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Joel Wanzala
University of Kabianga
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Adherence to Dietary Recommendations and Associated Factors Among Adults Aged 40 Years and Older with Type 2 Diabetes: A Cross-Sectional Study at Kericho County, Kenya Joel Wanzala; Florence Wandia; Irine Chepngetich
Journal of Current Health Sciences Vol. 6 No. 1: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026146

Abstract

Type 2 diabetes is a major public health problem globally. There are limited data on adherence to dietary recommendations and its associated factors among type 2 diabetes patients, especially in Kericho, Kenya. Therefore, this study assessed the level and factors associated with adherence to dietary recommendations among type 2 diabetes patients aged 40+ years in Kericho County. A hospital-based cross-sectional study was conducted at Kericho County Referral Hospital in Kericho County, involving 414 type 2 diabetes patients aged 40+ years. Data was collected using validated and standardized structured questionnaires. SPSS version 26 was used to analyze data. Bivariate and multivariate logistic regression was used to identify factors associated with dietary adherence. Out of 414 participants, only 43.5% had good adherence to dietary recommendations. Multivariate logistic regression analysis showed that participants aged 70 years and above (AOR: 10.99, 95% CI: 1.61 – 25.08, p = 0.014), attained tertiary/college education (AOR: 8.20, 95% CI: 1.61 – 19.04, p = 0.021), no comorbidity (AOR: 2.78, 95% CI: 1.30 – 5.93, p = 0.008), had not experienced any complication (AOR: 3.09, 95% CI: 1.37 – 6.99, p = 0.007) had higher odds of good adherence to the recommended diet.  Additionally, respondents with over 10 years since being diagnosed with diabetes (AOR: 0.57, 95% CI: 0.27 – 0.78, p = 0.024), had not received diabetes nutritional education (AOR: 0.15, 95% CI: 0.08 – 0.59, p <0.001), and lived with more than five family members (AOR: 0.43, 95% CI: 0.19 – 0.87, p < 0.001) had a lower likelihood of good adherence to dietary recommendations. The rate of dietary adherence was found to be relatively low in Kericho County, and significantly influenced with age, education level, comorbidity, diabetes-related complications, exposure to diabetes nutritional education and family structure. Provision and the implementation of structured and culturally tailored nutrition education using routine clinic-based counseling, standardized meal-planning guides, peer support groups, and regular dietitian follow-up to strengthen adherence and improve glycemic outcomes.
Prevalence and Associated Factors of Intimate Partner Violence among Women of Reproductive Age in Busia County, Kenya Joel Wanzala
Journal of Current Health Sciences Vol. 6 No. 3: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026173

Abstract

Intimate partner violence is a major public health problem globally affecting women of reproductive age, particularly in low- and middle-income countries. The study assessed prevalence and associated factors of intimate partner violence among reproductive women in Teso South sub-county, Busia County, Kenya. A community-based cross-sectional study was conducted in Amukura Ward within Teso South sub-county among 250 eligible reproductive women, selected using a systematic random sampling technique. Data was collected using a pretested, validated structured questionnaire adopted and customized from the World Health Organization's Violence Against Women. EpiData Manager version 4.2 was for data coding and cleaning. PSS v.20 was used for statistical data analysis. Descriptive statistics were summarized using frequencies and percentages. Bivariate and multivariate logistic regression models to assess factors associated with intimate partner violence, with significance set at p < 0.05. Among the 250 interviewed women, 37.2% (95% CI: 31.2% - 43.2%) had experienced a form of violence in the last 12 months, with 41.2%, 40.8%, and 14.0% experiencing physical violence, psychological violence, and sexual violence, respectively. Multivariate logistic regression models showed that women aged 30 years or more, housewives, were in an arranged relationship, and were in a relationship of over ten years had higher odds of experiencing intimate partner violence. Similarly, women whose partners aged above 40 years, consumed alcohol, and had aggressive status were more likely to experience intimate partner violence. Additionally, women who were unmarried and attained tertiary education had a lower likelihood of experiencing intimate partner violence. Intimate partner violence remains a major problem in Busia County, driven by socio-demographic and relationship dynamics. There is an urgent need for context-specific, community-driven IPV programs integrating routine screening, male engagement, alcohol reduction interventions, and economic empowerment targeting high-risk women and partners.
Co-Authors Florence Wandia Irine Chepngetich