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Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia

Ahmad Homoud Al-Hazmi, Abdullah Alanazi, A. Thirunavukkarasu, Nasser Saleh Alriwely, M. M. Alrais, Alreem Barghash S. Alruwaili, Mona Saleh Alnosairi, Amnah Ibrahim E. Alsirhani

Frontiers in Public Health, 2025

406 participants · 16 citations

Abstract

Background and aim The global healthcare system acknowledged the crucial role of disease knowledge in health outcomes and improving quality of life among patients with chronic disease. A lack of adequate knowledge and understanding of hypertension, its symptoms, and available treatments can lead to poor treatment outcomes. The present study aimed to determine the level of hypertension knowledge and associated factors among hypertensive patients. Furthermore, we evaluated the correlation between levels of knowledge and medication adherence among them. Methods The present study was carried out among 406 hypertensive patients attending different primary health centers in Hafr Al Batin, Saudi Arabia. Participants’ hypertension-related knowledge was evaluated using the validated hypertension knowledge–level scale, and adherence practice was evaluated using the medication adherence and refill scale. We categorized the knowledge score into low, medium, and high, according to Bloom’s criteria. We applied Spearman’s correlation test to find the strength and direction of the correlation between hypertension-related knowledge and medication adherence. Furthermore, we used binomial logistic regression analysis to find the associated factors of the low hypertension-related knowledge among the patients. Results Of the studied patients, only 10.3% demonstrated a high level of knowledge, and the highest knowledge levels were observed in the domains of complications ( x¯ = 4.39, standard…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 406 participants or records.

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