Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study

Background: Hypertension, a significant health concern, increases the risk of cardiovascular disease and premature mortality. Caregivers play a crucial role in ensuring optimal care for hypertensive patients and reducing associated complications. Caregivers' basic knowledge, good attitude, and...

Full description

Saved in:
Bibliographic Details
Main Authors: Chikondi Maluwa, Sitalire Kapira, Hataichanok Chuljerm, Wason Parklak, Kanokwan Kulprachakarn
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024175779
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841526165431386112
author Chikondi Maluwa
Sitalire Kapira
Hataichanok Chuljerm
Wason Parklak
Kanokwan Kulprachakarn
author_facet Chikondi Maluwa
Sitalire Kapira
Hataichanok Chuljerm
Wason Parklak
Kanokwan Kulprachakarn
author_sort Chikondi Maluwa
collection DOAJ
description Background: Hypertension, a significant health concern, increases the risk of cardiovascular disease and premature mortality. Caregivers play a crucial role in ensuring optimal care for hypertensive patients and reducing associated complications. Caregivers' basic knowledge, good attitude, and relevant practices are necessary to ensure high-quality care for patients with hypertension. However, there is no research conducted in Malawi that investigated the knowledge, attitude, and practices of caregivers towards hypertension prevention and management. Objective: The study aimed to assess knowledge, attitude, and practices towards hypertension and their determinants among caregivers of hypertensive patients in Neno, Malawi. Methods: Our study, conducted in Neno, Malawi, involved 422 caregivers of hypertensive patients. We used a cross-sectional study design. Data was collected through a structured questionnaire and analyzed using SPSS Version 22.0. Results: The participants had a mean age of 44.94 years (SD = 9.889), with 63.3 % being female. The mean KAP scores were 38 %, 93.3 %, and 78.7 %, respectively. Positive correlations were found between knowledge and practice (r = +0.252; p < 0.001) and knowledge and attitude (r = +0.255; p < 0.001). However, no significant relationship was observed between attitude and practice (r = +0.064; p = 0.190). Age showed a strong correlation with attitude (r = +0.233; p < 0.001) but not with knowledge or practice. On the other hand, occupation, education level, and caregiver-patient relationship significantly influenced knowledge and attitude but not practice. Gender also demonstrated a notable association with KAP regarding hypertension. Conclusion: Caregivers demonstrated poor knowledge but engaged in good practices. Despite their limited understanding, they maintained an excellent attitude towards hypertension. This highlights the necessity for increased prevention, and control strategies within communities, emphasizing health education on lifestyle modifications and to address the gaps identified in caregivers’ understanding in the prevention and management of hypertension.
format Article
id doaj-art-f28c07112c774960a60afd2d23723ea3
institution Kabale University
issn 2405-8440
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj-art-f28c07112c774960a60afd2d23723ea32025-01-17T04:51:36ZengElsevierHeliyon2405-84402025-01-01111e41546Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional studyChikondi Maluwa0Sitalire Kapira1Hataichanok Chuljerm2Wason Parklak3Kanokwan Kulprachakarn4School of Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand; Ministry of Health, Neno District Health Office, MalawiPartners in Health, Neno Office, MalawiSchool of Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand; Research Center for Non-infectious Diseases and Environmental Health, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, ThailandResearch Center for Non-infectious Diseases and Environmental Health, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, ThailandSchool of Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand; Research Center for Non-infectious Diseases and Environmental Health, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand; Corresponding author. School of Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.Background: Hypertension, a significant health concern, increases the risk of cardiovascular disease and premature mortality. Caregivers play a crucial role in ensuring optimal care for hypertensive patients and reducing associated complications. Caregivers' basic knowledge, good attitude, and relevant practices are necessary to ensure high-quality care for patients with hypertension. However, there is no research conducted in Malawi that investigated the knowledge, attitude, and practices of caregivers towards hypertension prevention and management. Objective: The study aimed to assess knowledge, attitude, and practices towards hypertension and their determinants among caregivers of hypertensive patients in Neno, Malawi. Methods: Our study, conducted in Neno, Malawi, involved 422 caregivers of hypertensive patients. We used a cross-sectional study design. Data was collected through a structured questionnaire and analyzed using SPSS Version 22.0. Results: The participants had a mean age of 44.94 years (SD = 9.889), with 63.3 % being female. The mean KAP scores were 38 %, 93.3 %, and 78.7 %, respectively. Positive correlations were found between knowledge and practice (r = +0.252; p < 0.001) and knowledge and attitude (r = +0.255; p < 0.001). However, no significant relationship was observed between attitude and practice (r = +0.064; p = 0.190). Age showed a strong correlation with attitude (r = +0.233; p < 0.001) but not with knowledge or practice. On the other hand, occupation, education level, and caregiver-patient relationship significantly influenced knowledge and attitude but not practice. Gender also demonstrated a notable association with KAP regarding hypertension. Conclusion: Caregivers demonstrated poor knowledge but engaged in good practices. Despite their limited understanding, they maintained an excellent attitude towards hypertension. This highlights the necessity for increased prevention, and control strategies within communities, emphasizing health education on lifestyle modifications and to address the gaps identified in caregivers’ understanding in the prevention and management of hypertension.http://www.sciencedirect.com/science/article/pii/S2405844024175779HypertensionKnowledge, attitude, and practices (KAP)CaregiversMalawi
spellingShingle Chikondi Maluwa
Sitalire Kapira
Hataichanok Chuljerm
Wason Parklak
Kanokwan Kulprachakarn
Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
Heliyon
Hypertension
Knowledge, attitude, and practices (KAP)
Caregivers
Malawi
title Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
title_full Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
title_fullStr Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
title_full_unstemmed Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
title_short Determinants of hypertension-related knowledge, attitude, and practices (KAP) among caregivers in Neno, rural Malawi: A cross-sectional study
title_sort determinants of hypertension related knowledge attitude and practices kap among caregivers in neno rural malawi a cross sectional study
topic Hypertension
Knowledge, attitude, and practices (KAP)
Caregivers
Malawi
url http://www.sciencedirect.com/science/article/pii/S2405844024175779
work_keys_str_mv AT chikondimaluwa determinantsofhypertensionrelatedknowledgeattitudeandpracticeskapamongcaregiversinnenoruralmalawiacrosssectionalstudy
AT sitalirekapira determinantsofhypertensionrelatedknowledgeattitudeandpracticeskapamongcaregiversinnenoruralmalawiacrosssectionalstudy
AT hataichanokchuljerm determinantsofhypertensionrelatedknowledgeattitudeandpracticeskapamongcaregiversinnenoruralmalawiacrosssectionalstudy
AT wasonparklak determinantsofhypertensionrelatedknowledgeattitudeandpracticeskapamongcaregiversinnenoruralmalawiacrosssectionalstudy
AT kanokwankulprachakarn determinantsofhypertensionrelatedknowledgeattitudeandpracticeskapamongcaregiversinnenoruralmalawiacrosssectionalstudy