Knowledge of Hypertension and Related Factors Among Hypertensive Patients

Authors

  • Haider Jassim Hamid University of Baghdad, University Health Center, Baghdad Province, Iraq

DOI:

https://doi.org/10.51699/ijhsms.v4i1.195

Keywords:

Level of Knowledge, Hypertensive Patients, Iraq, Non-communicable disease, Health education

Abstract

Hypertension is a prevalent non-communicable disease posing significant health risks, necessitating greater public awareness of its risk factors. This study assessed hypertension knowledge among hypertensive employees at the University of Baghdad to identify key knowledge gaps. Conducted as a descriptive cross-sectional study from July to October 2024, 74 participants referred to the university health center were selected through convenience sampling. Data collection included demographic and clinical characteristics and the Hypertension Knowledge-Level Scale (HK-LS). Analysis was conducted using SPSS Version 22.0, with t-tests and ANOVA employed to compare knowledge levels across demographic variables. Results revealed a mean HK-LS score of 13.8, or 62.7% of the total possible score, with the highest scores in lifestyle awareness and the lowest in the definition of hypertension. Educational level and duration since diagnosis were significantly associated with hypertension knowledge levels, with those of shorter diagnostic duration and lower education displaying lower awareness. Findings underscore the need to prioritize targeted education initiatives for newly diagnosed and less-educated patients to enhance prevention and effective management of hypertension.

References

American Heart Association, "How High Blood Pressure Can Lead to Kidney Damage or Failure," American Heart Association, 2019. Available: https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-kidney-damage-or-failure

World Health Organization, "Hypertension," 2023. Available: https://www.who.int/news-room/fact-sheets/detail/hypertension

World Life Expectancy, "Iraq Hypertension Statistics," 2023. Available: https://www.worldlifeexpectancy.com/iraq-hypertension

T. Unger, C. Borghi, F. Charchar, N. A. Khan, N. R. Poulter, and D. Prabhakaran, "2020 International Society of Hypertension Global Hypertension Practice Guidelines," Hypertension, vol. 75, no. 6, pp. 1334-1357, Jun. 2020. DOI: https://doi.org/10.1161/HYPERTENSIONAHA.120.15026

M. Kaddumukasa, J. Kayima, J. Nakibuuka, C. Blixen, E. Welter, E. Katabira, and M. Sajatovic, "Modifiable Lifestyle Risk Factors for Stroke Among a High Risk Hypertensive Population in Greater Kampala, Uganda: A Cross-Sectional Study," BMC Research Notes, vol. 10, no. 1, p. 675, Dec. 2017. doi: 10.1186/s13104-017-3009-7. DOI: https://doi.org/10.1186/s13104-017-3009-7

B. M. Akoko, P. N. Fon, R. C. Ngu, and K. B. Ngu, "Knowledge of Hypertension and Compliance with Therapy Among Hypertensive Patients in the Bamenda Health District of Cameroon: A Cross-Sectional Study," Cardiology and Therapy, vol. 6, no. 1, pp. 53–67, Jun. 2017. doi: 10.1007/s40119-016-0079-x. DOI: https://doi.org/10.1007/s40119-016-0079-x

B. Jankowska-Polańska, I. Uchmanowicz, K. Dudek, and G. Mazur, "Relationship Between Patients' Knowledge and Medication Adherence Among Patients with Hypertension," Patient Preference and Adherence, vol. 10, pp. 2437–2447, Dec. 2016. doi: 10.2147/PPA.S117269. DOI: https://doi.org/10.2147/PPA.S117269

A. D. Heymann et al., "Factors Associated with Hypertensive Patients' Compliance with Recommended Lifestyle Behaviors," Israel Medical Association Journal, vol. 13, no. 1, pp. 26-30, 2011.

M. A. Khaleefah, H. J. Al-Badri, and N. A. Mousa, "Hypertension Control Among Adult Iraqis," Journal of Faculty of Medicine Baghdad, vol. 64, no. 3, pp. 145-152, Oct. 2022. DOI: https://doi.org/10.32007/jfacmedbagdad.6431935

S. B. Erkoc, B. Isikli, S. Metintas, and C. Kalyoncu, "Hypertension Knowledge-Level Scale (HK-LS): A Study on Development, Validity and Reliability," International Journal of Environmental Research and Public Health, vol. 9, no. 3, pp. 1018–1029, Mar. 2012. doi: 10.3390/ijerph9031018. DOI: https://doi.org/10.3390/ijerph9031018

F. Guillemin, C. Bombardier, and D. Beaton, "Cross-Cultural Adaptation of Health-Related Quality of Life Measures: Literature Review and Proposed Guidelines," Journal of Clinical Epidemiology, vol. 46, no. 12, pp. 1417-1432, Dec. 1993. doi: 10.1016/0895-4356(93)90142-n. DOI: https://doi.org/10.1016/0895-4356(93)90142-N

Á. R. Lugo-Mata, A. S. Urich-Landeta, A. L. Andrades-Pérez, M. J. León-Dugarte, L. A. Marcano-Acevedo, and M. J. L. Guillen, "Factors Associated with the Level of Knowledge About Hypertension in Primary Care Patients," Medicina Universitaria, vol. 19, no. 77, pp. 184-188, Dec. 2017.

A. Alhazmi, H. N. Moafa, M. Kotb, L. Sayegh, H. Baydhi, and A. Hazzazi, "Assessing Knowledge About Hypertension and Identifying Predictors of Inadequate Knowledge in Saudi Arabia: A Cross-Sectional Study," PLoS One, vol. 19, no. 3, Mar. 2024. doi: 10.1371/journal.pone.0299745. DOI: https://doi.org/10.1371/journal.pone.0299745

S. Pirasath, T. Kumanan, and M. Guruparan, "A Study on Knowledge, Awareness, and Medication Adherence in Patients with Hypertension from a Tertiary Care Centre from Northern Sri Lanka," International Journal of Hypertension, vol. 2017, Article ID 9656450, Nov. 2017. doi: 10.1155/2017/9656450. DOI: https://doi.org/10.1155/2017/9656450

M. Machaalani, H. Seifeddine, A. Ali, H. Bitar, O. Briman, and M. N. Chahine, "Knowledge, Attitude, and Practice Toward Hypertension Among Hypertensive Patients Residing in Lebanon," Vascular Health and Risk Management, vol. 18, pp. 541-553, Jul. 2022. doi: 10.2147/VHRM.S367187. DOI: https://doi.org/10.2147/VHRM.S367187

D. Bacha and H. Abera, "Knowledge, Attitude and Self-Care Practice Towards Control of Hypertension Among Hypertensive Patients on Follow-up at St. Paul's Hospital, Addis Ababa," Ethiopian Journal of Health Sciences, vol. 29, no. 4, pp. 421–430, Jul. 2019. doi: 10.4314/ejhs.v29i4.2. DOI: https://doi.org/10.4314/ejhs.v29i4.2

C. Worku Kassahun, A. Asasahegn, D. Hagos, E. Ashenafi, F. Tamene, G. Addis, and K. Endalkachew, "Knowledge on Hypertension and Self-Care Practice Among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia," International Journal of Hypertension, vol. 2020, Article ID 5649165, Apr. 2020. doi: 10.1155/2020/5649165. DOI: https://doi.org/10.1155/2020/5649165

A. Bagale, "Awareness of Hypertensive Patients About Disease, Self Care and Complication Management," Saudi Journal of Medical and Pharmaceutical Sciences, vol. 2, no. 4, pp. 65-68, 2016.

M. Bilal, A. Haseeb, S. S. Lashkerwala, I. Zahid, K. Siddiq, and M. Saad, "Knowledge, Awareness and Self-Care Practices of Hypertension Among Cardiac Hypertensive Patients," Global Journal of Health Science, vol. 8, no. 2, pp. 9–19, 2015. doi: 10.5539/gjhs.v8n2p9. DOI: https://doi.org/10.5539/gjhs.v8n2p9

M. Wolde, T. Azale, G. Debalkie Demissie, and B. Addis, "Knowledge About Hypertension and Associated Factors Among Patients with Hypertension in Public Health Facilities of Gondar City, Northwest Ethiopia: Ordinal Logistic Regression Analysis," PLoS One, vol. 17, no. 6, Jun. 2022. doi: 10.1371/journal.pone.0270030. DOI: https://doi.org/10.1371/journal.pone.0270030

D. Estrada, C. Sierra, R. M. Soriano, A. I. Jordán, N. Plaza, and C. Fernández, "Grade of Knowledge of Hypertension in Hypertensive Patients," Enfermeria Clinica (English Edition), vol. 30, no. 2, pp. 99–107, Apr. 2020. doi: 10.1016/j.enfcli.2018.11.033. DOI: https://doi.org/10.1016/j.enfcle.2018.11.003

O. S. Abualnaja, A. A. Alharbi, F. S. Alharbi, and N. H. Firaq, "Level of Knowledge About Hypertension and Its Associated Factors Among Hypertensive Patients Attending Al-Eskan Primary Health Care Center in Makkah Al-Mokarramah City," Migration Letters, vol. 19, no. S2, pp. 220–240, 2022.

P. T. Chimberengwa and M. Naidoo, "Knowledge, Attitudes, and Practices Related to Hypertension Among Residents of a Disadvantaged Rural Community in Southern Zimbabwe," PLoS One, vol. 14, no. 6, Jun. 2019. doi: 10.1371/journal.pone.0215500. DOI: https://doi.org/10.1371/journal.pone.0215500

S. F. Zinat Motlagh, R. Chaman, S. R. Ghafari, Z. Parisay, M. R. Golabi, A. A. Eslami, and A. Babouei, "Knowledge, Treatment, Control, and Risk Factors for Hypertension Among Adults in Southern Iran," International Journal of Hypertension, vol. 2015, Article ID 897070, 2015. doi: 10.1155/2015/897070. DOI: https://doi.org/10.1155/2015/897070

M. Kilic, T. Uzunçakmak, and H. Ede, "The Effect of Knowledge About Hypertension on the Control of High Blood Pressure," International Journal of the Cardiovascular Academy, vol. 2, no. 1, pp. 27-32, Mar. 2016. doi: 10.1016/j.ijcac.2016.01.003. DOI: https://doi.org/10.1016/j.ijcac.2016.01.003

Z. E. Pardoel, R. Lensink, M. Postma, H. H. Win, K. H. Swe, and C. Stein, "Knowledge on Hypertension in Myanmar: Levels and Groups at Risk," Open Research Europe, vol. 2, p. 13, Mar. 2023. doi: 10.12688/openreseurope.14415.2. DOI: https://doi.org/10.12688/openreseurope.14415.2

M. Patil, "Assessing the Knowledge, Attitude, and Awareness of Adult Hypertensive Patients Regarding Hypertension," Journal of Hypertension, vol. 39, p. e344, Apr. 2021. doi: 10.1097/01.hjh.0000748504.36923.e9. DOI: https://doi.org/10.1097/01.hjh.0000748504.36923.e9

Downloads

Published

2024-11-05

How to Cite

Hamid, H. J. (2024). Knowledge of Hypertension and Related Factors Among Hypertensive Patients. International Journal of Health Systems and Medical Sciences, 4(1), 1–8. https://doi.org/10.51699/ijhsms.v4i1.195

Issue

Section

Articles