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Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo

Received: 4 June 2021     Accepted: 21 June 2021     Published: 28 June 2021
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Abstract

Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study with 345 hypertensive patients followed at Monkole Hospital and at Saint-Joseph Hospital in the city of Kinshasa in the Democratic Republic of the Congo from September 2017 to February 2018. The participants were submitted to the WHO-Steps survey. Cardiovascular risk was assessed by the number of deleterious risk factors present in patients. Descriptive and inferential analyzes were performed. The statistical significance threshold was set at p<0.05. The average age of the participants was 62.1±11.2 years with a gender ratio of 1.1 in favor of women. In total, 61%, 56% and 60% of our respondents had, respectively, a low level of knowledge, a bad attitude and an insufficient practice on modifiable cardiovascular risk factors. Good knowledge was statistically significantly linked to education, the medical profession as a source of information, and employment. Only age ≥ 60 years was significantly associated with the right attitude in our patients while good practice was linked to the level of education. The majority of participants (80.3%) had a high cardiovascular risk. Poor knowledge (p: 0.032) and insufficient overall practice (p<0.001) were significantly associated with high cardiovascular risk. The present study showed that hypertension was associated with a high Cardiovascular risk underpinned by a low level of knowledge, a bad attitude and insufficient practice on modifiable cardiovascular risk factors. Therefore, education programs and strategies to positively influence attitudes and practices are essential to reduce the impact of cardiovascular disease and its risk factors in our environment.

Published in Journal of Family Medicine and Health Care (Volume 7, Issue 2)
DOI 10.11648/j.jfmhc.20210702.14
Page(s) 47-56
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Hypertension, Modifiable Risk Factor, Knowledge, Practice, Attitude, Kinshasa, DRC

References
[1] Beaglehole R, Bonita R, Horton R et al. (2011) Priority actions for the non-communicable disease crisis. Lancet. 377 (9775): 1438–47.
[2] Carrillo-Larco RM, Miranda JJ, Li X et al.(2019) Prevalence ofpragmatically defined high CV risk and its correlates in LMIC: a report from 10 LMIC Areas in Africa, Asia, and South America. Glob Hear. 11 (1): 27–36.
[3] Truthmann J, Busch MA, Scheidt-Nave C et al. (2015) Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke. BMC public Heal. 15: 701.
[4] Stewart J, Manmathan G WP. (2017) Primary prevention of cardiovascular disease: A review of contemporary guidance and literature. Cardiovascular Disease. J R Soc Med Cardiovasc Dis. 6: 1–9.
[5] Beaglehole R, Bonita R, Alleyne G, R H, Li L et al. (2005) UN High- Level Meeting on Non-Communicable Diseases: addressing four questions. Lancet. 2011; 378: 449–455.
[6] Opie L, Seedat Y. Hypertension in sub-Saharan African populations. Circulation. 112: 3562–3568.
[7] Suhrcke M, Boluarte TA, Niessen LA. (2012) A systematic review of economic evaluations of interventions to tackle cardiovascular disease in low- and middle-income countries. BMC Public Health. 12 (2).
[8] Opie LH SY. (2005) Hypertension in sub-Saharan African populations. Circulation. 112: 3562–3568.
[9] Van der Sande M, Coleman R, Schim van der Loeff, MF McAdam K, Nyan OA et al. (2001) A template for improved prevention and control of cardiovascular disease in sub-Saharan Africa.. Heal Policy Plan. 16: 345–350.
[10] Hajar I, Kotchen J, Kotchen T.(2006) Hypertension: trends in prevalence, incidence, and control. Annu Rev Public Heal. 27: 465–490.
[11] Imamura F, Micha R, Khatibzadeh S, Et A.(2015) Dietary quality among men and women in 187 countries in 1990 and 2010: a systematic assessment. Lancet Glob Heal. 3: e132–42.
[12] Sallis J, Cerin E, Conway T, Et A. (2016) Physical activity in relation to urban environments in 14 cities worldwide: a cross-sectional study. Lancet. 387: 2207–17.
[13] Forouzanfar M, Alexander L, HR A, Et A. (2015) Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 386: 2287–323.
[14] Lim S, Vos T, Flaxman A, Et A. (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the global burden of disease study 2010. Lancet. 380: 2224–60.
[15] Currier J, Lundgren J, Carr A, Et A. (2008) Epidemiological evidence for cardiovascular disease in HIV-infected patients and relationship to highly active antiretroviral therapy. Circulation. 118: e29–35.
[16] Fullerton D, Bruce N, Gordon S. (2008) Indoor air pollution from biomass fuel smoke is a major health concern in the developing world. Trans R Soc Trop Med Hyg. 102: 843–51.
[17] Hult M, Tornhammar P, Ueda P, Et A. (2010) Hypertension, diabetes and overweight: looming legacies of the Biafran famine.; 5:. PLoS One. 5: e13582.
[18] Kassa Chilot M, Bezenaw Yimer M, Habtamu Sewinet M. (2019) Knowledge and Associated Factors of Blood Pressure Control Among Hypertensive Patients Attending Chronic Illness Follow-Up Clinic at University of Gondar, Comprehensive Specialized Hospital, Northwest, Ethiopia. Vasc Health Risk Manag. 15: 551–558.
[19] Ali AAS. (2017) Knowledge, Attitude and Practice towards Hypertension among Residences of Altalbab village, ELHassahisa locality, Gezira State, Sudan. University of Khartoum.
[20] Jimoh AK, Opadijo OG, Desalu OO, Olanrewaju TO, Busari OA, Agboola SM, et al.(2018) Knowledge, Attitude and Practices of Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting. TAF Prev Med Bull. 2018; 9 (2): 87–92.
[21] Sofia N, Hajira S, Muhammad A, Syed AG. (2018) Knowledge Attitude and Practice towards Hypertension among Adult Population in a Rural Area of Lahore, Pakistan. Int J Sci Eng Res. 9 (5).
[22] Osuala Eunice O.(2017) Hypertension Prevention and Control: Effects of a Community Health Nurse-led Intervention. J Heal Educ Res Dev. 5 (210): 2.
[23] Cochran W. (1977) Sampling techniques. 3rd ed. New York, NY: John Wiley & Sons, Ltd; 10–20 p.
[24] World Health Organization. (2005) WHO STEPS Surveillance Manual: The WHO STEPwise approach to chronic disease risk factor surveillance. Geneva, Switzerland: World Health Organization.
[25] Ng N, Van MH, Juvekar S, Razzaque A, Bich T, Kanungsukkasem U, et al.(2009) Using the INDEPTH HDSS to build capacity for chronic non-communicable disease risk factor surveillance in low and middle- income countries 1,. Glob Heal Action Suppl. 1.
[26] Katchunga P, Malanda B, Mwenze M, Et A.(2012) Connaissance de la population générale sur l’hypertension et le diabète sucré au Sud-Kivu, RDC. 60 (2): 141–7.
[27] Vaidya A, Aryal UR KA. (2013) Cardiovascular health knowledge, attitude and practice/behavior in an urbanizing community of Nepal. Bmj. 10 (3): e002976.
[28] Boateng D, Wekessah F, Browns J, Et A. (2017) Knowledge and awareness of and perception towards cardiovascular disease risk factors in sub-Saharan Africa: A systematic review.. PLoS One. 12 (12): e0189264.
[29] Kamdem F, Djomou F, Ngosala S, Et A. (2018) Connaissance des facteurs de risque cardiovasculaire et attitude de prévention par la population du district de la santé de Deido-Cameroun. Heal Sci Dis. 19 (1).
[30] Yaseen R, Manaflouyan H, Nikniaz Z, Et A. (2018) Knowledge, attitude and practice of Iranian hypetensive patients ragarding hypertension. J Cardiovasc Thorac Res. 2018: 10 (1): 14-19. J Cardiovasc Thorac Res. 10 (1): 14–9.
[31] Cossi M, Preux P-M, Chabriat H, Gobron C, Et A.(2012) Knowledge of stroke among an urban population in Cotounou (Bénin). Neuro Epidemiol. 38 (3): 172–8.
[32] Affangla DA, Gueye C, Simo WA et al. (2016) Profil de risque cardiovasculaire du patient hypertendu en consultation externe au centre de prise en charge du diabète sucré et maladies métaboliques de l’hôpital St-Jean de Thiès.. Cardiol Trop. 146: 1.
[33] Longo M, Efini B, Nahimana D, Et A.(2006) Enquête sur les facteurs de risque des maladies non transmissibles à Kinshasa, capitale de la RD Congo, Selon l’Approche Steps OMS.
[34] Munyapara S, Mundu M, Kakudji I. Munyapara SA, Mundu MG, Kakudji IL.(2015) Evaluation du risque cardiovasculaire global des patients hypertendus suivis dans les centres médicaux militaires de Kinshasa, RDC. KisMed. 1: 117–23.
[35] Lima H, Gonçalve AR, Lewandowski da Silva A et al.(2015) The patient’s knowledge about hypertension: an analysis based on cardiovascular risk. IJCS. 28 (3): 181–8.
Cite This Article
  • APA Style

    Kashala Badianyama Remy, Lukanu Ngwala Philippe, Lepira Bompeka François, Fina Lubaki Jean-Pierre, Prosper Mukobelwa Lutala. (2021). Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo. Journal of Family Medicine and Health Care, 7(2), 47-56. https://doi.org/10.11648/j.jfmhc.20210702.14

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    ACS Style

    Kashala Badianyama Remy; Lukanu Ngwala Philippe; Lepira Bompeka François; Fina Lubaki Jean-Pierre; Prosper Mukobelwa Lutala. Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo. J. Fam. Med. Health Care 2021, 7(2), 47-56. doi: 10.11648/j.jfmhc.20210702.14

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    AMA Style

    Kashala Badianyama Remy, Lukanu Ngwala Philippe, Lepira Bompeka François, Fina Lubaki Jean-Pierre, Prosper Mukobelwa Lutala. Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo. J Fam Med Health Care. 2021;7(2):47-56. doi: 10.11648/j.jfmhc.20210702.14

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  • @article{10.11648/j.jfmhc.20210702.14,
      author = {Kashala Badianyama Remy and Lukanu Ngwala Philippe and Lepira Bompeka François and Fina Lubaki Jean-Pierre and Prosper Mukobelwa Lutala},
      title = {Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo},
      journal = {Journal of Family Medicine and Health Care},
      volume = {7},
      number = {2},
      pages = {47-56},
      doi = {10.11648/j.jfmhc.20210702.14},
      url = {https://doi.org/10.11648/j.jfmhc.20210702.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210702.14},
      abstract = {Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study with 345 hypertensive patients followed at Monkole Hospital and at Saint-Joseph Hospital in the city of Kinshasa in the Democratic Republic of the Congo from September 2017 to February 2018. The participants were submitted to the WHO-Steps survey. Cardiovascular risk was assessed by the number of deleterious risk factors present in patients. Descriptive and inferential analyzes were performed. The statistical significance threshold was set at p<0.05. The average age of the participants was 62.1±11.2 years with a gender ratio of 1.1 in favor of women. In total, 61%, 56% and 60% of our respondents had, respectively, a low level of knowledge, a bad attitude and an insufficient practice on modifiable cardiovascular risk factors. Good knowledge was statistically significantly linked to education, the medical profession as a source of information, and employment. Only age ≥ 60 years was significantly associated with the right attitude in our patients while good practice was linked to the level of education. The majority of participants (80.3%) had a high cardiovascular risk. Poor knowledge (p: 0.032) and insufficient overall practice (p<0.001) were significantly associated with high cardiovascular risk. The present study showed that hypertension was associated with a high Cardiovascular risk underpinned by a low level of knowledge, a bad attitude and insufficient practice on modifiable cardiovascular risk factors. Therefore, education programs and strategies to positively influence attitudes and practices are essential to reduce the impact of cardiovascular disease and its risk factors in our environment.},
     year = {2021}
    }
    

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    T1  - Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo
    AU  - Kashala Badianyama Remy
    AU  - Lukanu Ngwala Philippe
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    JO  - Journal of Family Medicine and Health Care
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    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20210702.14
    AB  - Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study with 345 hypertensive patients followed at Monkole Hospital and at Saint-Joseph Hospital in the city of Kinshasa in the Democratic Republic of the Congo from September 2017 to February 2018. The participants were submitted to the WHO-Steps survey. Cardiovascular risk was assessed by the number of deleterious risk factors present in patients. Descriptive and inferential analyzes were performed. The statistical significance threshold was set at p<0.05. The average age of the participants was 62.1±11.2 years with a gender ratio of 1.1 in favor of women. In total, 61%, 56% and 60% of our respondents had, respectively, a low level of knowledge, a bad attitude and an insufficient practice on modifiable cardiovascular risk factors. Good knowledge was statistically significantly linked to education, the medical profession as a source of information, and employment. Only age ≥ 60 years was significantly associated with the right attitude in our patients while good practice was linked to the level of education. The majority of participants (80.3%) had a high cardiovascular risk. Poor knowledge (p: 0.032) and insufficient overall practice (p<0.001) were significantly associated with high cardiovascular risk. The present study showed that hypertension was associated with a high Cardiovascular risk underpinned by a low level of knowledge, a bad attitude and insufficient practice on modifiable cardiovascular risk factors. Therefore, education programs and strategies to positively influence attitudes and practices are essential to reduce the impact of cardiovascular disease and its risk factors in our environment.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Monkole Hospital, Kinshasa, Democratic Republic of the Congo

  • Department of Family Medicine and Primary Health Care, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of the Congo

  • Department of Family Medicine and Primary Health Care, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of the Congo

  • Department of Family Medicine, School of Public Health & Family Medicine, College of Medicine University of Malawi, Blantyre, Malawi

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