Cross-sectional study of association between psychosocial stressors with chronic kidney disease among migrant and non-migrant Ghanaians living in Europe and Ghana: the RODAM study

Simple item page
dc.contributor.authorAdjei Nana David
dc.contributor.authorAdu Dwomoa
dc.contributor.authorBeune Erik
dc.contributor.authorOwusu-Dabo Ellis
dc.contributor.authorDanquah Ina...et al
dc.date.accessioned2023-12-05T11:30:56Z
dc.date.available2023-12-05T11:30:56Z
dc.date.issued2019
dc.descriptionThis article is published by Open Access and is also available at http://bmjopen.bmj.com/
dc.description.abstractObjectives The association between psychosocial stressors (PS) and chronic kidney disease (CKD) among sub-Saharan African (SSA) populations is unknown. We examined the association between PS and CKD prevalence among rural and urban Ghanaians and Ghanaian migrants living in three European cities. We also assessed if the influence of PS on CKD is partially mediated by primary risk factors (hypertension and diabetes) of CKD. Design A multi-centred cross sectional data from the Research on Obesity and Diabetes among African Migrants study. Setting Rural and urban Ghana and three European cities (Amsterdam, Berlin and London). Participants A random sample of 5659 adults (Europe 3167, rural Ghana 1043 and urban Ghana 1449) aged 25–70 years. Explanatory measures PS defined by negative life events, perceived discrimination, perceived stress at work/ home and depressive symptoms. Three CKD outcomes were considered using the 2012 Kidney Disease: Improving Global Outcomes severity of CKD classification. Comparisons between PS and CKD outcomes were made using logistic regression analyses across all sites. Results We observed higher proportion of negative life events (68.7%) and perceived permanent stress (15.9%) among Ghanaians living in Ghana than Ghanaians living in Europe. Depressive symptoms (7.5%) and perceived discrimination (29.7%) were more common among Ghanaians living in Europe than Ghanaians living in Ghana. No significant association was observed between any of the PS constructs and CKD outcomes across sites except for positive association between stress at work/home and albuminuria (2.81, 95% CI 1.46 to 5.40) and CKD risk (2.78, 95% CI 1.43 to 5.43) among Ghanaians living in Berlin. Conclusion Our study found a positive association between stress at work/home and albuminuria and CKD risk. There was no convincing evidence of associations between the other PS constructs and the prevalence of CKD risk. Further studies are needed to identify potential
dc.description.sponsorshipKNUST
dc.identifier.citationAdjei DN, Stronks K, Adu D, et al. Cross-sectional study of association between psychosocial stressors with chronic kidney disease among migrant and non migrant Ghanaians living in Europe and Ghana
dc.identifier.uri10.1136/bmjopen-2018-027931
dc.identifier.urihttps://ir.knust.edu.gh/handle/123456789/14615
dc.language.isoen
dc.publisherOpen Access
dc.titleCross-sectional study of association between psychosocial stressors with chronic kidney disease among migrant and non-migrant Ghanaians living in Europe and Ghana: the RODAM study
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Cross-sectional study of association between psychosocial stressors with chronic kidney disease among migrant and non-migrant Ghanaians living in Europe and Ghana.pdf
Size:
469.91 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed to upon submission
Description:
Download
Collections
Articles