Assessing the level of Knowledge and Awareness Regarding Hypertension Screening Among Adults aged 35 years and above in Makueni County, Kenya

Authors

  • Onyango Jackline Atieno Kenyatta University
  • Jacob Masika Kenyatta University
  • Judy Mugo Kenyatta University

DOI:

https://doi.org/10.70619/vol6iss6pp1-11824

Keywords:

Hypertension, Screening, Knowledge and Awareness, Non-communicable diseases

Abstract

Hypertension is a major public health challenge globally and a leading risk factor for cardiovascular diseases, stroke, and premature mortality. This study assessed the level of knowledge and awareness regarding hypertension screening among adults aged 35 years and above in Makueni County. A descriptive cross-sectional study design was employed. The study targeted adults aged 35 years and above attending selected health facilities in Makueni County. Purposive sampling was used to select the health facilities included in the study. Data were collected using a structured questionnaire consisting of closed-ended questions to ensure consistency and ease of analysis. The questionnaire captured socio-demographic characteristics, sources of information regarding hypertension screening, and respondents’ knowledge of hypertension risk factors. Data were analyzed using descriptive statistics to summarize frequencies and percentages. The findings indicated that mass media played a significant role in disseminating information about hypertension screening. Television and radio programs were the most commonly reported sources of information, cited by 28% of respondents, demonstrating the importance of mass media in promoting public health awareness. Regarding knowledge of risk factors, physical inactivity or a sedentary lifestyle was the most frequently identified factor, reported by 20% of respondents. Other recognized risk factors included smoking, unhealthy dietary practices, and excessive alcohol consumption. Overall, the results suggest that adults aged 35 years and above in Makueni County have a moderate level of awareness of lifestyle-related risk factors associated with hypertension. The study concludes that although a moderate level of awareness of hypertension risk factors exists among adults in Makueni County, gaps in knowledge and awareness of screening practices remain. Strengthening community-based health education programs and expanding access to routine hypertension screening services are, therefore, essential.

Author Biographies

Onyango Jackline Atieno, Kenyatta University

Department of Family Medicine, Community Health and Epidemiology

Jacob Masika, Kenyatta University

Department of Medical Physiology

Judy Mugo, Kenyatta University

Department of Family Medicine, Community Health and Epidemiology

References

Alhazmi, A., Moafa, H. N., Kotb, M., Sayegh, L., Baydhi, H., Hazzazi, A., ... & Hakami, A. (2024). Assessing knowledge about hypertension and identifying predictors of inadequate knowledge in Saudi Arabia: A cross-sectional study. PloS one, 19(3), e0299745.

Ataklte, F., Erqou, S., Kaptoge, S., Taye, B., Echouffo-Tcheugui, J. B., & Kengne, A. P. (2015). Burden of undiagnosed hypertension in sub-saharan Africa: a systematic review and meta-analysis. Hypertension, 65(2), 291-298.

Blue, S., Shove, E., Carmona, C., & Kelly, M. P. (2016). Theories of practice and public health: understanding (un) healthy practices. Critical public health, 26(1), 36-50.

Budreviciute, A., Damiati, S., Sabir, D. K., Onder, K., Schuller-Goetzburg, P., Plakys, G., ... &Kodzius, R. (2020). Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Frontiers in public health, 8, 574111.

Burlacu, A., Kuwabara, M., Brinza, C., &Kanbay, M. (2025). Key updates to the 2024 ESC hypertension guidelines and future perspectives. Medicina, 61(2), 193.

Kario, K., Okura, A., Hoshide, S., & Mogi, M. (2024). The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertension Research, 47(5), 1099-1102.

Kimani, K. N., Murray, S. A., & Grant, L. (2018). Multidimensional needs of patients living and dying with heart failure in Kenya: a serial interview study. BMC palliative care, 17(1), 28.

Lauder, L., Weber, T., Böhm, M., Brouwers, S., Bruno, R. M., Gerdts, E., ... & Mahfoud, F. (2025). European guidelines for hypertension in 2024: a comparison of key recommendations for clinical practice. Nature Reviews Cardiology, 22(9), 675-688.

Liu, J. (2025). Highlights of the 2024 Chinese hypertension guidelines. Hypertension Research, 48(3), 1048-1053.

Mbogori, T., Kimmel, K., Zhang, M., Kandiah, J., & Wang, Y. (2020). Nutrition transition and double burden of malnutrition in Africa: a case study of four selected countries with different social economic development. AIMS Public Health, 7(3), 425.

Mendis, S. B., Raymont, V., &Tabet, N. (2021). Bilingualism: a global public health strategy for healthy cognitive aging. Frontiers in Neurology, 12, 628368.

Mills, K. L., Goddings, A. L., Herting, M. M., Meuwese, R., Blakemore, S. J., Crone, E. A., ... &Tamnes, C. K. (2016). Structural brain development between childhood and adulthood: Convergence across four longitudinal samples. Neuroimage, 141, 273-281.

Ministry of Health (2023). World Hypertension Day. https://www.health.go.ke/node/433

Mohamed, S. F., Mutua, M. K., Wamai, R., Wekesah, F., Haregu, T., Juma, P., ... & Ogola, E. (2018). Prevalence, awareness, treatment and control of hypertension and their determinants: results from a national survey in Kenya. BMC public health, 18(Suppl 3), 1219.

Mungati, M., Manangazira, P., Takundwa, L., Gombe, N. T., Rusakaniko, S., & Tshimanga, M. (2014). Factors affecting diagnosis and management of hypertension in Mazowe District of Mashonaland Central Province in Zimbabwe: 2012. BMC cardiovascular disorders, 14(1), 102.

Piper, M. A., Evans, C. V., Burda, B. U., Margolis, K. L., O'Connor, E., & Whitlock, E. P. (2015). Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: a systematic review for the US Preventive Services Task Force. Annals of internal medicine, 162(3), 192-204.

Rea, C. J., Brady, T. M., Bundy, D. G., Heo, M., Faro, E., Giuliano, K., ... & Rinke, M. L. (2022). Pediatrician adherence to guidelines for diagnosis and management of high blood pressure. The Journal of pediatrics, 242, 12-17.

Wang, H. M., Chen, Y., Shen, Y. H., & Wang, X. M. (2024). Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model. World Journal of Clinical Cases, 12(15), 2578.

Downloads

Published

2026-06-06

How to Cite

Atieno, O. J., Masika, J. ., & Mugo, J. (2026). Assessing the level of Knowledge and Awareness Regarding Hypertension Screening Among Adults aged 35 years and above in Makueni County, Kenya. Journal of Medicine, Nursing and Public Health, 6(6), 1–11. https://doi.org/10.70619/vol6iss6pp1-11824

Issue

Section

Articles