title: Health promotion needs of physically disabled individuals with lower limb amputation in Rwanda.
abstract: OBJECTIVE
  The objectives of the study were to identify the health-related behaviors among physically disabled individuals with lower limb amputation resident in Rwanda, the factors that influenced these behaviors, and the major issues that should be targeted in health promotion programs for physically disabled individuals with lower limb amputation.
  
  
  METHODS
  A cross-sectional survey, utilizing a self-administered questionnaire, was carried out among 334 lower limb amputees who volunteered to take part in the study. In addition, a sub-sample of 15 participants was purposely selected for in-depth face-to-face interviews.
  
  
  RESULTS
  Many participants did not engage in physical exercises (64.7%). Others abused alcohol on daily basis (14.4%), smoked 11-20 cigarettes daily (13.2%), and used recreational drugs such as marijuana, opium and cocaine (9.6%). There were significant associations between the age group of the participants and participation in exercises (P=0.001), and consuming alcohol, tobacco and recreational drugs (P=0.001). In-depth interviews revealed factors influencing the behavior of participants.
  
  
  CONCLUSIONS
  Participants were found to be at risk of secondary complications because of poor lifestyle choices. There is a need to develop and promote wellness-enhancing behaviors in order to enhance the health status of physically disabled individuals in Rwanda who have lower limb amputations.
authors.affiliation: Division of Physiotherapy, School of Health & Rehabilitation Sciences, University of Cape Town, South Africa. damosun@uctgsh1.uct.ac.za
authors.forename: Seyi L
authors.initials: SL
authors.lastname: Amosun
authors.forename: Eugene
authors.initials: E
authors.lastname: Mutimura
authors.forename: Jose M
authors.initials: JM
authors.lastname: Frantz
mesh_terms: D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical / Q000523:psychology* / Q000534:rehabilitation*; D002648:Child; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012432:Rwanda; D011795:Surveys and Questionnaires