Background: Our aim was to explore patients' perceptions of changes in diet and physical activity in people with type 2 diabetes mellitus and/or arterial hypertension in two low-income districts of Ecuador.
Methods: We carried out a qualitative study of 19 telephone interviews in August-September 2020 with people with type 2 diabetes mellitus and/or arterial hypertension. Interviews were recorded, anonymized and transcribed verbatim for analysis using the social ecological model.
International public health agencies recommend policies to improve diets and promote healthy eating, but implementation often falters due to varying contextual factors across regions. This study evaluates the relevance and applicability of these policies in urban areas of Latin America and the Caribbean (LAC). Using the Delphi technique, we convened a panel of 21 experts from 13 LAC countries, representing public policy, research, social action, and healthcare.
View Article and Find Full Text PDFWhile many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas.
View Article and Find Full Text PDFBMC Complement Med Ther
October 2024
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View Article and Find Full Text PDFThis qualitative study aims to explore how the COVID-19 pandemic impacted healthcare access for patients with chronic conditions in Ecuador from the patient's perspective. We interviewed 19 patients diagnosed with arterial hypertension or type 2 diabetes in rural and urban areas of Ecuador during August and September 2020. We used the Framework Method to analyse the interview transcripts with ATLAS.
View Article and Find Full Text PDF(1) Background: There are no real-world data evaluating the incidence of false-positive results. We analyzed the clinical and analytical factors associated with the presence of false-positive results in PSA determinations in practice. (2) Methods: A prospective cohort study of patients with a PSA test was performed in clinical practice.
View Article and Find Full Text PDFInt J Environ Res Public Health
March 2021
Diabetes is a major public health problem, increasingly affecting low- and middle-income countries. The project CEAD (Contextualizing Evidence for Action in Diabetes in low-resource settings) aims to evaluate the implementation of comprehensive diabetes care in two low-resource settings in Ecuador and to stimulate context-led health systems innovations to improve diabetes care and reduce inequity. The mixed-methods approach includes a 24-month retrospective study to assess the current level of implementation of comprehensive diabetes care and participants will be followed up prospectively for two years to assess changes in healthcare and clinical outcomes from the outset of the research.
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