Knowledge, attitudes, and practices related to hypertension among Sri Lankans: an online cross-sectional survey
Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is cruci...
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| Vydáno v: | BMC public health Ročník 25; číslo 1; s. 2376 - 11 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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London
BioMed Central
03.07.2025
BioMed Central Ltd Springer Nature B.V BMC |
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| ISSN: | 1471-2458, 1471-2458 |
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| Abstract | Background
Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management.
Methods
A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models.
Results
A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied—while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67–11.35,
p
< 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56–3.12,
p
< 0.001).
Conclusion
Despite Sri Lanka’s high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. |
|---|---|
| AbstractList | Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management.
A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models.
A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied-while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67-11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56-3.12, p < 0.001).
Despite Sri Lanka's high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management. A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models. A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied--while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67-11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56-3.12, p < 0.001). Despite Sri Lanka's high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management. Methods A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models. Results A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied--while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67-11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56-3.12, p < 0.001). Conclusion Despite Sri Lanka's high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. Keywords: Hypertension, Health literacy, Sri Lanka, Public health, Hypertension management Abstract Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management. Methods A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models. Results A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied—while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67–11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56–3.12, p < 0.001). Conclusion Despite Sri Lanka’s high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management.BACKGROUNDHypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management.A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models.METHODSA cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models.A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied-while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67-11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56-3.12, p < 0.001).RESULTSA total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied-while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67-11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56-3.12, p < 0.001).Despite Sri Lanka's high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations.CONCLUSIONDespite Sri Lanka's high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management. Methods A cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models. Results A total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied—while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67–11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56–3.12, p < 0.001). Conclusion Despite Sri Lanka’s high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. BackgroundHypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps in health literacy and suboptimal HTN management persist. Understanding knowledge, attitudes, and practices (KAP) in HTN is crucial for developing targeted public health interventions to improve awareness and management.MethodsA cross-sectional online survey was conducted among Sri Lankan adults from February to September 2024. Participants were recruited via social media, and data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of HTN, attitudes toward prevention and treatment, and health-related practices. Knowledge scores were analysed using descriptive statistics, chi-square tests, ANOVA, and regression models.ResultsA total of 2,013 participants were included, with 47% diagnosed with HTN. The mean knowledge score was 57 ± 20%, with 36% of respondents scoring below 50%. Awareness of risk factors varied—while 78% recognized excessive salt intake, only 40% identified alcohol consumption as a risk factor. Knowledge of HTN consequences was uneven; 87% identified heart disease, but only 31% recognized eye disease as a complication. Urban residents and those with higher education and income had significantly better knowledge scores, while misconceptions about HTN, such as water intake being a risk factor (21%), were prevalent. Attitudes toward HTN management were generally positive, with 81% recognizing the importance of treatment adherence, though only 48% acknowledged weight loss as a preventive measure. Regular blood pressure monitoring was reported by 81%, with individuals diagnosed with HTN being 7.3 times more likely to check their BP regularly (OR: 7.28, 95% CI: 4.67–11.35, p < 0.001). Salt reduction practices were influenced by socioeconomic factors, with urban residents being 2.2 times more likely to add salt (OR: 2.21, 95% CI: 1.56–3.12, p < 0.001).ConclusionDespite Sri Lanka’s high general literacy, significant gaps exist in HTN knowledge and practices. Public health strategies should focus on improving health literacy, addressing misconceptions, and promoting behavioural change through targeted interventions, particularly among socioeconomically disadvantaged populations. |
| ArticleNumber | 2376 |
| Audience | Academic |
| Author | Perera, Thilina Liyanage, Sandamini Silva, Minollie Webb, David J. Ranasinghe, Priyanga Weerasekara, Pumudu Manchanayake, Minura |
| Author_xml | – sequence: 1 givenname: Priyanga orcidid: 0000-0002-1522-9276 surname: Ranasinghe fullname: Ranasinghe, Priyanga email: priyanga@pharm.cmb.ac.lk organization: Department of Pharmacology, Faculty of Medicine, University of Colombo, University/British Heart Foundation Centre for Cardiovascular Science, The University of Edinburgh – sequence: 2 givenname: Pumudu orcidid: 0000-0001-7879-9439 surname: Weerasekara fullname: Weerasekara, Pumudu organization: Department of Pharmacology, Faculty of Medicine, University of Colombo – sequence: 3 givenname: Minura orcidid: 0000-0003-3383-512X surname: Manchanayake fullname: Manchanayake, Minura organization: Department of Pharmacology, Faculty of Medicine, University of Colombo – sequence: 4 givenname: Sandamini orcidid: 0009-0007-8328-6997 surname: Liyanage fullname: Liyanage, Sandamini organization: Department of Pharmacology, Faculty of Medicine, University of Colombo – sequence: 5 givenname: Thilina orcidid: 0000-0001-7809-5116 surname: Perera fullname: Perera, Thilina organization: Department of Pharmacology, Faculty of Medicine, University of Colombo – sequence: 6 givenname: Minollie orcidid: 0000-0003-4855-4435 surname: Silva fullname: Silva, Minollie organization: Department of Pharmacology, Faculty of Medicine, University of Colombo – sequence: 7 givenname: David J. orcidid: 0000-0003-0755-1756 surname: Webb fullname: Webb, David J. organization: University/British Heart Foundation Centre for Cardiovascular Science, The University of Edinburgh |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40610998$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
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| Keywords | Hypertension Health literacy Sri Lanka Public health Hypertension management |
| Language | English |
| License | 2025. The Author(s). Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
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Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general... Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general literacy, gaps... Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general... BackgroundHypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high general... Abstract Background Hypertension (HTN) is a major public health issue in Sri Lanka, influenced by genetic predisposition and lifestyle factors. Despite high... |
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| SubjectTerms | Adult Aged At risk populations Attitudes Biostatistics Blood pressure Cardiovascular diseases Care and treatment Chi-square test Chronic illnesses Cross-Sectional Studies Data collection Education Environmental Health Epidemiology Eye diseases Female Health attitudes Health education Health Knowledge, Attitudes, Practice Health Literacy Health promotion Heart diseases Humans Hypertension Hypertension - prevention & control Hypertension - psychology Hypertension - therapy Hypertension management Knowledge Literacy Male Medicine Medicine & Public Health Middle Aged Population Public Health Questionnaires Regression analysis Regression models Risk factors Salts Social networks Socioeconomic factors Socioeconomics Sri Lanka Sri Lanka - epidemiology Statistical tests Surveys Surveys and Questionnaires Vaccine Variance analysis Water intake Water intakes Weight loss Young Adult |
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| Title | Knowledge, attitudes, and practices related to hypertension among Sri Lankans: an online cross-sectional survey |
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