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Essayagh F, Essayagh M, Lambaki A, Naji AA, Essayagh S, Essayagh T. Determinants associated with low dietary diversity among migrants to Morocco: a cross sectional study. Sci Rep 2024; 14:8361. [PMID: 38600240 PMCID: PMC11006864 DOI: 10.1038/s41598-024-59082-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 04/07/2024] [Indexed: 04/12/2024] Open
Abstract
Low dietary diversity (LDD) is prevalent among vulnerable populations, posing a morbidity risk. Few studies have been conducted on the dietary diversity of migrants. The objectives of this study are to determine the prevalence of LDD among migrants in Morocco and the risk factors associated with it. In the Oriental region, we conducted a cross-sectional study with migrants between November and December 2021. The sampling method used was convenience sampling. A face-to-face, structured questionnaire was used to collect sociodemographic, behavioral, and clinical data. We calculated a dietary diversity score based on a 24-h food recall and assessed food intake. The risk factors associated with LDD were identified using multivariate logistic regression. A total of 445 migrants was enrolled. The prevalence of LDD was 31.7%. Risk factors associated with LDD were: being homeless (adjusted Odds Ratio (AOR) of 6.32; CI% [3.55-11.25]), a lack of social support (AOR of 2.30; CI% [1.33-03.98]), and low monthly income (AOR of 8.21; CI% [3.39-19.85]). Public policies must focus on social and environmental determinants. Nutrition training programs should be set up for the migrant population.
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Affiliation(s)
- Firdaous Essayagh
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Meriem Essayagh
- Office national de sécurité sanitaire des produits alimentaires, Oriental, Morocco
| | - Abdellah Lambaki
- Université de Lomé, Faculté des sciences de la santé, Lomé, Togo.
| | - Ahmed Anouar Naji
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Sanah Essayagh
- Hassan First University of Settat, Faculté des sciences et techniques, Laboratoire agroalimentaire et santé, Settat, Morocco
| | - Touria Essayagh
- Hassan First University of Settat, Institut supérieur des sciences de la santé, Laboratoire sciences et technologies de la santé, Settat, Morocco
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Belayachi S, Boukhari FZ, Essayagh F, Terkiba O, Marc I, Lambaki A, Zohoun A, Essayagh M, Essayagh T, Essayagh S. Uncontrolled blood pressure and its risk factors among hypertensive patients, Marrakech, Morocco. Sci Rep 2024; 14:2953. [PMID: 38316867 PMCID: PMC10844197 DOI: 10.1038/s41598-024-53115-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 01/28/2024] [Indexed: 02/07/2024] Open
Abstract
Hypertension is a public health problem. Failure to control blood pressure figures is responsible for morbidity and premature mortality. This study aims to describe the characteristics of hypertensive patients followed at primary health care centers in Marrakech. Between May 2021 and December 2022, a cross-sectional study of 922 hypertension patients attending primary health care centers in Marrakech was done. To gather socio-demographic, behavioral, and clinical data, as well as hypertension treatment features and the care-patient-physician triad, a face-to-face questionnaire was employed. To identify risk factors associated with uncontrolled blood pressure, multivariate logistic regression was used. Uncontrolled blood pressure was found in 73.5% of people. The patients' average age was 63.4 ± 9.4 years (mean ± standard deviation), and 524 (77.3%) were women. Tobacco consumption (Adjusted Odd Ratio of 4.34; 95% CI [1.58-11.9]); lack of self-monitoring of hypertension (AOR of 1.69; 95% CI [1.14-2.52]); a family history of hypertension (AOR of 1.58; 95% CI [1.12-2.22]); overweight or obesity (AOR of 1.73; 95% CI [1.15-2.58]); and nonadherence to antihypertensive medication (AOR of 1.58; 95% CI [1.05-2.38]) were identified as risk factors for uncontrolled blood pressure. In hypertensive individuals, the percentage of uncontrolled blood pressure is considerable. It is essential to provide therapeutic education classes for hypertension patients in order to strengthen their power and autonomy in managing their hypertension.
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Affiliation(s)
- Safae Belayachi
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
| | - Fatima Zahra Boukhari
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
| | - Firdaous Essayagh
- Faculté des Sciences Juridiques, Économiques et Sociales, Laboratoire Droit Privé et Enjeux de Développement, Université Sidi Mohamed Ben Abdellah, Fès, Morocco
| | - Othmane Terkiba
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Ikram Marc
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Abdellah Lambaki
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
| | - Alban Zohoun
- Unité d'enseignement et de Recherche en Hématologie, Faculté des Sciences de la Santé, Cotonou, Benin
| | - Meriem Essayagh
- Office National de Sécurité Sanitaire des Produits Alimentaires, Oriental, Morocco
| | - Touria Essayagh
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Sanah Essayagh
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
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