Hypertension, knowledge, attitudes, and practices of primary care physicians in Ulaanbaatar, Mongolia

Myanganbayar, Maral; Baatarsuren, Uurtsaikh; Chen, Guanmin; Bosurgi, Roberta; So, Geoffrey; Campbell, Norm R.C.; Erdenebileg, Nasantogtokh; Ganbaatar, Khulan; Magsarjav, Purevjargal; Batsukh, Manduukhai; Munkherdene, Tsatsralgerel; Unurjargal, Tsolmon; Dashtseren, Myagmartseren; Tserengombo, Namkhaidorj; Batsukh, Batbold; Bungert, Andreas; Dashdorj, Naranbaatar; Dashdorj, Naranjargal

doi:10.1111/jch.13320

Cited by 9 publications

(25 citation statements)

References 11 publications

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“…A KAP survey questionnaire, originally designed by the WHL, was distributed to eight districts involving 138 primary healthcare centers in Ulaanbaatar, Mongolia (population over 1.3 million) . The survey was previously pilot tested with over 20 healthcare professionals in five primary healthcare centers of two distinct districts to assess their ability to understand the questions and the length of time it took them to complete the survey.…”

Section: Methodsmentioning

confidence: 99%

“…The WHL survey design was based on the confidence conviction model . Components of the questionnaire included general characteristics of respondents (six questions), knowledge of hypertension and the 2010 Mongolian hypertension guidelines (16 questions), attitudes (five questions), and practices (14 questions) toward hypertension management, as well as hypertension management priorities (seven questions) and confidence (three questions).…”

Section: Methodsmentioning

confidence: 99%

“…Better Hearts Better Cities is a global initiative by the Novartis Foundation to improve hypertension control and management in low‐income urban settings . In 2016, Better Hearts Better Cities initiated an intervention in Ulaanbaatar, the capital city of Mongolia …”

Section: Introductionmentioning

confidence: 99%

“…The WHL recently developed a novel hypertension KAP survey to comprehensively evaluate hypertension management at the primary care level and including the core WHO interventions . Previously, we have reported results of a modified version of the WHL KAP survey, examining physicians from primary healthcare centers in Ulaanbaatar . Overall, knowledge of hypertension clinical practice, confidence in managing hypertension, and specific clinical practices were suboptimal but physicians prioritized and had a positive attitude toward hypertension management in their clinics …”

Section: Introductionmentioning

confidence: 99%

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Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia

Myanganbayar¹,

Baatarsuren²,

Chen

et al. 2019

J of Clinical Hypertension

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Increased blood pressure is a leading risk for death globally, and interventions to enhance hypertension control have become a high priority. An important aspect of clinical interventions is understanding the knowledge, attitudes, and practices (KAP) of differing primary healthcare practitioners. We examined KAP surveys from 803 primary care practitioners in Ulaanbaatar, Mongolia (response rate 80%), using a comprehensive KAP survey developed by the World Hypertension League (WHL). The WHL KAP survey uniquely includes an assessment of key World Health Organization recommended interventions to enhance hypertension control. There were few substantive differences between healthcare professional disciplines. Primary care practitioners mostly had a positive attitude toward hypertension management. However, confidence and practice in performing specific tasks to control hypertension were suboptimal. A low proportion indicated they systematically screened adults for hypertension and many were not aware of the need to or were confident in prescribing more than two antihypertensive medications. It was the practice of a high proportion of doctors to not pharmacologically treat most people with hypertension who were at high cardiovascular risk. There was a reluctance by physicians to task share hypertension diagnosis, drug prescribing and assessing cardiovascular risk to nurses. The minority of health care professions use a hypertension management algorithm, and few have patient registries with performance reporting functions. There were few substantive differences based on the age, gender, and years of clinical practice of the practitioners. The study findings support the need for standardized education and training of primary care practitioners in Ulaanbaatar to enhance hypertension control.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia

Myanganbayar¹,

Baatarsuren²,

Chen

et al. 2019

J of Clinical Hypertension

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“…8 Furthermore, new hypertension guidelines were published in 2018 from the Ministry of Health, Mongolia, which changed the threshold of hypertension from 140/90 to 130/80 mm Hg to match that published in 2017 by the American Heart Association (AHA), and the results of past surveys are no longer applicable when using this new definition. 11,12 A multisectoral hypertension control program designed along the lines of the World Health Organization HEARTS program has been developed and is currently being launched. 10 BHBC has also reported the baseline knowledge, attitudes, and practices (KAP) of health care professionals.…”

Section: Introductionmentioning

confidence: 99%

Hypertension prevalence and control in Ulaanbaatar, Mongolia

Potts

Baatarsuren²,

Myanganbayar³

et al. 2020

J of Clinical Hypertension

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This study examines the prevalence, awareness, treatment, and control of hypertension in Ulaanbaatar, Mongolia, using both the American Heart Association and conventional thresholds (130/80 and 140/90 mm Hg, respectively). In this randomized cross-sectional study, two-stage cluster sampling was used to obtain a sample of 4515 individuals aged ≥20 years. Hypertension was defined by the use of antihypertensives in the last 2 weeks or a blood pressure at or above the thresholds of 140/90 and 130/80 mm Hg. The mean age of the participants was 41.1 ± 14.0 years and 54.5% were women. Hypertension prevalence was 25.6% (using 140/90 mm Hg) and 46.5% (using 130/80 mm Hg). Prevalence increased with age and below 50 years men were consistently more likely to be hypertensive. Among hypertensive participants, the rates of awareness, treatment, and control were 69.7%, 46.8%, and 24.0% (using 140/90 mm Hg) and 49.1%, 25.8%, and 6.4% (using 130/80 mm Hg, respectively).Men had lower rates of awareness, treatment, and control compared with women, with the most pronounced differences at younger ages. This study shows that awareness, treatment, and control rates in Ulaanbaatar are better than in most low-and middle-income countries but are still suboptimal. The largest "care gap" was in young men where a regulatory requirement for annual workplace blood pressure screening has the potential to enhance care. A major hypertension control program has just been initiated in Ulaanbaatar.

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The impact of knowledge, attitudes, and practices on hypertension Control and associated Comorbidities among workers of a beverage company in Bangladesh

Saleh,

Rahman,

Mashreky

2024

Preprint

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Hypertension is well known globally as a major health issue because of its high magnitude and further complications of cardiovascular and kidney diseases. Bangladesh has witnessed a gradual epidemiological transition where communicable diseases especially the chronic ones are dominating including the rural area where people have least access to the health care services. As is evident from aforementioned complications, hypertension if not well managed, equally has dire consequences hence calls early diagnosis and intervention. Consequently, hypertension prevalence in low-income countries rises due to certain lifestyle aspects; for instance, Afghanistan. In regard to this, Knowledge, Attitude, and Practice (KAP) questionnaires facilitate in assessing gaps in the approach toward managing hypertension. The same issues are seen in Benin: China, Egypt: Ethiopia, Ghana: India: Iran, Lebanon, Malaysia: and Mongolia where the government acknowledges that solutions should be specific to increase awareness, act on lifestyle factors, and therapy compliance. Thus, management of hypertension must address general approaches to reducing the burden of hypertension and its effects on the affected individuals and healthcare facilities across the world.

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Hypertension, knowledge, attitudes, and practices of primary care physicians in Ulaanbaatar, Mongolia

Cited by 9 publications

References 11 publications

Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia

Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia

Hypertension prevalence and control in Ulaanbaatar, Mongolia

The impact of knowledge, attitudes, and practices on hypertension Control and associated Comorbidities among workers of a beverage company in Bangladesh

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