Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo
Background: Worldwide, the proportion of hypertensive patients with controlled blood pressure is poor. Knowledge on hypertension has been recognised as a major determinant of uncontrolled hypertension. Aim: This study aimed to determine factors associated with knowledge and control of hypertension...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2025-03-01
|
| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/4721 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849768509315219456 |
|---|---|
| author | Vainqueur N. Diakengua Ernest K. Sumahili Patrick N. Ntontolo Aliocha N. Nkodila James Ibuaku Pieter van den Hombergh Meena Hariharan Louis S. Jenkins Philippe L. Ngwala |
| author_facet | Vainqueur N. Diakengua Ernest K. Sumahili Patrick N. Ntontolo Aliocha N. Nkodila James Ibuaku Pieter van den Hombergh Meena Hariharan Louis S. Jenkins Philippe L. Ngwala |
| author_sort | Vainqueur N. Diakengua |
| collection | DOAJ |
| description | Background: Worldwide, the proportion of hypertensive patients with controlled blood pressure is poor. Knowledge on hypertension has been recognised as a major determinant of uncontrolled hypertension.
Aim: This study aimed to determine factors associated with knowledge and control of hypertension among hypertensive patients in Kimpese Health Zone, in the Democratic Republic of the Congo (DRC).
Setting: Six health facilities of the Kimpese Health Zone were selected.
Methods: This study was an analytical cross-sectional study from May 2021 to December 2021. Information on socio-demographic characteristics, clinical data and knowledge on hypertension was collected. Factors associated with knowledge and control of hypertension were determined using logistic regression analysis.
Results: A total of 301 participants with a sex ratio of 1:3 (F M) and a mean age of 60.5 ± 12.1 years were included in the study. Poor knowledge on hypertension (79.1%) and a treatment failure (84.3%) were common. Low educational level (p = 0.024; adjusted odds ratio [aOR] = 2.64 [1.72–3.73]), rural residence (p = 0.02; aOR = 3.34 [1.24–8.52]) and a lack of information by a health professional (physician or nurse) (p ≤ 0.001; aOR = 3.34 [1.24–8.52]) were significantly associated with poor knowledge. In addition, high cardiovascular risk (p = 0.009; aOR = 2.75 [1.29–5.84]), subclinical atherosclerosis (p = 0.000, AOR = 9.26 [3.54–24.23]) and absence of knowledge on hypertension (p = 0.042, AOR = 1.96 [1.49–2.23]) were significantly associated with uncontrolled hypertension.
Conclusion: There was propensity of uncontrolled hypertension and poor knowledge among the study participants. Poor socio-demographic conditions and a lack of accurate information on hypertension increased odds of poor knowledge of the disease. In addition, insufficient knowledge on hypertension and comorbidities were associated with uncontrolled hypertension.
Contribution: Education on hypertension and screening; managing comorbidities in integrating approach to non-communicable diseases are key components of managing hypertension in our setting to improve health outcomes. |
| format | Article |
| id | doaj-art-0801d5488e104bbdbeece750b8cf6a89 |
| institution | DOAJ |
| issn | 2071-2928 2071-2936 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj-art-0801d5488e104bbdbeece750b8cf6a892025-08-20T03:03:46ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362025-03-01171e1e710.4102/phcfm.v17i1.47211235Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the CongoVainqueur N. Diakengua0Ernest K. Sumahili1Patrick N. Ntontolo2Aliocha N. Nkodila3James Ibuaku4Pieter van den Hombergh5Meena Hariharan6Louis S. Jenkins7Philippe L. Ngwala8Department of Family Medicine, School of Medicine, Protestant University of Congo, KinshasaDepartment of Internal Medicine, School of Medicine, Protestant University of Congo, KinshasaDepartment of Family Medicine, School of Medicine, Protestant University of Congo, KinshasaDepartment of Family Medicine, School of Medicine, Protestant University of Congo, KinshasaFederal Medical Centre, AsabaWorking Group Family Medicine and International Health Care, HilversumCentre for Health Psychology, University of Hyderabad, HyderabadDepartment of Family Medicine, Faculty of Medicine, Stellenbosch University, Cape TownDepartment of Family Medicine, School of Medicine, Protestant University of Congo, KinshasaBackground: Worldwide, the proportion of hypertensive patients with controlled blood pressure is poor. Knowledge on hypertension has been recognised as a major determinant of uncontrolled hypertension. Aim: This study aimed to determine factors associated with knowledge and control of hypertension among hypertensive patients in Kimpese Health Zone, in the Democratic Republic of the Congo (DRC). Setting: Six health facilities of the Kimpese Health Zone were selected. Methods: This study was an analytical cross-sectional study from May 2021 to December 2021. Information on socio-demographic characteristics, clinical data and knowledge on hypertension was collected. Factors associated with knowledge and control of hypertension were determined using logistic regression analysis. Results: A total of 301 participants with a sex ratio of 1:3 (F M) and a mean age of 60.5 ± 12.1 years were included in the study. Poor knowledge on hypertension (79.1%) and a treatment failure (84.3%) were common. Low educational level (p = 0.024; adjusted odds ratio [aOR] = 2.64 [1.72–3.73]), rural residence (p = 0.02; aOR = 3.34 [1.24–8.52]) and a lack of information by a health professional (physician or nurse) (p ≤ 0.001; aOR = 3.34 [1.24–8.52]) were significantly associated with poor knowledge. In addition, high cardiovascular risk (p = 0.009; aOR = 2.75 [1.29–5.84]), subclinical atherosclerosis (p = 0.000, AOR = 9.26 [3.54–24.23]) and absence of knowledge on hypertension (p = 0.042, AOR = 1.96 [1.49–2.23]) were significantly associated with uncontrolled hypertension. Conclusion: There was propensity of uncontrolled hypertension and poor knowledge among the study participants. Poor socio-demographic conditions and a lack of accurate information on hypertension increased odds of poor knowledge of the disease. In addition, insufficient knowledge on hypertension and comorbidities were associated with uncontrolled hypertension. Contribution: Education on hypertension and screening; managing comorbidities in integrating approach to non-communicable diseases are key components of managing hypertension in our setting to improve health outcomes.https://phcfm.org/index.php/phcfm/article/view/4721knowledgeblood pressure controlhypertensionkimpesedrc |
| spellingShingle | Vainqueur N. Diakengua Ernest K. Sumahili Patrick N. Ntontolo Aliocha N. Nkodila James Ibuaku Pieter van den Hombergh Meena Hariharan Louis S. Jenkins Philippe L. Ngwala Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo African Journal of Primary Health Care & Family Medicine knowledge blood pressure control hypertension kimpese drc |
| title | Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo |
| title_full | Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo |
| title_fullStr | Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo |
| title_full_unstemmed | Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo |
| title_short | Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo |
| title_sort | factors associated to hypertension knowledge and control in kimpese democratic republic of the congo |
| topic | knowledge blood pressure control hypertension kimpese drc |
| url | https://phcfm.org/index.php/phcfm/article/view/4721 |
| work_keys_str_mv | AT vainqueurndiakengua factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT ernestksumahili factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT patricknntontolo factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT aliochannkodila factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT jamesibuaku factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT pietervandenhombergh factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT meenahariharan factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT louissjenkins factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo AT philippelngwala factorsassociatedtohypertensionknowledgeandcontrolinkimpesedemocraticrepublicofthecongo |