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Effect of mobility patterns on cardiometabolic disease care among forcibly displaced persons in Bidibidi refugee settlement, Uganda","","Study examines how cross-border mobility affects continuity of care for cardiometabolic conditions—hypertension and diabetes—among forcibly displaced persons in Bidibidi Refugee Settlement, Uganda. A community-based cross-sectional survey using respondent-driven sampling enrolled 1,010 participants living with HTN and/or DM, assessing sociodemographics, health system factors, continuity of care, social capital, and mobility patterns. Logistic regression links one return trip with higher odds of controlled HTN, while multiple return trips reduce odds of DM control.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/crossing-borders-losing-care-effect-of-mobility-patterns-on-cardiometabolic-disease-care-among-forcibly-displaced-persons-in-bidibidi-refugee-settlement-uganda/449033/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/crossing-borders-losing-care-effect-of-mobility-patterns-on-cardiometabolic-disease-care-among-forcibly-displaced-persons-in-bidibidi-refugee-settlement-uganda/449033.png","ImageObject",300,407,{"name":92,"@type":93},"Pentious","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What question does the study address?","Question",{"text":112,"@type":113},"How cross-border mobility influences continuity of care for hypertension and diabetes among forcibly displaced persons in Bidibidi Refugee Settlement, Uganda.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted?",{"text":117,"@type":113},"A community-based cross-sectional survey used respondent-driven sampling with 1,010 forcibly displaced persons living with HTN and/or DM.",{"name":119,"@type":110,"acceptedAnswer":120},"How did mobility patterns relate to disease control outcomes?",{"text":121,"@type":113},"Participants with one return trip had higher odds of controlled HTN, while those with multiple return trips had lower odds of DM control.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449033,1790791504,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},1374404730887,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","vi60 European Journal of Public Health, Vol. 35, Supplement 6, 2025  \nwith antidiabetics) . Mobility was categorized as no return trips, one return trip, or multiple return trips to South Sudan.  \nResults: Participants’ mean age was 55.9 years (SD 14.9), 78.4% were female. Mean SBP was 142.9mmHg (SD 20.6), DBP 86.8mmHg (SD 12.6), HbA1c 5 .0%, and FBG 5 .5mmol/L (SD 2 .4) . Overall, 38 .0% had controlled HTN, and 47.4% had controlled DM. Regarding mobility, 63.2% reported no return trips, 18.9% had one return trip, and 17.9% had multiple return trips. Logistic regression showed that participants with one return trip to South Sudan had higher odds of controlled HTN (adjusted OR ¼ 1.46, 95% CI: 1.03–2.06, p \u003C 0.05), whereas those with multiple return trips had lower odds of DM control (adjusted OR ¼ 0.27, 95% CI: 0.07–0.92, p \u003C0.05) . Conclusion: Cross-border mobility influences continuity for HTNand DM care among FDPs, with frequent return trips disrupting disease management. Strengthening cross-border health systems and coordinated interventions is essential to sustain continuity of care and improve chronic disease outcomes in displaced populations.  \nAbstract citation ID: ckaf180.164  \n349 Crossing borders, losing care? Effect of mobility patterns on cardiometabolic disease care among forcibly displaced persons in Bidibidi refugee settlement, Uganda Bishal Gyawali1, Dricile Ratib2, Tania Dræbel1, Esther Nanfuka3,  \nRita Nakanjako4, Susan Reynolds Whyte5, Ib Christian Bygbjerg1, Emmanuel Raju1, Dan Wolf Meyrowitsch1, David Kyaddondo6,  \nMorten Skovdal1  \n1Department of Public Health, University of Copenhagen, Copenhagen, Denmark 2Department of Public Health, Muni University, Arua, Uganda  \n3Department of Social Work and Social Administration, Makerere University, Kampala, Uganda  \n4Department of Sociology and Social Anthropology, Makerere University, Kampala, Uganda  \n5Department of Anthropology, University of Copenhagen, Copenhagen, Denmark 6Department of Child Health and Development Centre, Makerere University, Kampala, Uganda  \nOP 24: Refugees and Asylum Seekers 2, B210 (FCSH), September  \n4, 2025, 14:45-15:45  \nBackground: Forcibly Displaced Persons (FDPs) struggle to mantain continuity of care for cardiometabolic conditions like hypertension (HTN) and diabetes (DM), and cross-border mobility may worsen outcomes. This study investigates the association between cross-border mobility and continuity of care for HTN and DM among FDPs in the Bidibidi Refugee Settlement, Uganda.  \nMethods: A community-based cross-sectional survey using respondent-driven sampling was conducted with 1,010 FDPs living with HTN and/or DM across Bidibidi’s five zones. Trained Village Health Teams collected data on sociodemographics, health system factors, continuity of care, social capital, and mobility patterns.  \nContinuity of care was assessed based on disease control: HTN (systolic blood pressure [SBP] \u003C140mmHg, diastolic blood pressure [DBP] \u003C90mmHg with antihypertensives) and DM (fasting blood glucose [FBG] \u003C7.0mmol/L, glycated hemoglobin [HbA1c] \u003C6.5%","cbCain7HHYBgZqo3","https://ap.wps.com/l/cbCain7HHYBgZqo3","pdf",54022,"English","# Background\n# Methods\n# Continuity of care assessment\n# Results\n# Conclusion","[{\"question\":\"What question does the study address?\",\"answer\":\"How cross-border mobility influences continuity of care for hypertension and diabetes among forcibly displaced persons in Bidibidi Refugee Settlement, Uganda.\"},{\"question\":\"How was the study conducted?\",\"answer\":\"A community-based cross-sectional survey used respondent-driven sampling with 1,010 forcibly displaced persons living with HTN and/or DM.\"},{\"question\":\"How did mobility patterns relate to disease control outcomes?\",\"answer\":\"Participants with one return trip had higher odds of controlled HTN, while those with multiple return trips had lower odds of DM control.\"}]","Crossing borders, losing care? Effect of mobility patterns on cardiometabolic disease care among forcibly displaced persons in Bidibidi refugee settlement, Uganda | PDF",1790729239]