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Knowledge, Attitudes, and Practices Associated with Chronic Kidney Disease in Northern Tanzania: A Community-Based Study
Non-communicable diseases (NCDs) are a leading cause of death among adults in sub-Saharan Africa, and chronic kidney disease (CKD) is a growing public health threat. Understanding knowledge, attitudes, and practices associated with NCDs is vital to informing optimal policy and public health response...
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| Published in: | PloS one 2016-06, Vol.11 (6), p.e0156336-e0156336 |
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| creator | Stanifer, John W Turner, Elizabeth L Egger, Joseph R Thielman, Nathan Karia, Francis Maro, Venance Kilonzo, Kajiru Patel, Uptal D Yeates, Karen |
| description | Non-communicable diseases (NCDs) are a leading cause of death among adults in sub-Saharan Africa, and chronic kidney disease (CKD) is a growing public health threat. Understanding knowledge, attitudes, and practices associated with NCDs is vital to informing optimal policy and public health responses in the region, but few community-based assessments have been performed for CKD. To address this gap, we conducted a cross-sectional survey of adults in northern Tanzania using a validated instrument.
Between January and June 2014, we administered a structured survey to a random sample of adults from urban and rural communities. The validated instrument consisted of 25 items designed to measure knowledge, attitudes, and practices associated with kidney disease. Participants were also screened for CKD, diabetes, hypertension, and human immunodeficiency virus.
We enrolled 606 participants from 431 urban and rural households. Knowledge of the etiologies, symptoms, and treatments for kidney disease was low (mean score 3.28 out of 10; 95% CI 2.94, 3.63). There were no significant differences by CKD status. Living in an urban setting and level of education had the strongest independent associations with knowledge score. Attitudes were characterized by frequent concern about the health (27.3%; 20.2, 36.0%), economic (73.1%; 68.2, 77.5%), and social impact (25.4%; 18.6, 33.6%) of kidney disease. Practices included the use of traditional healers (15.2%; 9.1, 24.5%) and traditional medicines (33.8%; 25.0, 43.9%) for treatment of kidney disease as well as a willingness to engage with mobile-phone technology in CKD care (94.3%; 90.1, 96.8%).
Community-based adults in northern Tanzania have limited knowledge of kidney disease. However, there is a modest knowledge base upon which to build public health programs to expand awareness and understanding of CKD, but these programs must also consider the variety of means by which adults in this population meet their healthcare needs. Finally, our assessment of local attitudes suggested that such public health efforts would be well-received. |
| doi_str_mv | 10.1371/journal.pone.0156336 |
| format | article |
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Between January and June 2014, we administered a structured survey to a random sample of adults from urban and rural communities. The validated instrument consisted of 25 items designed to measure knowledge, attitudes, and practices associated with kidney disease. Participants were also screened for CKD, diabetes, hypertension, and human immunodeficiency virus.
We enrolled 606 participants from 431 urban and rural households. Knowledge of the etiologies, symptoms, and treatments for kidney disease was low (mean score 3.28 out of 10; 95% CI 2.94, 3.63). There were no significant differences by CKD status. Living in an urban setting and level of education had the strongest independent associations with knowledge score. Attitudes were characterized by frequent concern about the health (27.3%; 20.2, 36.0%), economic (73.1%; 68.2, 77.5%), and social impact (25.4%; 18.6, 33.6%) of kidney disease. Practices included the use of traditional healers (15.2%; 9.1, 24.5%) and traditional medicines (33.8%; 25.0, 43.9%) for treatment of kidney disease as well as a willingness to engage with mobile-phone technology in CKD care (94.3%; 90.1, 96.8%).
Community-based adults in northern Tanzania have limited knowledge of kidney disease. However, there is a modest knowledge base upon which to build public health programs to expand awareness and understanding of CKD, but these programs must also consider the variety of means by which adults in this population meet their healthcare needs. Finally, our assessment of local attitudes suggested that such public health efforts would be well-received.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0156336</identifier><identifier>PMID: 27280584</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Adults ; African languages ; African literature ; Attitudes ; Biology and Life Sciences ; Blood pressure ; Chronic illnesses ; Chronic kidney failure ; Community ; Cross-Sectional Studies ; Demographic aspects ; Diabetes ; Diabetes mellitus ; Disease control ; Epidemiology ; Etiology ; Female ; Health aspects ; Health attitudes ; Health care ; Health education ; Health Knowledge, Attitudes, Practice ; Health risks ; Herbal medicine ; HIV ; Households ; Human immunodeficiency virus ; Humans ; Hypertension ; Impact analysis ; Kidney diseases ; Knowledge ; Knowledge base ; Male ; Medical treatment ; Medicine and Health Sciences ; Medicine, Traditional ; Middle Aged ; Nephrology ; People and Places ; Public health ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - prevention & control ; Risk factors ; Rural areas ; Rural communities ; Rural Population - statistics & numerical data ; Social aspects ; Social impact ; Surveys and Questionnaires ; Systematic review ; Tanzania - epidemiology ; Urban Population - statistics & numerical data ; Viruses ; Young Adult</subject><ispartof>PloS one, 2016-06, Vol.11 (6), p.e0156336-e0156336</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Stanifer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Stanifer et al 2016 Stanifer et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-2296a0c518043e6f651b5e7aedd19062ac74c6b95812f4b3d9672d5e95e7b3aa3</citedby><cites>FETCH-LOGICAL-c725t-2296a0c518043e6f651b5e7aedd19062ac74c6b95812f4b3d9672d5e95e7b3aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1795489655/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1795489655?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,25783,27957,27958,37047,37048,44625,53827,53829,75483</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27280584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Nugent, Rachel A.</contributor><creatorcontrib>Stanifer, John W</creatorcontrib><creatorcontrib>Turner, Elizabeth L</creatorcontrib><creatorcontrib>Egger, Joseph R</creatorcontrib><creatorcontrib>Thielman, Nathan</creatorcontrib><creatorcontrib>Karia, Francis</creatorcontrib><creatorcontrib>Maro, Venance</creatorcontrib><creatorcontrib>Kilonzo, Kajiru</creatorcontrib><creatorcontrib>Patel, Uptal D</creatorcontrib><creatorcontrib>Yeates, Karen</creatorcontrib><title>Knowledge, Attitudes, and Practices Associated with Chronic Kidney Disease in Northern Tanzania: A Community-Based Study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Non-communicable diseases (NCDs) are a leading cause of death among adults in sub-Saharan Africa, and chronic kidney disease (CKD) is a growing public health threat. Understanding knowledge, attitudes, and practices associated with NCDs is vital to informing optimal policy and public health responses in the region, but few community-based assessments have been performed for CKD. To address this gap, we conducted a cross-sectional survey of adults in northern Tanzania using a validated instrument.
Between January and June 2014, we administered a structured survey to a random sample of adults from urban and rural communities. The validated instrument consisted of 25 items designed to measure knowledge, attitudes, and practices associated with kidney disease. Participants were also screened for CKD, diabetes, hypertension, and human immunodeficiency virus.
We enrolled 606 participants from 431 urban and rural households. Knowledge of the etiologies, symptoms, and treatments for kidney disease was low (mean score 3.28 out of 10; 95% CI 2.94, 3.63). There were no significant differences by CKD status. Living in an urban setting and level of education had the strongest independent associations with knowledge score. Attitudes were characterized by frequent concern about the health (27.3%; 20.2, 36.0%), economic (73.1%; 68.2, 77.5%), and social impact (25.4%; 18.6, 33.6%) of kidney disease. Practices included the use of traditional healers (15.2%; 9.1, 24.5%) and traditional medicines (33.8%; 25.0, 43.9%) for treatment of kidney disease as well as a willingness to engage with mobile-phone technology in CKD care (94.3%; 90.1, 96.8%).
Community-based adults in northern Tanzania have limited knowledge of kidney disease. However, there is a modest knowledge base upon which to build public health programs to expand awareness and understanding of CKD, but these programs must also consider the variety of means by which adults in this population meet their healthcare needs. Finally, our assessment of local attitudes suggested that such public health efforts would be well-received.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>African languages</subject><subject>African literature</subject><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Chronic illnesses</subject><subject>Chronic kidney failure</subject><subject>Community</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Disease control</subject><subject>Epidemiology</subject><subject>Etiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health attitudes</subject><subject>Health care</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health risks</subject><subject>Herbal medicine</subject><subject>HIV</subject><subject>Households</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Impact analysis</subject><subject>Kidney diseases</subject><subject>Knowledge</subject><subject>Knowledge base</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Traditional</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>People and Places</subject><subject>Public health</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - prevention & control</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Rural Population - statistics & numerical data</subject><subject>Social aspects</subject><subject>Social impact</subject><subject>Surveys and Questionnaires</subject><subject>Systematic 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Northern Tanzania: A Community-Based Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-06-09</date><risdate>2016</risdate><volume>11</volume><issue>6</issue><spage>e0156336</spage><epage>e0156336</epage><pages>e0156336-e0156336</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Competing Interests: The authors have declared that no competing interests exist.</notes><notes>Conceived and designed the experiments: JWS NT FK VM UPD. Performed the experiments: JWS FK VM. Analyzed the data: JWS ELT JRE NT FK VM KK UPD KY. Wrote the paper: JWS ELT JRE NT FK VM KK UPD KY.</notes><abstract>Non-communicable diseases (NCDs) are a leading cause of death among adults in sub-Saharan Africa, and chronic kidney disease (CKD) is a growing public health threat. Understanding knowledge, attitudes, and practices associated with NCDs is vital to informing optimal policy and public health responses in the region, but few community-based assessments have been performed for CKD. To address this gap, we conducted a cross-sectional survey of adults in northern Tanzania using a validated instrument.
Between January and June 2014, we administered a structured survey to a random sample of adults from urban and rural communities. The validated instrument consisted of 25 items designed to measure knowledge, attitudes, and practices associated with kidney disease. Participants were also screened for CKD, diabetes, hypertension, and human immunodeficiency virus.
We enrolled 606 participants from 431 urban and rural households. Knowledge of the etiologies, symptoms, and treatments for kidney disease was low (mean score 3.28 out of 10; 95% CI 2.94, 3.63). There were no significant differences by CKD status. Living in an urban setting and level of education had the strongest independent associations with knowledge score. Attitudes were characterized by frequent concern about the health (27.3%; 20.2, 36.0%), economic (73.1%; 68.2, 77.5%), and social impact (25.4%; 18.6, 33.6%) of kidney disease. Practices included the use of traditional healers (15.2%; 9.1, 24.5%) and traditional medicines (33.8%; 25.0, 43.9%) for treatment of kidney disease as well as a willingness to engage with mobile-phone technology in CKD care (94.3%; 90.1, 96.8%).
Community-based adults in northern Tanzania have limited knowledge of kidney disease. However, there is a modest knowledge base upon which to build public health programs to expand awareness and understanding of CKD, but these programs must also consider the variety of means by which adults in this population meet their healthcare needs. Finally, our assessment of local attitudes suggested that such public health efforts would be well-received.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27280584</pmid><doi>10.1371/journal.pone.0156336</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-06, Vol.11 (6), p.e0156336-e0156336 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1795489655 |
| source | PubMed (Medline); Publicly Available Content Database |
| subjects | Adolescent Adult Adults African languages African literature Attitudes Biology and Life Sciences Blood pressure Chronic illnesses Chronic kidney failure Community Cross-Sectional Studies Demographic aspects Diabetes Diabetes mellitus Disease control Epidemiology Etiology Female Health aspects Health attitudes Health care Health education Health Knowledge, Attitudes, Practice Health risks Herbal medicine HIV Households Human immunodeficiency virus Humans Hypertension Impact analysis Kidney diseases Knowledge Knowledge base Male Medical treatment Medicine and Health Sciences Medicine, Traditional Middle Aged Nephrology People and Places Public health Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - prevention & control Risk factors Rural areas Rural communities Rural Population - statistics & numerical data Social aspects Social impact Surveys and Questionnaires Systematic review Tanzania - epidemiology Urban Population - statistics & numerical data Viruses Young Adult |
| title | Knowledge, Attitudes, and Practices Associated with Chronic Kidney Disease in Northern Tanzania: A Community-Based Study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T20%3A07%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Knowledge,%20Attitudes,%20and%20Practices%20Associated%20with%20Chronic%20Kidney%20Disease%20in%20Northern%20Tanzania:%20A%20Community-Based%20Study&rft.jtitle=PloS%20one&rft.au=Stanifer,%20John%20W&rft.date=2016-06-09&rft.volume=11&rft.issue=6&rft.spage=e0156336&rft.epage=e0156336&rft.pages=e0156336-e0156336&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0156336&rft_dat=%3Cgale_plos_%3EA454673977%3C/gale_plos_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c725t-2296a0c518043e6f651b5e7aedd19062ac74c6b95812f4b3d9672d5e95e7b3aa3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1795489655&rft_id=info:pmid/27280584&rft_galeid=A454673977&rfr_iscdi=true |