Paulose Tsegab, Nkosi Zerish Z, Endriyas Misganu
Department of Health Studies University of South Africa Ethiopia Regional Learning Center Addis Ababa Ethiopia.
Department of Health Studies University of South Africa Pretoria South Africa.
Health Sci Rep. 2022 Aug 14;5(5):e779. doi: 10.1002/hsr2.779. eCollection 2022 Sep.
In low-income countries where there is shortage of appropriate medical care to manage hypertension (HTN), understanding dynamics of communities' knowledge and attitude to prevent through lifestyle is crucial. Despite this fact, there was limited information on levels of awareness and attitude towards HTN and its prevention in the study setting. So, this study was conducted to assess level and factors associated with positive attitude in Hawassa city, Southern Ethiopia.
A community level study using cross-sectional design was done in Hawassa city administration in 2017. Six hundred and twelve respondents were selected using a multi-stage sampling technique. Knowledge and attitude were assessed using multiple questions and responses were categorized considering mean as cutoff points. Descriptive statistics and binary logistic regression analysis at 95% confidence interval (CI) were performed.
The level of mean score of knowledge was 62.7% (SD = 22.2) [95% CI: 60.9-64.4] while that of attitude was 68.1% (SD = 8.8) [95% CI: 67.4-68.8]. Divorced/widowed respondents were 73% less likely to have positive attitude as compared to married respondents (adjusted odds ratio [AOR] 95% CI: 0.27 [0.14-0.51], -<0.001). Respondents who attended primary, secondary and higher education were 2.84 times (AOR 95% CI: [1.48-5.42], 0.002), 5.59 times (AOR 95% CI: [2.87-10.89], -<0.001) and 9.28 times (AOR 95% CI: [4.39-19.65], -<0.001) more likely to have positive attitude as compared to those who cannot read and write. Moreover, respondents who have good knowledge were 2.24 times (AOR 95% CI: [1.49-3.37], -<0.001) more likely to have positive attitude as compared with those who have poor knowledge.
The overall levels of knowledge and attitude related to HTN and its prevention were moderate but not adequate to bring lifestyle modifications required to prevent and control HTN. Health promotion activities should be strengthened to improve awareness and attitude that are pillars to bring lifestyle modification practices.
在缺乏管理高血压（HTN）的适当医疗服务的低收入国家，了解社区通过生活方式进行预防的知识动态和态度至关重要。尽管如此，在该研究环境中，关于对高血压及其预防的认识水平和态度的信息有限。因此，本研究旨在评估埃塞俄比亚南部哈瓦萨市积极态度的水平及其相关因素。
2017年在哈瓦萨市行政区进行了一项采用横断面设计的社区层面研究。使用多阶段抽样技术选取了612名受访者。通过多个问题评估知识和态度，并以均值作为分界点对回答进行分类。进行了描述性统计和95%置信区间（CI）的二元逻辑回归分析。
知识的平均得分水平为62.7%（标准差=22.2）[95%CI：60.9 - 64.4]，而态度的平均得分水平为68.1%（标准差=8.8）[95%CI：67.4 - 68.8]。与已婚受访者相比，离婚/丧偶受访者持有积极态度的可能性低73%（调整后的优势比[AOR]95%CI：0.27[0.14 - 0.51]，P<0.001）。接受小学、中学和高等教育的受访者持有积极态度的可能性分别是不识字受访者的2.84倍（AOR 95%CI：[1.48 - 5.42]，P = 0.002）、5.59倍（AOR 95%CI：[2.87 - 10.89]，P<0.001）和9.28倍（AOR 95%CI：[4.39 - 19.65]，P<0.001）。此外，与知识水平差的受访者相比，知识水平良好的受访者持有积极态度的可能性高2.24倍（AOR 95%CI：[1.49 - 3.37]，P<0.001）。
与高血压及其预防相关的知识和态度的总体水平中等，但不足以带来预防和控制高血压所需的生活方式改变。应加强健康促进活动，以提高认识和态度，而这是促成生活方式改变行为的支柱。
