Factors associated with knowledge of hypertension among adolescents: implications for preventive education programs in primary care

Iga Grad, Agnieszka Mastalerz-Migas, Katarzyna Kiliś-Pstrusińska, Iga Grad, Agnieszka Mastalerz-Migas, Katarzyna Kiliś-Pstrusińska

Abstract

Background: Hypertension (HT) amongst adolescents remains a vital issue of both a medical and social nature. There is a lack of data regarding the factors influencing the awareness of the disease among the youth. The aim of this study was to evaluate the knowledge about HT among adolescents and its level corresponding to the selected demographic, environmental and medical factors.

Methods: The study was carried out among 250 adolescents of secondary schools. The authors' questionnaire poll and the psychological tests Personal Values List (PVL) and Personal Competence Scale (PCS) were performed.

Results: Only 13.2% of the youth surveyed displayed the "medium" level (defined below) of HT knowledge. Most of them present satisfactory knowledge about the causes of HT. The children from urban areas generally displayed better knowledge about HT than their peers from rural regions. Only the children who had had their blood pressure previously examined displayed good knowledge about HT. The most frequently indicated source of this knowledge was school; however, its level still remains low. There was no significant association between the level of global knowledge about HT and the feeling of one's own competences and considering the category "good health" an important personal value.

Conclusions: Knowledge about HT among adolescents remains unsatisfactory and random, which indicates the necessity for routine education in this field, especially as it applies to HT symptoms. It seems that the consideration of such elements as blood pressure measurement and family history of HT in education programs can improve their efficiency.

References

    1. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217–23. doi: 10.1016/S0140-6736(05)70151-3.
    1. Akgun C, Dogan M, Akbayram S, Tuncer O, Peker E, Taskin G, et al. The incidence of asymptomatic hypertension in school children. J Nippon Med Sch. 2010;77:160–5. doi: 10.1272/jnms.77.160.
    1. Falkner B, Lurbe E, Schaefer F. High Blood pressure in children: clinical and health policy implications. J Clin Hypertens. 2010;12:261–76. doi: 10.1111/j.1751-7176.2009.00245.x.
    1. Falkner B, Gidding S. Childhood Obesity and Blood Pressure. Back to the Future? Hypertension. 2011;58:754–5. doi: 10.1161/HYPERTENSIONAHA.111.180430.
    1. Lurbe E: Hypertension in children and adolescents. In Manual of Hypertension of the European Society of Hypertension. Edited by Mancia G, Grassi G, Kjeldsen S. Informa Healthcare; 2008:336–346.
    1. Kilis-Pstrusinska K, Zwolinska D. Primary hypertension as a growing problem in pediatrics. Fam Med Prim Care Rev. 2007;9:809–14.
    1. Falkner B. Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol. 2010;25:1219–24. doi: 10.1007/s00467-009-1200-3.
    1. The Diagnosis and Management of Hypertension in Children. Can Hypertens Soc Bull 2008; 95:1–8.
    1. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114:555–575. doi: 10.1542/peds.114.2.S2.555.
    1. Litwin M. Primary hypertension in children and adolescents – pathophysiology. In: Litwin M, Januszewicz A, Prejbisz A, editors. Hypertension in adolescents and young adults. Krakow: Practical Medicine; 2011. pp. 289–316.
    1. Hayman LL, Meininger JC, Daniels SR, McCrindle BW, Helden L, Ross J, et al. Primary prevention of cardiovascular disease in nursing practice: focus on children and youth. Circulation. 2007;116:344–57. doi: 10.1161/CIRCULATIONAHA.107.184595.
    1. Juresa V. Preventive programmes in school health care services. In: Donev D, Pavlekowic G, Zalatel Kragelij L, editors. Health promotion and disease prevention. A handbook for teachers, researchers, health professionals and decision makers. Skopje: Hans Jacobs Publishing Company; 2007. pp. 396–405.
    1. Darnton-Hill I, Nishida C, James WP. A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutr. 2004;7:101–2. doi: 10.1079/PHN2003584.
    1. Litwin M, Niemirska A. Organ damage in children hypertension. In: Litwin M, Januszewicz A, Prejbisz A, editors. Hypertension in adolescents and young adults. Krakow: Practical Medicine; 2011. pp. 241–269.
    1. Juczyński Z. Measurement tool in health promotion and psychology. Warszawa: Laboratory of Psychological Tests; 2009.
    1. Lynch EB, Liu K, Kiefe CI, Greenland P. Cardiovascular disease risk factor knowledge in young adults and 10-year change in risk factors: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Epidemiol. 2006;164:1171–9. doi: 10.1093/aje/kwj334.
    1. Vale A. Heart disease and young adults: Is prevention important? J Community Health Nurs. 2000;17:225–33. doi: 10.1207/S15327655JCHN1704_4.
    1. Vanhecke TE, Miller WM, Franklin BA, Weber JE, McCullough PA. Awareness, knowledge and perception of heart disease among adolescents. Eur J Cardiovasc Prev Rehabil. 2006;13:718–23. doi: 10.1097/01.hjr.0000214611.91490.5e.
    1. Card D. The causal effect of education on earnings. In Handbook of Labor Economics. Edited by Ashenfelter O, Card D. Amsterdam. 1999. 1802–1859.
    1. Lleras-Muney A. The Relationship between Education and Adult Mortality in the United States. Rev Econ Stud. 2005;72:189–221. doi: 10.1111/0034-6527.00329.
    1. Spasojevic J. Effects of Education on Adult Health in Sweden: Results from Natural Experiment. PD thesis. City University of New York, Graduate Center, 2003.
    1. Niknian M, Mckinlay SM, Rakowski W, Carleton RA. A comparison of perceived and objective cvd risk in a general population. Am J Public Health. 1989;79:1653–4. doi: 10.2105/AJPH.79.12.1653.
    1. Winham DM, Jones KM. Knowledge of young African American adults about heart disease: a cross-sectional survey. BMC Public Health. 2011;11:248. doi: 10.1186/1471-2458-11-248.
    1. Zadworna-Cieślak M, Ogińska-Bulik N. Adolescent health behaviors – symptoms and family circumstances. Warszawa: Diffin; 2011.
    1. Bandura A, Barbaranelli C, Caprara GV, Pastorelli C. Self-efficacy beliefs as shapers of children's aspirations and career trajectories. Child Dev. 2001;72:187–206. doi: 10.1111/1467-8624.00273.
    1. Kościelak R. Locus of control and self-efficacy in health and disease. Krakow: Publishing House "Pulse"; 2010.

Source: PubMed

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