Assessment of Knowledge, Attitude and Practice Regarding  Management of Hypertension among Saudi Population

Authors

  • Alhanouf Ali Alenezi
  • Humera Banu Department of Clinical Nutrition, Collage of Applied Medical Science, University of Hail, Hail, KSA

DOI:

https://doi.org/10.48165/jfdr.2025.5.1.5

Keywords:

Hypertension, Knowledge, Attitudes, Practice, Health Behavior, Cross-Sectional Studies, Saudi Arabia

Abstract

Background: Hypertension, defined as a blood pressure of ≥130/80 mmHg in adults by the American Heart Association,  remains a leading cause of global morbidity and mortality. It contributes significantly to coronary artery disease and  cerebrovascular events. The global prevalence is estimated at 26% (972 million people) and is expected to rise to 29%  by 2025, especially in developing countries. This study aimed to assess the knowledge, attitudes, and practices (KAP)  related to hypertension management among the Saudi population in Hail City. Materials and Methods: A retrospective  cross-sectional study was conducted using a structured questionnaire comprising three sections: knowledge (scored  based on correct responses), attitude (assessed using a Likert scale), and practices (based on frequency of behaviors).  Results: More than 80% of subjects expressed concern about long-term medication use, engaged in regular exercise, and  preferred home-cooked meals with fruits and vegetables. About half of the hypertensive subjects reported daily blood  pressure monitoring and adding lemon to salads. The study revealed an overall acceptable level of KAP. Significant  fair positive correlations were found between KAP and age, income, and education level (p < 0.05). Conclusion: Most  respondent’s demonstrated good knowledge and positive attitudes toward hypertension management, with KAP signifi cantly associated with demographic factors. 

 

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References

Al-Gelban, K. S., Khan, M., Al-Khaldi, Y. M., Mahfouz, A. A., Abdelmoneim, I., Daffalla, A., Mostafa, O. A., & Al-Amri, H. S. (2011). Adherence of primary health care physicians to hypertension management guidelines in the Aseer region of Saudi Arabia. Saudi Journal of Kidney Diseases and Transplantation, 22(5), 941–948.

Al-Hazmi, A. H., Alanazi, A. D. M., Thirunavukkarasu, A., Alriwely, N. S., Alrais, M. M. F., Alruwaili, A. B. S., Alnosairi, M. S., & Alsirhani, A. I. (2025). Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: A cross-sectional study from eastern Saudi Arabia. Frontiers in Public Health, 12, 1378561. https://doi.org/10.3389/fpubh.2024.1378561

Alhowaymel, F. M., Abdelmalik, M. A., Mohammed, A. M., & Alenezi, A. (2023). Knowledge, attitudes, and practices of hypertensive patients towards stroke prevention among rural population in Saudi Arabia: A cross-sectional study. SAGE Open Nursing, 9, 23779608221150717. https://pubmed.ncbi.nlm.nih.gov/36643783/

Alshammari, S. A., Alshathri, A. H., Alshathri, A. H., Aleban, S. A., Alabdullah, D. W., Abukhlaled, J. K., et al. (2023). Assessment of public knowledge of hypertension among the Saudi population. Cureus. https://doi.org/10.7759/cureus.37649

Al Zahrani, S., Eid Alosaimi, M., Alamrim, A., Alotaibi, M., Almatar, E. A., & Almanea, B. A. (2019). Association between knowledge and drug adherence in patients with hypertension in Saudi Arabia. Archives of Pharmacy Practice, 10(2), 71–76.

Amer, M., Raza, A., Riaz, H., Sadeeqa, S., & Sultana, M. (2019). Hypertension-related knowledge, medication adherence and health-related quality of life among hypertensive patients in Islamabad, Pakistan. Tropical Journal of Pharmaceutical Research, 18(5), 1123–1132. https://doi.org/10.4314/tjpr.v18i5.30

Arisegi, S. A., Awosan, K. J., Oche, M. O., Sabir, A. A., & Ibrahim, M. T. (2018). Knowledge and practices related to stroke prevention among hypertensive and diabetic patients attending specialist hospital, Sokoto, Nigeria. Pan African Medical Journal, 29(1), 1–7.

Aung, M. N., Lorga, T., Srikrajang, J., Promtingkran, N., Kreuangchai, S., Tonpanya, W., et al. (2012). Assessing awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand. International Journal of General Medicine, 5, 553–561.

Bhat, V., T, G. S., & Kasthuri, A. (2021). Stroke awareness among elderly hypertensives in a rural area of Bangalore district, India. Journal of Stroke and Cerebrovascular Diseaes, 30(1), 105467. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105467

Buang, N. F. B., Rahman, N. A. A., & Haque, M. (2019). Knowledge, attitude and practice regarding hypertension among residents in a housing area in Selangor, Malaysia. Medicine and Pharmacy Reports, 92(2), 145–152. https://doi.org/10.15386/mpr-1227

Horvat, O., Halgato, T., Stojšić-Milosavljević, A., Paut Kusturica, M., Kovačević, Z., Bukumiric, D., & Tomas, A. (2022). Identification of patient-related, healthcare-related and knowledge-related factors associated with inadequate blood pressure control in outpatients: A cross-sectional study in Serbia. BMJ Open, 12(11), e064306. https://doi.org/10.1136/bmjopen-2022-064306

Jankowska-Polańska, B., Uchmanowicz, I., Dudek, K., et al. (2016). Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Preference and Adherence, 10, 2437–2447. https://doi.org/10.2147/PPA.S117269

Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K., & He, J. (2005). Global burden of hypertension: Analysis of worldwide data. The Lancet, 365(9455), 217–223.

Khan, S., Alzakari, M., Alzkari, F., Alsuhaibani, R., Alghanmi, A., Alabdulkarim, A., & Alkanhal, A., Alnemer, K. (2025). Hypertension: Investigating the level of knowledge, awareness, and attitude of the general population in Saudi Arabia. Journal of Family Medicine and Primary Care, 14(4), 1521–1528. https://doi.org/10.4103/jfmpc.jfmpc_1851_24

Kilic, M., Uzunçakmak, T., & Ede, H. (2016). The effect of knowledge about hypertension on the control of high blood pressure. International Journal of Cardiovascular Academy, 2(1), 27–32.

Kirkland, E. B., Heincelman, M., Bishu, K. G., Schumann, S. O., Schreiner, A., Axon, R. N., et al. (2018). Trends in healthcare expenditures among US adults with hypertension: National estimates, 2003–2014. Journal of the American Heart Association, 7(11), e008731. https://doi.org/10.1161/JAHA.118.008731

Lee, E. K. P., Poon, P., Yip, B. H. K., Bo, Y., Zhu, M. T., Yu, C. P., et al. (2022). Global burden, regional differences, trends, and health consequences of medication non-adherence for hypertension during 2010 to 2020: A meta-analysis involving 27 million patients. Journal of the American Heart Association, 11(12), e026582. https://doi.org/10.1161/jaha.122.026582

Ma, F., Li, X., Wang, Y., Liang, N., Pan, S., Yang, G., Liao, Y., Zhang, C., Zhang, Q., & Lin, Y. (2018). Effectiveness of traditional Chinese exercises on stroke risk factors in individuals with pre-hypertension or mild-to-moderate essential hypertension: A systematic review and meta-analysis. Journal of Traditional Chinese Medical Sciences, 5(3), 222–236. https://doi.org/10.1016/j.jtcms.2018.09.002

Machaalani, M., Seifeddine, H., Ali, A., Bitar, H., & Briman, O., Chahine, M. N. (2022). Knowledge, attitude, and practice toward hypertension among hypertensive patients residing in Lebanon. Vascular Health and Risk Management, 18, 541–553. https://doi.org/10.2147/vhrm.S367187

Montori, V. M., Ruissen, M. M., Hargraves, I. G., Brito, J. P., & Kunneman, M. (2023). Shared decision-making as a method of care. BMJ Evidence-Based Medicine, 28(4), 213–217. https://doi.org/10.1136/bmjebm-2022-112068

Paczkowska, A., Hoffmann, K., Kus, K., Kopciuch, D., Zaprutko, T., Ratajczak, P., et al. (2021). Impact of patient knowledge on hypertension treatment adherence and efficacy: A single-centre study in Poland. International Journal of Medical Sciences, 18(4), 852–860. https://doi.org/10.7150/ijms.48139

Pirasath, S., & Sundaresan, T. (2021). Knowledge, awareness and adherence to medication among hypertensive patients in a tertiary care center: A cross-sectional study in Eastern Sri Lanka. SAGE Open Medicine, 9, 20503121211012497. https://doi.org/10.1177/20503121211012497

Pristianty, L., Hingis, E. S., Priyandani, Y., & Rahem, A. (2023). Relationship between knowledge and adherence to hypertension treatment. Journal of Public Health in Africa, 14(1), 2502. https://doi.org/10.4081/jphia.2023.2502

Ragavan, R. S., Joshi, R., Evans, R. G., et al. (2021). Additive association of knowledge and awareness on control of hypertension: A cross-sectional survey in rural India. Journal of Hypertension, 39(1), 107–110. https://doi.org/10.1097/HJH.0000000000002594

Sarfo, F. S., Akpa, O., Ovbiagele, B., Akpalu, A., Wahab, K., Komolafe, M., Obiako, R., Owolabi, L., Osaigbovo, G. O., Jenkins, C., Ogbole, G., Fakunle, A., Tiwari, H. K., Arulogun, O., Arnett, D. K., Asowata, O., Ogah, O., Akinyemi, R. O., & Owolabi, M. O. (2021). Influence of age on links between major modifiable risk factors and stroke occurrence in West Africa. Journal of the Neurological Sciences, 428, 117573. https://doi.org/10.1016/j.jns.2021.117573

Shah, A. J., Singh, V., Patil, S. P., Gadkari, M. R., & Ramchandani, V., Doshi, K. J. (2018). Factors affecting compliance to antihypertensive treatment among adults in a tertiary care hospital in Mumbai. Indian Journal of Community Medicine, 43(1), 53–55. https://doi.org/10.4103/ijcm.IJCM_40_17

World Health Organization. (2023). First WHO report details devastating impact of hypertension and ways to stop it. Geneva, Switzerland. https://www.who.int/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it

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Published

2025-08-29

How to Cite

Assessment of Knowledge, Attitude and Practice Regarding  Management of Hypertension among Saudi Population. (2025). Journal of Food and Dietetics Research, 5(1), 40-48. https://doi.org/10.48165/jfdr.2025.5.1.5