Key result
Higher levels of formal education and health literacy were significantly associated with better disease knowledge and attitude among outpatients with hypertension (p<0.001).
Why the study?
Interplays between many patient-related factors may influence disease progression among patients with hypertension.
Cross-Sectional (n=298)
Yes
Among outpatients with hypertension in Nigeria, disease knowledge and attitude were satisfactory and positively associated with health literacy and educational level.
Patient knowledge and self-care factors correlate with hypertension control; leaves open whether education improves outcomes in prospective trials.
Background: There are lots of interplays between many patient-related factors which may influence disease progression among patients with hypertension. This study evaluated disease knowledge and attitude, as well as selected self-care and sociodemographic factors among patients with hypertension. Methods: A cross-sectional study was carried out among outpatients with hypertension in a multicenter study involving three tertiary hospitals. An interviewer-administered semi-structured questionnaire was administered for data collection. Data was summarized with descriptive and inferential statistics with the level of significance set at p<0.05. Results: Self-reported medication adherence revealed that majority, 180 (60.4%), had high medication adherence out of 298 that participated. Medication discrepancy was observed among 153 (51.3%) patients, while 131 (44.0%) had high health literacy. Average hypertension knowledge assessment score was 10.89 ± 1.79 out of a maximum obtainable score of 13. Average hypertension attitude score was 52.60 ± 5.49, out of the maximum obtainable of 60. Significant associations observed with patients’ hypertension knowledge were with level of formal education (p<0.001), health literacy (p<0.001) and disease attitude (p<0.001); while patients’ age (p=0.002), level of formal education (p=0.005), and health literacy (p<0.001) had significant associations with disease attitude. Significant associations were also observed between patients’ age and medication discrepancy (p=0.047), medication adherence and age (p=0.046), level of formal education and health literacy (p<0.001). No significant associations were observed between medication discrepancy and health literacy (p=0.192), medication adherence and health literacy (p=0.499), medication adherence and medication discrepancy (p=0.435). Conclusions Disease knowledge and attitude among the patients were satisfactory, and the majority were medication adherent. Health literacy level was average, and a positive association was observed when disease knowledge and attitude was compared with health literacy and educational level.
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Aje et al. (2023) conducted a cross-sectional in Hypertension (n=298). Sociodemographic factors and health literacy was evaluated on Hypertension knowledge and attitude scores. Higher levels of formal education and health literacy were significantly associated with better disease knowledge and attitude among outpatients with hypertension (p<0.001).
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