Assessment of Health Awareness Concerning Hypertension among Visitors to Primary Health Care Centers
Abstract
High blood pressure is a major public health problem globally and locally and is a major risk factor for cardiovascular disease, kidney failure, and stroke. Raising health awareness among community members is a crucial step toward prevention and early detection of the disease. This study aims to assess the level of health awareness about hypertension among healthcare center visitors, identify their sources of information, and identify knowledge gaps. A descriptive cross-sectional study was conducted on a randomly selected sample of health center visitors. Data were collected using a structured questionnaire that included demographic information (age, gender, educational level, marital status), in addition to questions measuring general knowledge of risk factors, symptoms, complications, prevention, and treatment methods. The results showed that the most representative group was middle-aged (30 to 50) years old and that the majority of participants were female. The most common educational level was secondary education, while most participants were married. Regarding the level of knowledge, it was found that more than a third of participants had good knowledge (37.6%), while the level of knowledge was average for 35.6% and weak for 25.7%. The results also showed that the Internet was the most relied-upon source of information (44.6%), while participants relied less on health personnel and traditional media. The results indicated a statistically significant relationship between each of these. Age and educational level Educational level was associated with knowledge level (p=0.014) (p<0.001), respectively However, gender did not show any significant relationship. These results indicate that older age and higher educational level are associated with better knowledge about hypertension. These results highlight the need for regular educational awareness programs in healthcare facilities to raise awareness about high blood pressure, with a particular focus on the least educated and most vulnerable groups.
References
Z. Lufa, "Research on the balance and optimization of medical resource allocation in China's metropolitan areas," Nanjing Social Sciences, vol. 376, no. 2, pp. 70–77, 2019.
Z. Gongzhen, "A tentative discussion on the basic-level approach of patients seeking medical treatment," China Health Manag., vol. 28, no. 12, pp. 895–897, 2011.
R. Mayes and B. Armistead, "Chronic disease, prevention policy, and the future of public health and primary care," Med. Health Care Philos., vol. 16, no. 4, pp. 691–697, 2013.
A. Chockalingam, I. Balaguervintro, A. Achutti, et al., "The world heart Federation's white book: impending global pandemic of cardiovascular diseases: challenges and opportunities for the prevention and control of cardiovascular diseases in developing countries and economies in transition," Can. J. Cardiol., vol. 16, no. 2, pp. 227–229, 2000.
K. Grumbach and T. Bodenheimer, "A primary care home for Americans: putting the house in order," JAMA, vol. 288, p. 7, 2002.
R. M. Politzer, J. Yoon, L. Shi, R. G. Hughes, J. Regan, and M. H. Gaston, "Inequality in America: the contribution of health centers in reducing and eliminating disparities in access to care," Med. Care Res. Rev., vol. 58, no. 2, 2001.
H. D. Jr and R. Schwartz, "Health centers and the states. Partnership potential to address the fiscal crisis," J. Ambul. Care Manage., vol. 26, no. 4, p. 285, 2003.
"Opinions of the CPC Central Committee and the State Council on Deepening the Health Care System Reform." [Online]. Available: www.china.org.cn/government/scio-press-conferences/2009-04/09/content_17575378.htm. [Accessed: Nov. 15, 2012].
"Communique of the National Bureau of Statistics of People’s Republic of China on Major Figures of the 2010 Population Census (No. 1)." [Online]. Available: www.stats.gov.cn/english/newsandcomingevents/t20110428_402722244.htm. [Accessed: Nov. 8, 2012].
J. O. Yu and Y. B. Cho, "The effect of an internet community on knowledge, self-efficacy and self care behavior in workers with hypertension," J. Korean Acad. Nurs., vol. 35, pp. 1258–1267, 2005.
G. Yang, L. Kong, W. Zhao, X. Wan, Y. Zhai, L. C. Chen, and J. P. Koplan, "Emergence of chronic non-communicable diseases in China," Lancet, vol. 372, pp. 1697–1705, 2008.
"Fourth national health service investigation." [Online]. Available: www.nhfpc.gov.cn/mohwsbwstjxxzx/s8211/201009/49165.shtml.
A. Akasheh, Y. Wu, Y. Li, L. D. Dustin, N. D. Wong, J. M. Gardin, S. P. Azen, and R. C. Detrano, "Association of blood pressure with left ventricular mass in untreated hypertensives in rural Yunnan Province," Am. J. Hypertens., vol. 22, pp. 730–734, 2009.
G. H. Dong, Z. Q. Sun, X. Z. Zhang, J. J. Li, L. Q. Zheng, J. Li, D. Y. Hu, and Y. X. Sun, "Prevalence, awareness, treatment & control of hypertension in rural Liaoning province, China," Indian J. Med. Res., vol. 128, pp. 122–127, 2008.
A. Alwan, R. Ahmed, and H. Salman, "Demographic characteristics and hypertension awareness among middle-aged adults," J. Hypertens. Res., vol. 36, no. 4, pp. 215–222, 2018.
A. Awad and H. Al-Nafisi, "Public knowledge of cardiovascular risk factors and awareness of chronic disease prevention," BMC Public Health, vol. 14, no. 1, p. 1138, 2014.
R. Abdul Rahman, S. Ali, and A. Faraj, "Knowledge and awareness of hypertension among primary health care visitors: A cross-sectional survey," Saudi Med. J., vol. 37, no. 11, pp. 1239–1246, 2016.
K. Hussein, L. Mahmood, and D. Saleh, "The role of marital status in shaping health knowledge and behaviors among adults: A study from Middle Eastern communities," East. Mediterr. Health J., vol. 23, no. 11, pp. 774–781, 2017.
M. Brahim, R. Youssef, and A. Omar, "Gender and health literacy: Is there a difference in knowledge about chronic diseases?," Patient Educ. Couns., vol. 101, no. 7, pp. 1356–1362, 2018.
A. Muhammad, S. Khan, and F. Rahim, "Gender differences in participation and preventive health awareness: Evidence from community-based hypertension studies," Int. J. Public Health, vol. 65, no. 7, pp. 1023–1031, 2020.
Copyright (c) 2025 Entisar Khaleel Sameen, Shaymaa Hadi Najm

This work is licensed under a Creative Commons Attribution 4.0 International License.