TY - JOUR
T1 - Perceptions and behavior related to noncommunicable diseases among slum dwellers in a rapidly urbanizing city, Dhaka, Bangladesh
T2 - A qualitative study
AU - Al-Shoaibi, Abubakr Ahmed Abdullah
AU - Matsuyama, Akiko
AU - Khalequzzaman, Md
AU - Haseen, Fariha
AU - Choudhury, Sohel Reza
AU - Hoque, Bilqis Amin
AU - Chiang, Chifa
AU - Hirakawa, Yoshihisa
AU - Yatsuya, Hiroshi
AU - Aoyama, Atsuko
N1 - Funding Information:
The authors wish to thank Prof. Syed Shariful Islam, Bangabandhu Sheikh Mujib Medical University, for his valuable advice and support throughout the study. We also wish to express our gratitude to Dr. Koen Peeters Grietens, Institute of Tropical Medicine, Antwerp for his insightful comments. We would also like to extend our thanks to the community members and our colleagues in the field study for their assistance in data collection and their valuable advice. This study was supported by Grant-in-Aid for Scientific Research (KAKENHI) from Japan Society for the Promotion of Science [A, 26257505 to AA], and in part by Sciences Research Grant for Research on Global Health Issues from Japan Agency for Medical Research and Development [15jk0110008h0101 to AA].
Funding Information:
The authors wish to thank Prof. Syed Shariful Islam, Bangabandhu Sheikh Mujib Medical University, for his valuable advice and support throughout the study. We also wish to express our gratitude to Dr. Koen Peeters Grietens, Institute of Tropical Medicine, Antwerp for his insightful comments. We would also like to extend our thanks to the community members and our colleagues in the field study for their assistance in data collection and their valuable advice. This study was supported by Grant-in-Aid for Scientific Research (KAKENHI) from Japan Society
Funding Information:
for the Promotion of Science [A, 26257505 to AA], and in part by Sciences Research Grant for Research on Global Health Issues from Japan Agency for Medical Research and Development [15jk0110008h0101 to AA].
Publisher Copyright:
© 2018 Nagoya University.
PY - 2018/11/4
Y1 - 2018/11/4
N2 - The increasing burden of noncommunicable diseases (NCDs) in Bangladesh can be attributable to rapid urbanization and coinciding changes in lifestyle accompanied by nutrition transition. The objective of this study is to explore respondents' lived experiences and perceptions relating to NCDs and nutrition change in an urban slum community in Dhaka. Qualitative methods were employed to explore a general understanding of behavior related to NCDs among residents of the slum community. We conducted key informant interviews of six men and seven women of various backgrounds and five focus group discussions to focus salient topics emerged from the interviews. The transcriptions of the audio-recordings were thematically analyzed, using the constant comparison method. Four major themes emerged: (1) financial hardship influencing health; (2) urbanized lifestyle affecting diet; (3) tobacco and sweetened tea as cornerstones of social life; and (4) health-seeking behavior utilizing local resources. One notable finding was that even with general economic improvement, respondents perceived poverty to be one of the major causes of NCDs. A promising finding for potentially curbing NCDs was the current trend for women to walk for exercise contrary to the commonly held notion that urban dwellers generally lead sedentary lifestyles. This study described how urban slum dwellers in Dhaka, experiencing a transition from a traditional to urbanized lifestyle, perceived their daily practices in relation to NCDs and nutrition. Our research revealed both adverse and encouraging elements of perceptions and behavior related to NCDs, which may contribute to the optimal design of NCD prevention and health promotion programs.
AB - The increasing burden of noncommunicable diseases (NCDs) in Bangladesh can be attributable to rapid urbanization and coinciding changes in lifestyle accompanied by nutrition transition. The objective of this study is to explore respondents' lived experiences and perceptions relating to NCDs and nutrition change in an urban slum community in Dhaka. Qualitative methods were employed to explore a general understanding of behavior related to NCDs among residents of the slum community. We conducted key informant interviews of six men and seven women of various backgrounds and five focus group discussions to focus salient topics emerged from the interviews. The transcriptions of the audio-recordings were thematically analyzed, using the constant comparison method. Four major themes emerged: (1) financial hardship influencing health; (2) urbanized lifestyle affecting diet; (3) tobacco and sweetened tea as cornerstones of social life; and (4) health-seeking behavior utilizing local resources. One notable finding was that even with general economic improvement, respondents perceived poverty to be one of the major causes of NCDs. A promising finding for potentially curbing NCDs was the current trend for women to walk for exercise contrary to the commonly held notion that urban dwellers generally lead sedentary lifestyles. This study described how urban slum dwellers in Dhaka, experiencing a transition from a traditional to urbanized lifestyle, perceived their daily practices in relation to NCDs and nutrition. Our research revealed both adverse and encouraging elements of perceptions and behavior related to NCDs, which may contribute to the optimal design of NCD prevention and health promotion programs.
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U2 - 10.18999/nagjms.80.4.559
DO - 10.18999/nagjms.80.4.559
M3 - Article
C2 - 30587870
AN - SCOPUS:85059230355
VL - 80
SP - 559
EP - 569
JO - Nagoya Journal of Medical Science
JF - Nagoya Journal of Medical Science
SN - 0027-7622
IS - 4
ER -