Exploring Hypertension Knowledge and Identifying Determinants of Inadequate Knowledge Among Non-Hypertensive Adult Pakistanis

Inadequate Knowledge among Non-Hypertensive Adult

Authors

  • Shafqat Huma Department of Psychiatry, Rashid Latif Khan University Medical College, Lahore, Pakistan
  • Suhail Ahmed Bijrani Department of Community Medicine, Liaquat University Medical and Health Sciences, Jamshoro, Pakistan
  • Shafi Muhammad Wassan Department of Community Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan
  • Jamil Ahmed Department of Community Medicine, Rashid Latif Khan University Medical College, Lahore, Pakistan
  • Partab Puri Department of Community Medicine, Ibn-E-Sina University, Mirpurkhas, Pakistan
  • Danish Puri Department of Physiology, Ibn-E-Sina University, Mirpurkhas, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i08.1926

Keywords:

Hypertension Knowledge-Level Scale (HK-LS), Health Literacy, Inadequate knowledge, Non-Hypertensive Adult

Abstract

Hypertension was a serious global health issue, with over half of the adults in underdeveloped nations remained undiagnosed. Given its prevalence and associated repercussions, non-hypertensive people continue to have low awareness of hypertension. Objective: To assess Knowledge of hypertension and identify determinants of inadequate Knowledge among non-hypertensive adult Pakistanis. Methods: A cross-sectional survey was conducted from January to May 2024. A sample of 500 non-hypertensive adults was recruited using the snowball sampling technique. The information was gathered using an online survey based on the Hypertension Knowledge-Level Scale (HK-LS). Data analysis was performed using SPSS version 26.0, and chi-square tests were applied to identify determinants of inadequate Knowledge. Results: The research project comprised 265 males (53%) and 235 females (47%), averaging 35.2 years. According to the total knowledge score, only 33.64% of participants had the necessary hypertension information, while 66.36% did not comprehend it. Knowledge about medication compliance, medical care, and hypertension problems was shown to have significant gaps. Age, educational attainment, and a family history of hypertension were among the demographic characteristics that significantly influenced Knowledge (P<0.05). Higher education levels and a family history of hypertension were associated with better knowledge levels among participants. Conclusions: In Pakistan, the non-hypertensive population is largely unaware about hypertension. In order to reduce hypertension and increase awareness, targeted outreach initiatives were necessary. Enhancing health literacy through media, healthcare providers, and family health communication can bridge the knowledge gap.

Author Biography

Jamil Ahmed, Department of Community Medicine, Rashid Latif Khan University Medical College, Lahore, Pakistan

Professor

References

Ellahi B, Dikmen D, Seyhan-Erdoğan B, Karabulut OF, Aitken A, Agbozo F et al. Prevalence, risk factors, and self-awareness for hypertension and diabetes: rural-urban and male-female dimensions from a cross-sectional study in Ghana. International Journal of Diabetes in Developing Countries. 2023 Oct; 43(5): 694-708. doi: 10.1007/s13410-022-01141-9. DOI: https://doi.org/10.1007/s13410-022-01141-9

Swed S, Alibrahim H, Bohsas H, Hafez W, Surma S, Rais MA et al. Assessment the awareness toward hypertension and diabetes mellitus: Syrian cross sectional study. BioMed Central Public Health. 2023 Apr; 23(1): 789. doi: 10.1186/s12889-023-15666-z. DOI: https://doi.org/10.1186/s12889-023-15666-z

Teshome DF, Balcha SA, Ayele TA, Atnafu A, Gelaye KA. Undiagnosed hypertension and its determinants among hypertensive patients in rural districts of northwest Ethiopia: a mediation analysis. BioMed Central Health Services Research. 2023 Mar; 23(1): 222. doi: 10.1186/s12913-023-09212-1. DOI: https://doi.org/10.1186/s12913-023-09212-1

Alhazmi A, Moafa HN, Kotb M, Sayegh L, Baydhi H, Hazzazi A et al. Assessing knowledge about hypertension and identifying predictors of inadequate knowledge in Saudi Arabia: A cross-sectional study. PLOS One. 2024 Mar; 19(3): e0299745. doi: 10.1371/journal.pone.0299745. DOI: https://doi.org/10.1371/journal.pone.0299745

Melichova J, Sivco P, Rusnak M, Phuong Truc P, Majdan M. International evidence-based guidelines on hypertension and type 2 diabetes mellitus: A systematic review. Journal of Public Health Research. 2023 Jan; 12(1): 22799036221146913. doi: 10.1177/22799036221146913. DOI: https://doi.org/10.1177/22799036221146913

Boateng EB and Ampofo AG. A glimpse into the future: modelling global prevalence of hypertension. BioMed Central Public Health. 2023 Oct; 23(1): 1906. doi: 10.1186/s12889-023-16662-z. DOI: https://doi.org/10.1186/s12889-023-16662-z

Solomon M, Shiferaw BZ, Tarekegn TT, GebreEyesus FA, Mengist ST, Mammo M et al. Prevalence and Associated Factors of Hypertension Among Adults in Gurage Zone, Southwest Ethiopia, 2022. SAGE Open Nursing. 2023 Feb; 9: 23779608231153473. doi: 10.1177/23779608231153473. DOI: https://doi.org/10.1177/23779608231153473

Galson SW, Staton CA, Karia F, Kilonzo K, Lunyera J, Patel UD et al. Epidemiology of hypertension in Northern Tanzania: a community-based mixed-methods study. British Medical Journal Open. 2017 Nov; 7(11): e018829. doi: 10.1136/bmjopen-2017-018829. DOI: https://doi.org/10.1136/bmjopen-2017-018829

Almatouq BA, Alaryni AA, Alghamdi A, Alhammad QA, Almadhi AA, Abbas FB et al. Increasing Awareness of Hypertensive Patients About Their Blood Pressure Readings During Clinic Visits in a Tertiary Hospital in Riyadh. Cureus. 2023 Jan;15(1). doi: 10.7759/cureus.33257. DOI: https://doi.org/10.7759/cureus.33257

Mugwano I, Kaddumukasa M, Mugenyi L, Kayima J, Ddumba E, Sajatovic M et al. Poor drug adherence and lack of awareness of hypertension among hypertensive stroke patients in Kampala, Uganda: a cross sectional study. BioMed Central Research Notes. 2016 Dec; 9: 1-8. doi: 10.1186/s13104-015-1830-4. DOI: https://doi.org/10.1186/s13104-015-1830-4

Nadeem MK, Mari A, Iftikhar S, Khatri A, Sarwar T, Patel MJ. Hypertension-related knowledge and its relationship with blood pressure control in hypertensive patients visiting a semi-private tertiary-care charity hospital in karachi, pakistan. Cureus. 2019 Oct; 11(10). doi: 10.7759/cureus.5986. DOI: https://doi.org/10.7759/cureus.5986

Endrias EE, Tesfaye Mamito T, Geta Hardido T, Ataro BA. Prevalence of Pre-Hypertension/Hypertension and Its Associated Factors Among Adults in the Wolaita Zone of Southern Ethiopia: A Cross-Sectional Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2024 Apr; 61: 00469580241246968. doi: 10.1177/00469580241246968. DOI: https://doi.org/10.1177/00469580241246968

Almalki MA, AlJishi MN, Khayat MA, Bokhari HF, Subki AH, Alzahrani AM et al. Population awareness of coronary artery disease risk factors in Jeddah, Saudi Arabia: a cross-sectional study. International Journal of General Medicine. 2019 Jan; 12: 63-70. doi: 10.2147/IJGM.S184732. DOI: https://doi.org/10.2147/IJGM.S184732

Erkoc SB, Isikli B, Metintas S, Kalyoncu C. Hypertension Knowledge-Level Scale (HK-LS): a study on development, validity and reliability. International Journal of Environmental Research and Public Health. 2012 Mar; 9(3): 1018-29. doi: 10.3390/ijerph9031018. DOI: https://doi.org/10.3390/ijerph9031018

Al Zabadi H, Tuffaha A, Abdallah S, Hussein A, Khdour M. Evaluation of hypertension knowledge among hypertensive and non-hypertensive adults: A cross-sectional study from Palestine. Palestinian Medical and Pharmaceutical Journal. 2018; 3(2): 5. doi: 10.59049/2790-0231.1055. DOI: https://doi.org/10.59049/2790-0231.1055

OpenEpi, Epidemiologic Statistics for Public Health. Emory University, USA; 2024 [Last cited: 18th Feb 2024]. Available at: https://www.openepi.com/SampleSize/SSPropor.htm.

Asiri AA, Asiri S, Asiri H. Knowledge related to hypertension risk factors, diet, and lifestyle modification: A comparative study between hypertensive and non-hypertensive individuals. Cureus. 2020 Aug; 12(8). doi: 10.7759/cureus.9890. DOI: https://doi.org/10.7759/cureus.9890

Cissé K, Kouanda S, Coppieters't Wallant Y, Kirakoya-Samadoulougou F. Awareness, Treatment, and Control of Hypertension among the Adult Population in Burkina Faso: Evidence from a Nationwide Population‐Based Survey. International Journal of Hypertension. 2021 Sep; 2021(1): 5547661. doi: 10.1155/2021/5547661. DOI: https://doi.org/10.1155/2021/5547661

K Mohanty S, P Pedgaonkar S, Kumar Upadhyay A, Kämpfen F, Shekhar P, Shyam Mishra R et al. Awareness, treatment, and control of hypertension in adults aged 45 years and over and their spouses in India. PLOS Medicine. 2021 Aug; 18(8). doi: 10.1371/journal.pmed.1003740. DOI: https://doi.org/10.1371/journal.pmed.1003740

Rajkumar E and Romate J. Behavioural risk factors, hypertension knowledge, and hypertension in rural India. International Journal of Hypertension. 2020 Mar; 2020(1): 8108202. doi: 10.1155/2020/8108202. DOI: https://doi.org/10.1155/2020/8108202

Ralapanawa U, Bopeththa K, Wickramasurendra N, Tennakoon S. Hypertension knowledge, attitude, and practice in adult hypertensive patients at a tertiary care hospital in Sri Lanka. International Journal of Hypertension. 2020 Oct; 2020(1): 4642704. doi: 10.1155/2020/4642704. DOI: https://doi.org/10.1155/2020/4642704

Sobierajski T, Surma S, Romańczyk M, Banach M, Oparil S. Knowledge of primary care patients living in the urban areas about risk factors of arterial hypertension. International Journal of Environmental Research and Public Health. 2023 Jan; 20(2): 1250. doi: 10.3390/ijerph20021250. DOI: https://doi.org/10.3390/ijerph20021250

Tam HL, Chung SF, Wang Q. Urban-rural disparities in hypertension management among middle-aged and older patients: results of a 2018 Chinese national study. Chronic Illness. 2023 Sep; 19(3): 581-90. doi: 10.1177/17423953221102627. DOI: https://doi.org/10.1177/17423953221102627

Chapman N, Marques FZ, Picone DS, Schultz MG, Mynard JP, Climie RE. PS-P03-9: Content and Delivery Preferences for Information to Support the Management of High Blood Pressure. Journal of Hypertension. 2023 Jan; 41(Suppl 1): e244. doi: 10.1097/01.hjh.0000915220. 85448.c8. DOI: https://doi.org/10.1097/01.hjh.0000915220.85448.c8

Guo A, Jin H, Mao J, Zhu W, Zhou Y, Ge X et al. Impact of health literacy and social support on medication adherence in patients with hypertension: a cross-sectional community-based study. BioMed Central Cardiovascular Disorders. 2023 Feb; 23(1): 93. doi: 10.1186/s12872-023-03117-x. DOI: https://doi.org/10.1186/s12872-023-03117-x

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Published

2024-08-31
CITATION
DOI: 10.54393/pjhs.v5i08.1926
Published: 2024-08-31

How to Cite

Huma, S., Bijrani, S. A., Wassan, S. M., Ahmed, J., Puri, P., & Puri, D. (2024). Exploring Hypertension Knowledge and Identifying Determinants of Inadequate Knowledge Among Non-Hypertensive Adult Pakistanis: Inadequate Knowledge among Non-Hypertensive Adult. Pakistan Journal of Health Sciences, 5(08), 103–109. https://doi.org/10.54393/pjhs.v5i08.1926

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