Knowledge, Attitude and Practices Regarding Prehypertension among the People Residing in Kisangani, Democratic Republic of Congo

Abstract

Prehypertension (PHTN) is a public health issue in the Democratic Republic of Congo. The objective of this study was to assess the level of knowledge, attitudes, and practices of the population of Kisangani regarding this condition. A cross-sectional analytical study was conducted in Kisangani from March 1 to December 31, 2024, involving 385 respondents. Respondents had to be consenting, aged 18 or older, and residents of Kisangani. The study used descriptive statistics (means, percentages) to describe the sample. More advanced analyses (logistic regression) were then conducted to identify factors associated with poor knowledge and practices. The results were expressed as odds ratios with a statistical significance threshold of p < 0.05. The results indicate that the population of Kisangani is unaware of PHTN, underestimates its dangers, and neglects preventive and follow-up behaviours. Factors associated with poor knowledge of PHTN were male gender [AOR: 2.4 (1.4-4.4); CI= 95%, p= 0.003], lack of formal education [AOR= 2.8 (1.4-5.5); CI= 95%, p= 0.003], and advanced age (over 60) [AOR: 1.7 (1.1-2.7); CI= 95%, p= 0.001], while those associated with poor attitudes and practices were limited perception of the severity of PHTA [AOR: 2.2 (1.2-3.8); CI= 95%, p= 0.001] and poor knowledge of PHTN [AOR: 3.5 (2.5-4.7); CI= 95%, p=< 0.001]. The level of knowledge, attitudes, and practices of the Kisangani population regarding PHTN was generally insufficient. This study confirms that poor knowledge of PHTA is a major obstacle to its prevention and management in Kisangani. Targeted awareness campaigns are urgently needed to highlight the seriousness of this condition and promote healthy behaviours.