Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]

Background: Non-communicable diseases, specifically the burden of hypertension, have become a major public health threat to low- and middle-income countries, such as Myanmar. Inadequate knowledge of hypertension and its management among people may hinder its effective prevention and treatment with s...

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Main Authors: Maarten Postma, Robert Lensink, Khin Hnin Swe, Hla Hla Win, Ratih Febrinasari, Claire Stein, Jaap A.R. Koot, Hoang My Hanh, Sijmen A. Reijneveld, Johanna A. Landsman, Zinzi E. Pardoel
Format: Article
Language:English
Published: F1000 Research Ltd 2023-03-01
Series:Open Research Europe
Subjects:
Online Access:https://open-research-europe.ec.europa.eu/articles/2-13/v2
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author Maarten Postma
Robert Lensink
Khin Hnin Swe
Hla Hla Win
Ratih Febrinasari
Claire Stein
Jaap A.R. Koot
Hoang My Hanh
Sijmen A. Reijneveld
Johanna A. Landsman
Zinzi E. Pardoel
author_facet Maarten Postma
Robert Lensink
Khin Hnin Swe
Hla Hla Win
Ratih Febrinasari
Claire Stein
Jaap A.R. Koot
Hoang My Hanh
Sijmen A. Reijneveld
Johanna A. Landsman
Zinzi E. Pardoel
author_sort Maarten Postma
collection DOAJ
description Background: Non-communicable diseases, specifically the burden of hypertension, have become a major public health threat to low- and middle-income countries, such as Myanmar. Inadequate knowledge of hypertension and its management among people may hinder its effective prevention and treatment with some groups at particular increased risks, but evidence on this is lacking for Myanmar. The aims of this study were therefore to assess the level of knowledge of risk factors, symptoms and complications of hypertension, by hypertension treatment status, community group-membership, and sociodemographic and socioeconomic factors in Myanmar. Methods: Data was collected through structured questionnaires in 2020 on a random sample of 660 participants, stratified by region and existence of community groups. Knowledge of hypertension was measured with the ‘Knowledge’ part of a validated ‘Knowledge, Attitude and Practice’ survey questionnaire and categorised into ill-informed and reasonably to well-informed about hypertension. Results: The majority of respondents seem reasonably to well-informed about risk factors, symptoms and complications of hypertension. This did not vary by hypertension treatment status and community group membership. People with jobs (B=0.96; 95%-confidence interval 0.343 to 1.572) and higher education (B=1.96; 0.060 to 3.868) had more hypertension knowledge than people without jobs or low education. Adherence to treatment among hypertensive people was low. Conclusion: This study shows a majority of participants in this study in Myanmar seem reasonably to well-informed, with no differences by hypertension status, treatment status, and community group-membership. People without jobs and low education have less hypertension knowledge, making them priority groups for tailored education on health care level as well as community level, lowering the burden of hypertension. Almost half of the hypertensive patients did not take their medicines and therefore, adherence to treatment of hypertension should be an important element for future health education.
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spelling doaj.art-91d4e6dcbdf54f66a416c445aa6c63922023-04-05T00:00:00ZengF1000 Research LtdOpen Research Europe2732-51212023-03-01217042Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]Maarten Postma0Robert Lensink1Khin Hnin Swe2Hla Hla Win3Ratih Febrinasari4https://orcid.org/0000-0001-9767-3284Claire Stein5Jaap A.R. Koot6Hoang My Hanh7https://orcid.org/0000-0002-3818-6061Sijmen A. Reijneveld8Johanna A. Landsman9Zinzi E. Pardoel10https://orcid.org/0000-0002-6520-2637Health Sciences, University Medical Center Groningen, Groningen, Groningen, 9700 RB, The NetherlandsFaculty of Economics and Business, University of Groningen, Groningen, Groningen, The NetherlandsHelpAge International, Yangon, MyanmarUniversity of Public Health, Yangon, MyanmarDepartment of Pharmacology, Universitas Sebelas Maret, Surakarta, IndonesiaHelpAge International, Yangon, MyanmarHealth Sciences, University Medical Center Groningen, Groningen, Groningen, 9700 RB, The NetherlandsHealth Strategy and Policy Institute, Hanoi, VietnamHealth Sciences, University Medical Center Groningen, Groningen, Groningen, 9700 RB, The NetherlandsHealth Sciences, University Medical Center Groningen, Groningen, Groningen, 9700 RB, The NetherlandsHealth Sciences, University Medical Center Groningen, Groningen, Groningen, 9700 RB, The NetherlandsBackground: Non-communicable diseases, specifically the burden of hypertension, have become a major public health threat to low- and middle-income countries, such as Myanmar. Inadequate knowledge of hypertension and its management among people may hinder its effective prevention and treatment with some groups at particular increased risks, but evidence on this is lacking for Myanmar. The aims of this study were therefore to assess the level of knowledge of risk factors, symptoms and complications of hypertension, by hypertension treatment status, community group-membership, and sociodemographic and socioeconomic factors in Myanmar. Methods: Data was collected through structured questionnaires in 2020 on a random sample of 660 participants, stratified by region and existence of community groups. Knowledge of hypertension was measured with the ‘Knowledge’ part of a validated ‘Knowledge, Attitude and Practice’ survey questionnaire and categorised into ill-informed and reasonably to well-informed about hypertension. Results: The majority of respondents seem reasonably to well-informed about risk factors, symptoms and complications of hypertension. This did not vary by hypertension treatment status and community group membership. People with jobs (B=0.96; 95%-confidence interval 0.343 to 1.572) and higher education (B=1.96; 0.060 to 3.868) had more hypertension knowledge than people without jobs or low education. Adherence to treatment among hypertensive people was low. Conclusion: This study shows a majority of participants in this study in Myanmar seem reasonably to well-informed, with no differences by hypertension status, treatment status, and community group-membership. People without jobs and low education have less hypertension knowledge, making them priority groups for tailored education on health care level as well as community level, lowering the burden of hypertension. Almost half of the hypertensive patients did not take their medicines and therefore, adherence to treatment of hypertension should be an important element for future health education.https://open-research-europe.ec.europa.eu/articles/2-13/v2Community health Community-member health literacy Non-communicable diseases health promotion knowledgeeng
spellingShingle Maarten Postma
Robert Lensink
Khin Hnin Swe
Hla Hla Win
Ratih Febrinasari
Claire Stein
Jaap A.R. Koot
Hoang My Hanh
Sijmen A. Reijneveld
Johanna A. Landsman
Zinzi E. Pardoel
Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
Open Research Europe
Community health
Community-member
health literacy
Non-communicable diseases
health promotion
knowledge
eng
title Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
title_full Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
title_fullStr Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
title_full_unstemmed Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
title_short Knowledge on hypertension in Myanmar: levels and groups at risk [version 2; peer review: 2 approved]
title_sort knowledge on hypertension in myanmar levels and groups at risk version 2 peer review 2 approved
topic Community health
Community-member
health literacy
Non-communicable diseases
health promotion
knowledge
eng
url https://open-research-europe.ec.europa.eu/articles/2-13/v2
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