KNOWLEDGE, ATTITUDE AND PREVENTION PRACTICE OF HYPERTENSION AMONG OUTPATIENT CLIENTS AT WEREDA 13 GERJI HEALTH CENTER, BOLE SUB-CITY, ADDIS ABABA, ETHIOPIA

Abstract

ABSTRACT Background: Worldwide, 1.28 billion adults are affected by hypertension, mostly in low- and middle-income countries, yet many remain undiagnosed or untreated. Although several studies have reported the burden of hypertension in Ethiopia, there is only limited evidence regarding awareness levels, attitude and prevention practice of the community. Objective: To assess the knowledge, attitude, and prevention practice (KAP) regarding hypertension among outpatients at Wereda 13 Gerji Health Center, Bole Sub-City. Method: A cross-sectional study was conducted among 422 outpatient clients using a structured, interviewer-administered questionnaire covering socio-demographic characteristics, and KAP regarding hypertension. Participants were selected using a simple random sampling technique. Data were analyzed using descriptive statistics to summarize socio-demographic characteristics and KAP levels. Bivariate and multivariate logistic models were used to assess and identify associations and independent predictors of KAP levels. Results: The study found that 44.3% of participants demonstrated good knowledge, 81.3% exhibited a favorable attitude, and 65.5% showed good practice regarding hypertension. A significant knowledge gap was observed concerning the asymptomatic nature of hypertension and 91.3% of participants reported not seeking medical check-ups. Key independent predictors for good knowledge included higher educational status and monthly income. A favorable attitude was significantly predicted by older age, higher educational status and good knowledge. Good practice was independently predicted by older age, female sex and good knowledge. Conclusion: While outpatient clients at Wereda 13 Gerji Health Center generally possess favorable attitudes towards hypertension, there is a notable lack of knowledge, particularly concerning the asymptomatic nature of the disease and a gap in the adoption of healthy behaviors. These findings highlight the urgent need for targeted public health interventions that not only enhance understanding but also actively translate positive attitudes into consistent healthy practices. Key words: Hypertension, Knowledge, Attitude and Practice