Perceived Knowledge of Hypertension among Rural Dwellers in Owerri West, Imo State Nigeria


Published: 2021-11-03

Page: 31-38

Igwe Mirian Nkeiruka *

Community Health Nursing, Department of Nursing, College of Medicine, University of Ibadan, Oyo State, Nigeria.

Okanlawon Funmilayo A.

Community Health Nursing, Department of Nursing, College of Medicine, University of Ibadan, Oyo State, Nigeria.

*Author to whom correspondence should be addressed.


Hypertension is the major risk factor for cardiovascular disease in Sub-Saharan Africa, and has emerged an alarming public health concern, with an estimate of 57million Nigerians being diagnosed and many still not diagnosed.It is a disease, in which unknown morbidity exceeds known morbidity, and current data indicates that cases of hypertension seen in the hospital are “just a tip of the iceberg”. The descriptive cross-sectional study design was adopted for the study. Ethical approval was obtained from Imo State ministry of health, Ethical Review Board and permission was obtained from the village head. A Self-administered self-structured questionnaire was utilized. About an average respondents did not know the definitive value of hypertension considering the educational level of the respondents. Most of the respondents were not aware that medical management must be adhered to when they feel better. Respondents demonstrated poor knowledge on certain risk factors of hypertension such as salt and red meat consumption, alcohol intake, and being overweight, despite being aware of its complications. Regardless of some characteristics of the respondents such as hypertension status, family history of hypertension, and time of last blood pressure check in this population; there exists poor knowledge on certain risk factors with significant health implications such as salt and red meat consumption. Hence, it is necessary that effective health education and awareness should focus on these risk factors, as well as tackle misconception and personal preference that tend to exist in an informed population. Additionally, the benefits of adherence to medical management should be stressed.

Keywords: Perceived, knowledge, hypertension, rural dwellers, risk factors, high blood pressure, cardiovascular disease, complications

How to Cite

Nkeiruka, I. M., & Funmilayo A., O. (2021). Perceived Knowledge of Hypertension among Rural Dwellers in Owerri West, Imo State Nigeria. Asian Journal of Research in Medicine and Medical Science, 3(1), 31–38. Retrieved from


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Pethuru D, Sabarinath M, Reshma DR, Sameena A, Sanjeetha FS, Mathiarasu AM. Risk factors for hypertension and its complications – A hospital based case control study. International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS). 2014;1(4):160-163.

Okubadejo NU, Ozoh OB, Agabi OP, et al. Prevalence of hypertension and blood pressure profile among urban dwelling adults in Nigeria: a comparative analysis based on recent guideline recommendations. Clinical Hypertension. 2019;25(7). Available:

Abonnema Foundation. Hypertension in Nigeria: rising to the challenge 2013 accessed on 23rd November; 2016. Available:

Nwachukwu DC, Agu UF, Nwachukwu NZ. Pattern of renal impairment among hypertensive subjects in Umuahia, South East, Nigeria. Int. J. Med. Med. Sci. 2016;8(5):45-50.

Ajayi IO, Opeyemi S, Akpa OM, Ossai NE. Prevalence of hypertension and associated factors among residents in Ibadan North LGA, Nigeria. Nig J.Cardiol. 2016;13(1):67-75.

World Health Organization. Global brief on hypertension. Geneva: World Health Organization; 2013.

Akinyi H, Oti S, Olajide A, Agyemang C, Aboderin I, Kyobutungi C. Status report on hypertensionin Africa- Consultative review for the 6th session of the Africa Union Conference of Ministers of Health on NCDs. Pan Afr Med J. 2013;16:38-38.

Agaba EI, Chinyere MW, Agaba PA, Antonios H, Tzamaloukas L. Performance of the Cockcroft-Gault and MDRD equations in adult Nigerians with chronic kidney disease. Int. Urol. Nephrol.2009; 41:635-642.

Iloh, G. U. P., Ofoedu J. N., Njoku P. U., Amadi A. N. & Godswill-Uko E. U. Medication adherence and blood pressure control amongst adults with primary hypertension attending a tertiary hospital primary care clinic in Eastern Nigeria. African Journal of Primary Health Care and Family Medicine. 2013;5(1):446-452.

Ugwuja EI, Ezenkwa US, Nwibo AN, Ogbanshi M, Idoko O, et al. Prevalence and determinants of hypertension in an agrarian rural community in South-east Nigeria. Ann Med Health Sci Res. 2015;5(1):45-49.

Odili AN, Chori BS, Danladi B, Nwakile PC, Okoye IC, Abdullahi U, et al. Prevalence, awareness, treatment and control of hypertension in Nigeria: Data from a Nationwide Survey2017. Glob Heart. 2020;15(1):47. DOI: 10.5334/gh.848

Oke DA, Bandele EO. Misconceptions of hypertension. Journal of the National Medical Association. 2004;96:1221-1224.

Ekore RI, Ajayi IO, Arije A. Case finding for hypertension in young adult patients attending missionary hospitals in Nigeria. African Health Sciences. 2009;9(3):193-199.

Opie LH, Seedat YK. Hypertension in Sub-Saharan African populations. Circulation. 2005;112:3562-3568.

Adeloye D, Owolabi EO, Auta A, Olanrewaju TO, Ogah OS, Omoyele C, et al. Prevalence, awareness, treatment and control of hypertension in Nigeria in 1995 and 2020: a systematic analysis of current evidence. The Journal of clinical hypertension. 2021;23(5):963-977.

WHO. World Health Day 2013: silent killer, global public health crisis. WHO campaigns; 2013a.

Dickson ME, Sigmund CD. Genetics basis of hypertension: Revisiting angiotensinogen. Hypertension. 2006;48:14-20.

Asekun-Olarinmoye EO, Akinwusi PO, Adebimpe WO, Isawumi MA, Hassan MB, et al. Prevalence of hypertension in the rural adult population of Osun State, SouthWestern Nigeria. Int J Gen. Med. 2013;6:317-322.

Bello M. Nigerians wake up to high blood pressure. Bull World Health Organization. 2013;91:242-243.

Ayodele OE, Alebiosu CO, Akinwusi PO, Akinsola A, Mejuini A. Target organ damage and associated clinical conditions in newly diagnosed hypertensives attending a tertiary health facility. Niger J Clin Pract. 2007;10(4):319-325.

Akinkugbe O. Non-communicable diseases in Nigeria: Final report of a national survey, Lagos. federal ministry of health-national expert committee on non-communicable diseases; 2003.

Oladapo OO, Salako L, Sadiq L, Soyinka K, Falase AO. Knowledge of hypertension and other riskfactors for heart disease among rural South-Western Nigerian population. British J. Med and Med Res. 2014;3(4):993-1003.

Kolo PM, Jibrin YB, Sanya EO, Alkali M, Kio IBP, et al. Hypertension related admissions and outcomes in tertiary Hospitals in North-East Nigeria. International Journal of Hypertension. 2012;Article ID:960546:6pages.

Kim Y, Kong KA. Do hypertensive individuals who are aware of their disease following lifestyle recommendation better than those who are not aware? PLoS one. 2015;10(8):e0136858.

Erkoc SB, Isikili B, Metintas S, Kalyoncu C. Hypertension knowledge-level scale (HK-LS): A study on development, validity and reliability. Int J Environ Res Public Health. 2012;9(3):1018-1029.

Chimberengwa PT, Naidoo M. On behalf of the cooperative inquiry group. Knowledge, attitudes and practices related to hypertension among residents of disadvantaged rural communities in Southern Zimbabwe. PLoS ONE. 2019;14(6): e0215500. DOI: 10.1371/journal.pone.021550

Tesema S, Disasa B, Kebamo S, Kadi E. Knowledge, attitude and practice regarding lifestyle modification of hypertensive patients at Jimma University Specialized Hospital, Ethiopia: primary health care. Open Access; 2016. ISSN: 2167-1079.

Mehrotra R, Bajaj S, Kumar D. Influence of education and occupation on knowledge about diabetes control. Natl. Med J. India. 2000;13:293-296.

Song Y, Ma W, Yi X, Wang S, Sun X, et al. Chronic diseases knowledge and related factors among the elderly in Jinan, China. PLoS ONE. 2013;8(6):e68599.

Kofi J.O. Prevention and management of hypertension: A study on knowledge and attitudes of women of childbearing age. Central Ostrobothnia University of Applied Sciences, Degree Programme in Nursing. 2011;24.

Piresi CG, Mussi FC. Health beliefs regarding diet: A perspective of hypertensive black individuals. Journal of Health Res. 2012;4(6):53.

Bhandari B, Bhattarai M, Bhandari M, Jha N. Awareness of disease and self care among hypertensive patients attending Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Journal of Nobel Medical College. 2012;2(1): 33-34.

Okwuonu CG, Ojimadu NE, Okaka EI, Akemokwe FM. Patient relatebarriers to hypertension control in a Nigerian population. Int J. Gen. Med. 2014;7:345-353.