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Health Literacy in Rural Areas of China: Hypertension Knowledge Survey

DOI: 10.3390/ijerph10031125

Keywords: hypertension, knowledge, rural Chinese adult, hypertension education program

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Abstract:

We conducted this study to determine levels and correlates of hypertension knowledge among rural Chinese adults, and to assess the association between knowledge levels and salty food consumption among hypertensive and non-hypertensive populations. This face-to-face cross sectional survey included 665 hypertensive and 854 non-hypertensive respondents in the rural areas of Heilongjiang province, China. Hypertension knowledge was assessed through a 10-item test; respondents received 10 points for each correct answer. Among respondents, the average hypertension knowledge score was 26 out of a maximum of 100 points for hypertensive and 20 for non-hypertensive respondents. Hypertension knowledge was associated with marital status, education, health status, periodically reading books, newspapers or other materials, history of blood pressure measurement, and attending hypertension educational sessions. Hypertension knowledge is extremely low in rural areas of China. Hypertension education programs should focus on marginal populations, such as individuals who are not married or illiterate to enhance their knowledge levels. Focusing on educational and literacy levels in conjunction with health education is important given illiteracy is still a prominent issue for the Chinese rural population.

References

[1]  Communique of the National Bureau of Statistics of People’s Republic of China on Major Figures of the 2010 Population Census (No. 1).
[2]  Yu, J.O.; Cho, Y.B. The effect of an internet community on knowledge, self-efficacy and self care behavior in workers with hypertension. J. Korean Acad. Nurs. 2005, 35, 1258–1267.
[3]  Yang, G.; Kong, L.; Zhao, W.; Wan, X.; Zhai, Y.; Chen, L.C.; Koplan, J.P. Emergence of chronic non-communicable diseases in China. Lancet , 372, 1697–1705.
[4]  Tao, S.; Wu, X.; Duan, X.; Fang, W.; Hao, J.; Fan, D.; Wang, W.; Li, Y. Hypertension prevalence and status of awareness, treatment and control in China. Chin. Med. J. 1995, 108, 483–489.
[5]  Hua, W.; Zhang, L.F.; Wu, Y.F.; Liu, X.Q.; Guo, D.S.; Zhou, H.L.; Gou, Z.P.; Zhao, L.C.; Niu, H.X.; Chen, K.P.; et al. Incidence of sudden cardiac death in China: Analysis of 4 regional populations. J. Am. Coll. Cardiol. 2009, 54, 1110–1118, doi:10.1016/j.jacc.2009.06.016.
[6]  Sun, Z.; Zheng, L.; Detrano, R.; Zhang, X.; Xu, C.; Li, J.; Hu, D.; Sun, Y. Incidence and predictors of hypertension among rural Chinese adults: Results from Liaoning province. Ann. Fam. Med. 2010, 8, 19–24, doi:10.1370/afm.1018.
[7]  Sun, Z.; Zheng, L.; Wei, Y.; Li, J.; Zhang, X.; Liu, S.; Xu, C.; Zhao, F.; Dong, G.; Hu, D.; et al. The prevalence of prehypertension and hypertension among rural adults in Liaoning province of China. Clin. Cardiol. 2007, 30, 183–187, doi:10.1002/clc.20073.
[8]  Wang, L. Comprehensive Report, Chinese Nutrition and Health Survey in 2002; People’s Medical Publishing House: Beijing, China, 2005.
[9]  Cardiovascular Disease Report of China 2008-2009. Available online: http://wenku.baidu.com/view/5933ce08bb68a98271fefad7.html (accessed on 8 November 2012).
[10]  Opinions of the CPC Central Committee and the State Council on Deepening the Health Care System Reform.
[11]  Akasheh, A.; Wu, Y.; Li, Y.; Dustin, L.D.; Wong, N.D.; Gardin, J.M.; Azen, S.P.; Detrano, R.C. Association of blood pressure with left ventricular mass in untreated hypertensives in rural Yunnan Province. Am. J. Hypertens. 2009, 22, 730–734, doi:10.1038/ajh.2009.75.
[12]  Dong, G.H.; Sun, Z.Q.; Zhang, X.Z.; Li, J.J.; Zheng, L.Q.; Li, J.; Hu, D.Y.; Sun, Y.X. Prevalence, awareness, treatment & control of hypertension in rural Liaoning province, Chi. Indian J. Med. Res. 2008, 128, 122–127.
[13]  Wright-Nunes, J.A.; Luther, J.M.; Ikizler, T.A.; Cavanaugh, K.L. Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease. Patient Edu. Couns. 2012, 88, 184–188, doi:10.1016/j.pec.2012.02.015.
[14]  Adeseun, G.A.; Bonney, C.C.; Rosas, S.E. Health literacy associated with blood pressure but not other cardiovascular disease risk factors among dialysis patients. Am. J. Hypertens. 2012, 25, 348–353, doi:10.1038/ajh.2011.252.
[15]  Perloff, D.; Grim, C.; Flack, J.; Frohlich, E.D.; Hill, M.; McDonald, M.; Morgenstern, B.Z. Human blood pressure determination by sphygmomanometry. Circulation 1993, 88, 2460–2470, doi:10.1161/01.CIR.88.5.2460.
[16]  Sanne, S.; Muntner, P.; Kawasaki, L.; Hyre, A.; DeSalvo, K.B. Hypertension knowledge among patients from an urban clinic. Ethn. Dis. 2008, 18, 42–47.
[17]  Kind, P.; Brooks, R.; Rabin, R. EQ-5D Concepts and Methods: A Developmental History; Springer: Dordrecht, The Netherland, 2005.
[18]  Leung, B.; Luo, N.; So, L.; Quan, H. Comparing three measures of health status (perceived health with Likert-type scale, EQ-5D, and number of chronic conditions) in Chinese and white Canadian. Med. Care 2007, 45, 610–617, doi:10.1097/MLR.0b013e3180331f58.
[19]  Okonofua, E.C.; Cutler, N.E.; Lackland, D.T.; Egan, B.M. Ethnic differences in older americans: Awareness, knowledge, and beliefs about hypertensio. Am. J. Hypertens. 2005, 18, 972–979, doi:10.1016/j.amjhyper.2005.02.019.
[20]  Williams, M.V.; Baker, D.W.; Parker, R.M.; Nurss, J.R. Relationship of functional health literacy to patients’ knowledge of their chronic disease. A study of patients with hypertension and diabetes. Arch. Intern. Med. 1998, 158, 166–172, doi:10.1001/archinte.158.2.166.
[21]  Bone, L.R.; Hill, M.N.; Stallings, R.; Gelber, A.C.; Barker, A.; Baylor, I.; Harris, E.C.; Zeger, S.L.; Felix-Aaron, K.L.; Clark, J.M.; et al. Community health survey in an urban African-American neighborhood: Distribution and correlates of elevated blood pressure. Ethn. Dis. 2000, 10, 87–95.
[22]  Nieto, F.J.; Alonso, J.; Chambless, L.E.; Zhong, M.; Ceraso, M.; Romm, F.J.; Cooper, L.; Folsom, A.R.; Szklo, M. Population awareness and control of hypertension and hypercholesterolemia. The atherosclerosis risk in communities study. Arch. Intern. Med. 1995, 155, 677–684.
[23]  Oliveria, S.A.; Chen, R.S.; McCarthy, B.D.; Davis, C.C.; Hill, M.N. Hypertension knowledge, awareness, and attitudes in a hypertensive populatio. J. Gen. Intern. Med. 2005, 20, 219–225, doi:10.1111/j.1525-1497.2005.30353.x.
[24]  Martins, D.; Gor, D.; Teklehaimanot, S.; Norris, K. High blood pressure knowledge in an urban African-American community. Ethn. Dis. 2001, 11, 90–96.
[25]  Ayotte, B.J.; Trivedi, R.; Bosworth, H.B. Racial differences in hypertension knowledge: Effects of differential item functioning. Ethn. Dis. 2009, 19, 23–27.
[26]  Ahluwalia, J.S.; McNagny, S.E.; Rask, K.J. Correlates of controlled hypertension in indigent, inner-city hypertensive patients. J. Gen. Intern. Med. 1997, 12, 7–14, doi:10.1007/s11606-006-0002-6.
[27]  Kjellgren, K.I.; Svensson, S.; Ahlner, J.; Saljo, R. Hypertensive patients’ knowledge of high blood pressure. Scand.J. Prim. Health Care 1997, 15, 188–192, doi:10.3109/02813439709035026.
[28]  Dong, G.; Sun, Z.; Zheng, L.; Li, J.; Zhang, X.; Xu, C.; Hu, D.; Sun, Y. Prevalence, awareness, treatment, and control of hypertension in rural adults from Liaoning Province, northeast Ch. Hypertens. Res. 2007, 30, 951–958, doi:10.1291/hypres.30.951.
[29]  Zhang, X.; Zhu, M.; Dib, H.H.; Hu, J.; Tang, S.; Zhong, T.; Ming, X. Knowledge, awareness, behavior (KAB) and control of hypertension among urban elderly in western Chin. Int. J. Cardiol. 2009, 137, 9–15, doi:10.1016/j.ijcard.2008.06.003.
[30]  Huang, S.; Hu, X.; Chen, H.; Xie, D.; Gan, X.; Wu, Y.; Nie, S.; Wu, J. The positive effect of an intervention program on the hypertension knowledge and lifestyles of rural residents over the age of 35 years in an area of China. Hypertens. Res. 2011, 34, 503–508, doi:10.1038/hr.2010.265.

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