole, Ernestina K Dankyi, Daniel Strachan, Leonard Baatiema, Sandra Boatemaa Kushitor, Raphael B Awuah, Mawuli K Kushitor, Samuel Amon, Irene Akwo Kretchy and 3 more

Abstract read
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Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

13 authors.

Olutobi Adekunle SanuadeDepartment of Population Health Sciences, Division of Health System Innovation and Research, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, United States.
Lydia O OkoibholeInstitute for Global Health, University College London, London, United Kingdom.
Ernestina K DankyiCentre for Social Policy Studies, University of Ghana, Accra, Ghana.
Daniel StrachanNossal Institute for Global Health, University of Melbourne, Melbourne, VIC, Australia.
Leonard BaatiemaDepartment of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
Sandra Boatemaa KushitorDepartment of Community Health, Ensign Global College, Kpong, Ghana.
Raphael B AwuahRegional Institute for Population Studies, University of Ghana, Accra, Ghana.
Mawuli K KushitorDepartment of Health Policy Planning and Management, School of Public Health, University of Health and Allied Sciences, Ho, Ghana.
Samuel AmonDepartment of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
Irene Akwo KretchyDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, University of Ghana, Accra, Ghana.
Daniel ArhinfulNoguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana.
Edward FottrellInstitute for Global Health, University College London, London, United Kingdom.
Megan VaughanInstitute of Advanced Studies, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetes is a leading cause of death globally, with significant burdens in low- and middle-income countries (LMICs). However, knowledge of contextual factors associated with diabetes in LMICs are limited. This study highlights three important lessons on diabetes by identifying and interpreting contextual factors related to its prevention and management within a low-income urban community in Accra, Ghana. Methods: This was a qualitative study. Data were collected through four focus group discussions (FGDs) with older adults men and women (50+ years) and 18 in-depth interviews with community stakeholders, including traditional leaders, market women, and the Ga Mashie Development Agency. Thematic analysis was conducted to identify key insights on diabetes perceptions, challenges, and cultural practices. Results: Three key themes emerged from the data: (1) Knowledge does not always translate to action. While participants had extensive knowledge of diabetes risk factors and management, they cited practical constraints that hindered their ability to make behavior changes; (2) Food is more than nutrition. Participants noted that food plays an important role in family, community, and emotional well-being, and (3) Diabetes carries dual meanings. Participants associated diabetes with both individual lifestyle behaviors (e.g., alcohol consumption and sexual activity) and broader environmental exposures (e.g., pollution and chemical contaminants in food). Conclusion: These results highlight the complexity of diabetes management in an urban poor community context, requiring more than knowledge on diabetes risk factors for behavior change. Addressing personal, communal, and environmental factors, alongside structural barriers, is essential for developing effective, sustainable diabetes management strategies in this setting.

Indexed as

cultural contextdiabetesGa MashieGhanaglobal health

Identifiers

PMID40161298
PMCPMC11949775

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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.