An exploration into the determinants of noncommunicable diseases among rural-to-urban migrants in periurban South Africa
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Date
2010Author
Stern, Ruth
Puoane, Thandi
Tsolekile, Lungiswa
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Introduction
Noncommunicable diseases are increasing in developing
countries, exacerbated by growing urbanization. We examined
the experiences and perceptions about noncommunicable
diseases of people who migrated from rural areas to
urban Cape Town, South Africa.
Methods
We conducted a qualitative study in an impoverished
periurban township that has a noncommunicable disease
prevention program, including health clubs. We used
in-depth interviews, participatory reflection and action
groups, and focus group discussions.
Results
Participants described changes in eating patterns and
levels of physical activity. These changes were a result of
socioeconomic and environmental constraints. However,
respondents were not concerned about these changes.
Despite hardships, they were pleased with their urban
lifestyle. Furthermore, they approved of their weight gain
because it signified dignity and respect. Participants who
attended health clubs found them informative and socially
and emotionally supportive.
Conclusion
The study highlighted the complexity of the risk factors
for noncommunicable diseases and the need to develop
prevention strategies that extend beyond the traditional
focus on diet and exercise.