Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia

Background and aimThe global healthcare system acknowledged the crucial role of disease knowledge in health outcomes and improving quality of life among patients with chronic disease. A lack of adequate knowledge and understanding of hypertension, its symptoms, and available treatments can lead to p...

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Main Authors: Ahmad Homoud Al-Hazmi, Abdullah Dhoimi Mureed Alanazi, Ashokkumar Thirunavukkarasu, Nasser Saleh Alriwely, Mmdoh Mohammad F. Alrais, Alreem Barghash S. Alruwaili, Mona Saleh Alnosairi, Amnah Ibrahim Alsirhani
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Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1378561/full
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author Ahmad Homoud Al-Hazmi
Abdullah Dhoimi Mureed Alanazi
Ashokkumar Thirunavukkarasu
Nasser Saleh Alriwely
Mmdoh Mohammad F. Alrais
Alreem Barghash S. Alruwaili
Mona Saleh Alnosairi
Amnah Ibrahim Alsirhani
author_facet Ahmad Homoud Al-Hazmi
Abdullah Dhoimi Mureed Alanazi
Ashokkumar Thirunavukkarasu
Nasser Saleh Alriwely
Mmdoh Mohammad F. Alrais
Alreem Barghash S. Alruwaili
Mona Saleh Alnosairi
Amnah Ibrahim Alsirhani
author_sort Ahmad Homoud Al-Hazmi
collection DOAJ
description Background and aimThe global healthcare system acknowledged the crucial role of disease knowledge in health outcomes and improving quality of life among patients with chronic disease. A lack of adequate knowledge and understanding of hypertension, its symptoms, and available treatments can lead to poor treatment outcomes. The present study aimed to determine the level of hypertension knowledge and associated factors among hypertensive patients. Furthermore, we evaluated the correlation between levels of knowledge and medication adherence among them.MethodsThe present study was carried out among 406 hypertensive patients attending different primary health centers in Hafr Al Batin, Saudi Arabia. Participants’ hypertension-related knowledge was evaluated using the validated hypertension knowledge–level scale, and adherence practice was evaluated using the medication adherence and refill scale. We categorized the knowledge score into low, medium, and high, according to Bloom’s criteria. We applied Spearman’s correlation test to find the strength and direction of the correlation between hypertension-related knowledge and medication adherence. Furthermore, we used binomial logistic regression analysis to find the associated factors of the low hypertension-related knowledge among the patients.ResultsOf the studied patients, only 10.3% demonstrated a high level of knowledge, and the highest knowledge levels were observed in the domains of complications (x¯ = 4.39, standard deviation [SD] = 1.20) and lifestyle (x¯ = 3.13, SD = 0.69), while knowledge about drug compliance (x¯ = 0.62, SD = 0.98) was the lowest. A statistically significant positive correlation was observed between knowledge and adherence regarding hypertension (rho = 0.268, p = 0.001) among study participants. We observed that marital status (p = 0.032), income (p = 0.042), and absence of chronic diseases (p = 0.001) are associated factors for low hypertension-related knowledge.ConclusionThe study findings highlight a moderate level of knowledge about hypertension among patients, with significant gaps in drug compliance understanding. The positive correlation between knowledge and medication adherence underscores the need for better hypertension education at primary health centers. Furthermore, it is recommended that future prospective studies be conducted within various cultural contexts.
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spelling doaj-art-65aff6d319bc47f8aefba419f3e4f63e2025-08-20T02:35:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.13785611378561Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi ArabiaAhmad Homoud Al-Hazmi0Abdullah Dhoimi Mureed Alanazi1Ashokkumar Thirunavukkarasu2Nasser Saleh Alriwely3Mmdoh Mohammad F. Alrais4Alreem Barghash S. Alruwaili5Mona Saleh Alnosairi6Amnah Ibrahim Alsirhani7Department of Family and Community Medicine, College of Medicine Jouf University, Sakaka, Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine Jouf University, Sakaka, Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine Jouf University, Sakaka, Saudi ArabiaDepartment of Compliance, Ministry of Health, Arar, Saudi ArabiaCollege of Medicine Jouf University, Sakaka, Saudi ArabiaCollege of Medicine Jouf University, Sakaka, Saudi ArabiaCollege of Medicine Jouf University, Sakaka, Saudi ArabiaFamily Medicine Resident, Ministry of Health, Tabuk, Saudi ArabiaBackground and aimThe global healthcare system acknowledged the crucial role of disease knowledge in health outcomes and improving quality of life among patients with chronic disease. A lack of adequate knowledge and understanding of hypertension, its symptoms, and available treatments can lead to poor treatment outcomes. The present study aimed to determine the level of hypertension knowledge and associated factors among hypertensive patients. Furthermore, we evaluated the correlation between levels of knowledge and medication adherence among them.MethodsThe present study was carried out among 406 hypertensive patients attending different primary health centers in Hafr Al Batin, Saudi Arabia. Participants’ hypertension-related knowledge was evaluated using the validated hypertension knowledge–level scale, and adherence practice was evaluated using the medication adherence and refill scale. We categorized the knowledge score into low, medium, and high, according to Bloom’s criteria. We applied Spearman’s correlation test to find the strength and direction of the correlation between hypertension-related knowledge and medication adherence. Furthermore, we used binomial logistic regression analysis to find the associated factors of the low hypertension-related knowledge among the patients.ResultsOf the studied patients, only 10.3% demonstrated a high level of knowledge, and the highest knowledge levels were observed in the domains of complications (x¯ = 4.39, standard deviation [SD] = 1.20) and lifestyle (x¯ = 3.13, SD = 0.69), while knowledge about drug compliance (x¯ = 0.62, SD = 0.98) was the lowest. A statistically significant positive correlation was observed between knowledge and adherence regarding hypertension (rho = 0.268, p = 0.001) among study participants. We observed that marital status (p = 0.032), income (p = 0.042), and absence of chronic diseases (p = 0.001) are associated factors for low hypertension-related knowledge.ConclusionThe study findings highlight a moderate level of knowledge about hypertension among patients, with significant gaps in drug compliance understanding. The positive correlation between knowledge and medication adherence underscores the need for better hypertension education at primary health centers. Furthermore, it is recommended that future prospective studies be conducted within various cultural contexts.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1378561/fullhypertensionknowledgeadherencehealth centercomplicationsSaudi Arabia
spellingShingle Ahmad Homoud Al-Hazmi
Abdullah Dhoimi Mureed Alanazi
Ashokkumar Thirunavukkarasu
Nasser Saleh Alriwely
Mmdoh Mohammad F. Alrais
Alreem Barghash S. Alruwaili
Mona Saleh Alnosairi
Amnah Ibrahim Alsirhani
Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
Frontiers in Public Health
hypertension
knowledge
adherence
health center
complications
Saudi Arabia
title Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
title_full Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
title_fullStr Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
title_full_unstemmed Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
title_short Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia
title_sort evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers a cross sectional study from eastern saudi arabia
topic hypertension
knowledge
adherence
health center
complications
Saudi Arabia
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1378561/full
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