This study examined whether the frequency of participation in religious activities and seeking care from spiritual and other traditional medicine (TM) practitioners were associated with blood glucose (HbA1c) control among urban Ghanaians with type 2 diabetes mellitus (T2DM). Findings revealed that increased frequency of participation in religious activities was significantly associated with decreased HbA1c levels, whereas increased use of TM practitioners was significantly associated with increased HbA1c levels. These findings suggest that strategically integrating religious activities into disease management plans for Ghanaians with T2DM who identify as being religious may be a viable intervention mechanism.
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Addai, I., & Adjei, J. (2014). Predictors of self-appraised health status in Sub-Saharan Africa: The case of Ghana. Applied Research in Quality of Life, 9(2), 233–253. https://doi.org/10.1007/s11482-013-9220-3.
Addai, I., Opoku-Agyeman, C., & Amanfu, S. K. (2014). Exploring predictors of subjective well-being in Ghana: A micro-level study. Journal of Happiness Studies, 15(4), 869–890. https://doi.org/10.1007/s10902-013-9454-7.
Al-Dwaikat, T. N., & Hall, L. A. (2017). Systematic review and critical analysis of measures of social support used in studies of persons with type 2 diabetes. Journal of Nursing Measurement, 25(2), 74–107. https://doi.org/10.1891/1061-3749.25.2.E74.
Amegbor, P. M. (2017). An assessment of care-seeking behavior in Asikuma-Odoben-Brakwa district: A triple pluralistic health sector approach. SAGE Open, 7(2), 2158244017710688. https://doi.org/10.1177/2158244017710688.
Amoah, S. K. S., Sandjo, L. P., Bazzo, M. L., Leite, S. N., Biavatti, M. W., Amoah, S. K. S., et al. (2014). Herbalists, traditional healers and pharmacists: A view of the tuberculosis in Ghana. Revista Brasileira de Farmacognosia, 24(1), 89–95. https://doi.org/10.1590/0102-695X2014241405.
Antwi-Baffour, S. (2014). The place of traditional medicine in the african society: The science, acceptance and support. American Journal of Health Research, 2(2), 49–54. https://doi.org/10.11648/j.ajhr.20140202.13.
Asamoah-Boaheng, M., Sarfo-Kantanka, O., Tuffour, A. B., Eghan, B., & Mbanya, J. C. (2019). Prevalence and risk factors for diabetes mellitus among adults in Ghana: A systematic review and meta-analysis. International Health, 11(2), 83–92. https://doi.org/10.1093/inthealth/ihy067.
Assari, S. (2013). Race and ethnicity, religion involvement, church-based social support and subjective health in United States: A case of moderated mediation. International Journal of Preventive Medicine, 4(2), 208–217.
Atinga, R. A., Yarney, L., & Gavu, N. M. (2018). Factors influencing long-term medication non-adherence among diabetes and hypertensive patients in Ghana: A qualitative investigation. PLoS ONE, 13(3), e0193995. https://doi.org/10.1371/journal.pone.0193995.
Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., da Rocha Fernandes, J. D., Ohlrogge, A. W., et al. (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research and Clinical Practice, 138, 271–281. https://doi.org/10.1016/j.diabres.2018.02.023.
Choi, S. A., & Hastings, J. F. (2018). Religion, spirituality, coping, and resilience among African Americans with diabetes. Journal of Religion & Spirituality in Social Work: Social Thought, 38(1), 93–114. https://doi.org/10.1080/15426432.2018.1524735.
CIA. (2017). The World Factbook-Central Intelligence Agency. https://www.cia.gov/library/publications/the-world-factbook/geos/gh.html. Retrieved September 9, 2017.
Dagenais, G. R., Gerstein, H. C., Zhang, X., McQueen, M., Lear, S., Lopez-Jaramillo, P., et al. (2016). Variations in diabetes prevalence in low-, middle-, and high-income countries: Results from the prospective urban and rural epidemiological study. Diabetes Care, 39(5), 780–787. https://doi.org/10.2337/dc15-2338.
Darvyri, P., Christodoulakis, S., Galanakis, M., Avgoustidis, A. G., Thanopoulou, A., & Chrousos, G. P. (2018). On the role of spirituality and religiosity in type 2 diabetes mellitus management—A systematic review. Psychology, 09, 728. https://doi.org/10.4236/psych.2018.94046.
de-Graft Aikins, A. (2003). Living with diabetes in rural and urban Ghana: a critical social psychological examination of illness action and scope for intervention. Journal of Health Psychology, 8(5), 557–572. https://doi.org/10.1177/13591053030085007.
de-Graft Aikins, A. (2005). Healer shopping in Africa: new evidence from rural-urban qualitative study of Ghanaian diabetes experiences. BMJ: British Medical Journal, 331(7519), 737–751.
de-Graft Aikins, A. (2006). Reframing applied disease stigma research: a multilevel analysis of diabetes stigma in Ghana. Journal of Community & Applied Social Psychology, 16(6), 426–441. https://doi.org/10.1002/casp.892.
Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method. Hoboken: Wiley.
Fetzer Institute/National Institute on Aging Working Group. (2003). Multidimensional measurement of religiousness/spirituality for use in health research. Retrieved December 25, 2017 from http://fetzer.org/sites/default/files/images/resources/attachment/%5Bcurrent-date%3Atiny%5D/Multidimensional_Measurement_of_Religousness_Spirituality.pdf.
Gyasi, R. M., Tagoe-Darko, E., & Mensah, C. M. (2013). Use of traditional medicine by HIV/AIDS patients in Kumasi Metropolis, Ghana: A cross-sectional survey. American International Journal of Contemporary Research, 3(4), 117–129.
Gyasi, R. M., Asante, F., Yeboah, J. Y., Abass, K., Mensah, C. M., & Siaw, L. P. (2016). Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana. International Journal of Qualitative Studies on Health and Well-Being, 11(1), 29667. https://doi.org/10.3402/qhw.v11.29667.
Hampshire, K. R., & Owusu, S. A. (2013). Grandfathers, Google, and dreams: Medical pluralism, globalization, and new healing encounters in Ghana. Medical Anthropology, 32(3), 247–265. https://doi.org/10.1080/01459740.2012.692740.
Heidari, S., Rezaei, M., Sajadi, M., Ajorpaz, N. M., & Koenig, H. G. (2017). Religious practices and self-care in Iranian patients with type 2 diabetes. Journal of Religion and Health, 56(2), 683–696. https://doi.org/10.1007/s10943-016-0320-x.
Kasilo, O. M., Trapsida, J.-M., Mwikisa, C. N., & Lusamba-Dikassa, P. S. (2010). An overview of the traditional medicine situation in the African Region. African Health Monitor, 13, 7–15.
Kilbourne, B., Cummings, S. M., & Levine, R. S. (2009). The influence of religiosity on depression among low-income people with diabetes. Health and Social Work, 34(2), 137–147.
Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry. https://doi.org/10.5402/2012/278730.
Kpobi, L. N. A., & Swartz, L. (2018). Muslim traditional healers in Accra, Ghana: Beliefs about and treatment of mental disorders. Journal of Religion and Health. https://doi.org/10.1007/s10943-018-0668-1.
Krause, N. (2002). Church-based social support and health in old age: Exploring variations by race. The Journals of Gerontology: Series B, 57(6), S332–S347. https://doi.org/10.1093/geronb/57.6.S332.
Kretchy, I. A., Owusu-Daaku, F., & Danquah, S. (2014). Patterns and determinants of the use of complementary and alternative medicine: A cross-sectional study of hypertensive patients in Ghana. BMC Complementary and Alternative Medicine, 14, 44. https://doi.org/10.1186/1472-6882-14-44.
MacLean, L. M. (2011). Exhaustion and exclusion in the African village: The non-state social welfare of informal reciprocity in Rural Ghana and Cote D’ivoire. Studies in Comparative International Development, 46(1), 118–136. https://doi.org/10.1007/s12116-010-9082-8.
Matheka, D. M., & Demaio, A. R. (2013). Complementary and alternative medicine use among diabetic patients in Africa: A Kenyan perspective. Pan African Medical Journal, 15, 110. https://doi.org/10.11604/pamj.2013.15.110.2925.
Mbeh, G. N., Edwards, R., Ngufor, G., Assah, F., Fezeu, L., & Mbanya, J. C. (2010). Traditional healers and diabetes: Results from a pilot project to train traditional healers to provide health education and appropriate health care practices for diabetes patients in Cameroon. Global Health Promotion, 17(2 Suppl), 17–26. https://doi.org/10.1177/1757975910363925.
Mill, J. E. (2001). I’m not a “basabasa” woman: An explanatory model of HIV illness in Ghanaian women. Clinical Nursing Research, 10(3), 254–274. https://doi.org/10.1177/c10n3r4.
Mogre, V., Abanga, Z. O., Tzelepis, F., Johnson, N. A., & Paul, C. (2017). Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana. BMC Endocrine Disorders, 17(1), 20. https://doi.org/10.1186/s12902-017-0169-3.
Mokgobi, M. G. (2014). Understanding traditional African healing. African Journal for Physical Health Education, Recreation, and Dance, 20(Suppl 2), 24–34.
Morton, K. R., Lee, J. W., & Martin, L. R. (2017). Pathways from religion to health: Mediation by psychosocial and lifestyle mechanisms. Psychology of Religion and Spirituality, 9(1), 106–117. https://doi.org/10.1037/rel0000091.
Namageyo-Funa, A., Muilenburg, J., & Wilson, M. (2015). The role of religion and spirituality in coping with type 2 diabetes: A qualitative study among Black men. Journal of Religion and Health, 54(1), 242–252. https://doi.org/10.1007/s10943-013-9812-0.
Nyaaba, G. N., Masana, L., de-Graft Aikins, A., Stronks, K., & Agyemang, C. (2018). Lay community perceptions and treatment options for hypertension in rural northern Ghana: A qualitative analysis. British Medical Journal Open, 8(11), e023451. https://doi.org/10.1136/bmjopen-2018-023451.
Pokimica, J., Addai, I., & Takyi, B. K. (2012). Religion and subjective well-being in Ghana. Social Indicators Research, 106(1), 61–79. https://doi.org/10.1007/s11205-011-9793-x.
Reinhardt, B. (2017). Praying until Jesus returns: Commitment and prayerfulness among charismatic Christians in Ghana. Religion, 47(1), 51–72. https://doi.org/10.1080/0048721X.2016.1225907.
Rivera-Hernandez, M. (2016). Religiosity, social support and care associated with health in older mexicans with diabetes. Journal of Religion and Health, 55(4), 1394–1410. https://doi.org/10.1007/s10943-015-0105-7.
SAS Institute Inc. (2013). SAS/STAT (version 9.4). Cary, NC: SAS Institute Inc.
SD A1cCare Analyser. (n.d.). Integrated sciences website. http://www.integratedsci.com.au/product/sd-a1ccare-analyser.html. Retrieved May 17, 2019.
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine (1982), 32(6), 705–714.
Smith-Cavros, E., Avotri-Wuaku, J., Wuaku, A., & Bhullar, A. (2017). “All I need is help to do well”: Herbs, medicines, faith, and syncretism in the negotiation of elder health treatment in Rural Ghana. Journal of Religion and Health. https://doi.org/10.1007/s10943-017-0378-0.
Stratton, I. M., Adler, A. I., Neil, H. A. W., Matthews, D. R., Manley, S. E., Cull, C. A., et al. (2000). Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): Prospective observational study. BMJ: British Medical Journal, 321(7258), 405–412.
Taber, K. S. (2018). The use of Cronbach’s alpha when developing and reporting research instruments in science education. Research in Science Education, 48(6), 1273–1296. https://doi.org/10.1007/s11165-016-9602-2.
Takyi, B. K., & Lamptey, E. (2016). Faith and marital violence in Sub-Saharan Africa: Exploring the links between religious affiliation and intimate partner violence among women in Ghana. Journal of Interpersonal Violence, 0886260516676476.
Unantenne, N., Warren, N., Canaway, R., & Manderson, L. (2013). The strength to cope: Spirituality and faith in chronic disease. Journal of Religion and Health, 52(4), 1147–1161. https://doi.org/10.1007/s10943-011-9554-9.
World Health Organization. (2019). WHO global report on traditional and complementary medicine, 2019. Geneva: World Health Organization.
Zimmer, Z., Jagger, C., Chiu, C.-T., Ofstedal, M. B., Rojo, F., & Saito, Y. (2016). Spirituality, religiosity, aging and health in global perspective: A review. SSM - Population Health, 2(Supplement C), 373–381. https://doi.org/10.1016/j.ssmph.2016.04.009.
Funding for this work was provided by the following institutions at the University of South Carolina: The Office of the Vice President for Research, the Walker Institute, and the Department of Health Promotion, Education, and Behavior. There are no grant numbers associated with these sources of funding.
Conflict of interest
The authors declare that they have no conflict of interest.
All study procedures were approved by the Institutional Review Board at the University of South Carolina and the Committee on Human Research, Publication and Ethics of the Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital.
Written informed consent was obtained from all study participants prior to data collection.
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Botchway, M., Davis, R.E., Appiah, L.T. et al. The Influence of Religious Participation and Use of Traditional Medicine on Type 2 Diabetes Control in Urban Ghana. J Relig Health (2021). https://doi.org/10.1007/s10943-021-01187-9
- Religious participation
- Traditional medicine
- Type 2 diabetes
- Medical pluralism