Diakengua Vainqueur N, Sumahili Ernest K, Ntontolo Patrick N, Nkodila Aliocha N, Ibuaku James, Van den Hombergh Pieter, Hariharan Meena, Jenkins Louis S, Ngwala Philippe L
Department of Family Medicine, School of Medicine, Protestant University of Congo, Kinshasa.
Afr J Prim Health Care Fam Med. 2025 Mar 31;17(1):e1-e7. doi: 10.4102/phcfm.v17i1.4721.
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.
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).
Six health facilities of the Kimpese Health Zone were selected.
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.
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.
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.
在全球范围内，血压得到控制的高血压患者比例较低。高血压知识已被认为是高血压控制不佳的主要决定因素。
本研究旨在确定刚果民主共和国金佩塞健康区高血压患者中与高血压知识和控制相关的因素。
选取了金佩塞健康区的六个卫生设施。
本研究是一项于2021年5月至2021年12月开展的分析性横断面研究。收集了社会人口学特征、临床数据和高血压知识方面的信息。使用逻辑回归分析确定与高血压知识和控制相关的因素。
共有301名参与者纳入研究，男女比例为1:3，平均年龄为60.5±12.1岁。高血压知识匮乏（79.1%）和治疗失败（84.3%）情况普遍。低教育水平（p = 0.024；调整优势比[aOR]=2.64[1.72 - 3.73]）、农村居住（p = 0.02；aOR = 3.34[1.24 - 8.52]）以及卫生专业人员（医生或护士）未提供信息（p≤0.001；aOR = 3.34[1.24 - 8.52]）与知识匮乏显著相关。此外，高心血管风险（p = 0.009；aOR = 2.75[1.29 - 5.84]）、亚临床动脉粥样硬化（p = 0.000，AOR = 9.26[3.54 - 24.23]）以及缺乏高血压知识（p = 0.042，AOR = 1.96[1.49 - 2.23]）与高血压控制不佳显著相关。
研究参与者中存在高血压控制不佳和知识匮乏的倾向。社会人口学条件差以及缺乏关于高血压的准确信息增加了对该疾病知识匮乏的几率。此外，高血压和合并症知识不足与高血压控制不佳有关。贡献：开展高血压教育和筛查；在综合管理非传染性疾病的方法中管理合并症是我们地区管理高血压以改善健康结局的关键组成部分。
