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2016 ; 11
(6
): e0156336
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gab.com Text
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English Wikipedia
Knowledge, Attitudes, and Practices Associated with Chronic Kidney Disease in
Northern Tanzania: A Community-Based Study
#MMPMID27280584
Stanifer JW
; Turner EL
; Egger JR
; Thielman N
; Karia F
; Maro V
; Kilonzo K
; Patel UD
; Yeates K
PLoS One
2016[]; 11
(6
): e0156336
PMID27280584
show ga
BACKGROUND: 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. METHODS: 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. RESULTS: 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%). CONCLUSIONS: 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.
|*Health Knowledge, Attitudes, Practice
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Cross-Sectional Studies
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Medicine, Traditional
[MESH]
|Middle Aged
[MESH]
|Renal Insufficiency, Chronic/*epidemiology/*prevention & control
[MESH]
|Rural Population/*statistics & numerical data
[MESH]
|Surveys and Questionnaires
[MESH]
|Tanzania/epidemiology
[MESH]
|Urban Population/*statistics & numerical data
[MESH]