Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study

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dc.contributor.authorNiyibizi, Jean B.
dc.contributor.authorOkop, Kufre J.
dc.contributor.authorNganabashaka, Jean P.
dc.contributor.authorUmwali, Ghislaine
dc.contributor.authorRulisa, Stephen
dc.contributor.authorNtawuyirushintege, Seleman
dc.contributor.authorTumusiime, David
dc.contributor.authorNyandwi, Alypio
dc.contributor.authorNtaganda, Evariste
dc.contributor.authorDelobelle, Peter
dc.contributor.authorLevitt, Naomi
dc.contributor.authorBavuma, Charlotte M
dc.date.accessioned2022-07-08T09:34:24Z
dc.date.available2022-07-08T09:34:24Z
dc.date.issued2022-05-09
dc.date.updated2022-05-15T04:21:45Z
dc.description.abstractBackground In Rwanda, cardiovascular diseases (CVDs) are the third leading cause of death, and hence constitute an important public health issue. Worldwide, most CVDs are due to lifestyle and preventable risk factors. Prevention interventions are based on risk factors for CVD risk, yet the outcome of such interventions might be limited by the lack of awareness or misconception of CVD risk. This study aimed to explore how rural and urban population groups in Rwanda perceive CVD risk and tailor communication strategies for estimated total cardiovascular risk. Methods An exploratory qualitative study design was applied using focus group discussions to collect data from rural and urban community dwellers. In total, 65 community members took part in this study. Thematic analysis with Atlas ti 7.5.18 was used and the main findings for each theme were reported as a narrative summary. Results Participants thought that CVD risk is due to either financial stress, psychosocial stress, substance abuse, noise pollution, unhealthy diets, diabetes or overworking. Participants did not understand CVD risk presented in a quantitative format, but preferred qualitative formats or colours to represent low, moderate and high CVD risk through in-person communication. Participants preferred to be screened for CVD risk by community health workers using mobile health technology. Conclusion Rural and urban community members in Rwanda are aware of what could potentially put them at CVD risk in their respective local communities. Community health workers are preferred by local communities for CVD risk screening. Quantitative formats to present the total CVD risk appear inappropriate to the Rwandan population and qualitative formats are therefore advisable. Thus, operational research on the use of qualitative formats to communicate CVD risk is recommended to improve decision-making on CVD risk communication in the context of Rwanda.en_US
dc.identifier.apacitationNiyibizi, Jean B., Okop, Kufre J., Nganabashaka, Jean P., Umwali, G., Rulisa, S., Ntawuyirushintege, S., ... Bavuma, C. M. (2022). Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study. <i>BMC Public Health</i>, 22(1), 920. http://hdl.handle.net/11427/36640en_ZA
dc.identifier.chicagocitationNiyibizi, Jean B., Kufre J. Okop, Jean P. Nganabashaka, Ghislaine Umwali, Stephen Rulisa, Seleman Ntawuyirushintege, David Tumusiime, et al "Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study." <i>BMC Public Health</i> 22, 1. (2022): 920. http://hdl.handle.net/11427/36640en_ZA
dc.identifier.citationNiyibizi, Jean B., Okop, Kufre J., Nganabashaka, Jean P., Umwali, G., Rulisa, S., Ntawuyirushintege, S., Tumusiime, D. & Nyandwi, A. et al. 2022. Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study. <i>BMC Public Health.</i> 22(1):920. http://hdl.handle.net/11427/36640en_ZA
dc.identifier.ris TY - Journal Article AU - Niyibizi, Jean B. AU - Okop, Kufre J. AU - Nganabashaka, Jean P. AU - Umwali, Ghislaine AU - Rulisa, Stephen AU - Ntawuyirushintege, Seleman AU - Tumusiime, David AU - Nyandwi, Alypio AU - Ntaganda, Evariste AU - Delobelle, Peter AU - Levitt, Naomi AU - Bavuma, Charlotte M AB - Background In Rwanda, cardiovascular diseases (CVDs) are the third leading cause of death, and hence constitute an important public health issue. Worldwide, most CVDs are due to lifestyle and preventable risk factors. Prevention interventions are based on risk factors for CVD risk, yet the outcome of such interventions might be limited by the lack of awareness or misconception of CVD risk. This study aimed to explore how rural and urban population groups in Rwanda perceive CVD risk and tailor communication strategies for estimated total cardiovascular risk. Methods An exploratory qualitative study design was applied using focus group discussions to collect data from rural and urban community dwellers. In total, 65 community members took part in this study. Thematic analysis with Atlas ti 7.5.18 was used and the main findings for each theme were reported as a narrative summary. Results Participants thought that CVD risk is due to either financial stress, psychosocial stress, substance abuse, noise pollution, unhealthy diets, diabetes or overworking. Participants did not understand CVD risk presented in a quantitative format, but preferred qualitative formats or colours to represent low, moderate and high CVD risk through in-person communication. Participants preferred to be screened for CVD risk by community health workers using mobile health technology. Conclusion Rural and urban community members in Rwanda are aware of what could potentially put them at CVD risk in their respective local communities. Community health workers are preferred by local communities for CVD risk screening. Quantitative formats to present the total CVD risk appear inappropriate to the Rwandan population and qualitative formats are therefore advisable. Thus, operational research on the use of qualitative formats to communicate CVD risk is recommended to improve decision-making on CVD risk communication in the context of Rwanda. DA - 2022-05-09 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Public Health KW - Cardiovascular disease KW - Perceived risk KW - Communication strategies KW - Rwanda LK - https://open.uct.ac.za PY - 2022 T1 - Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study TI - Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study UR - http://hdl.handle.net/11427/36640 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12889-022-13330-6
dc.identifier.urihttp://hdl.handle.net/11427/36640
dc.identifier.vancouvercitationNiyibizi Jean B, Okop Kufre J, Nganabashaka Jean P, Umwali G, Rulisa S, Ntawuyirushintege S, et al. Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study. BMC Public Health. 2022;22(1):920. http://hdl.handle.net/11427/36640.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDepartment of Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Public Healthen_US
dc.source.journalissue1en_US
dc.source.journalvolume22en_US
dc.source.pagination920en_US
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.subjectCardiovascular diseaseen_US
dc.subjectPerceived risken_US
dc.subjectCommunication strategiesen_US
dc.subjectRwandaen_US
dc.titlePerceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative studyen_US
dc.typeJournal Articleen_US
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