Determinants of knowledge, attitude, and practice towards risk factors and prevention of chronic kidney disease among adults in Dodoma, Tanzania: A cross-sectional study

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-06-06 DOI:10.1016/j.ijans.2026.101113

Shakary K. Visent , Emmanuel M. Sindato , James J. Yahaya

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引用次数: 0

Abstract

Introduction

Improving knowledge, attitude, and practice (KAP) towards risk factors and prevention of chronic kidney disease (CKD) helps early detection, and reduces mortality.

Aim of the study

This study aimed to assess the levels of KAP and their determinants towards risk factors and prevention of CKD.

Methodology

A cross-sectional analytical community-based study was conducted among 217 adults in Dodoma region, Tanzania from June to November 2022. Data collection was done using a questionnaire which consisted of 35 questions for assessing the KAP domains. Modified Bloom's cut-off level of >75% was used to categorize participant's KAP into good or positive and poor. The determinants of knowledge, attitude, and practice were assessed using binary logistic regression analysis.

Results

The overall levels of good knowledge, attitude, and practices was 54.8% (98/217), 69.1% (150/217), and 35.9% (78/217), respectively. Being a male (aOR = 2.01, 95% CI = 1.059–3.795, p = 0.033), having secondary school education (aOR = 1.45, 95% CI = 1.436–3.048, p = 0.023, and residing in urban areas (aOR = 1.31, 95% CI = 1.275–2.968, p = 0.041) were the determinants of good knowledge. Also, having secondary school (aOR = 1.96, 95% CI = 1.956–5.498, p = 0.001), having tertiary education (aOR = 1.76, 95% CI = 1.62–10.948, p = 0.046), and having good knowledge (aOR = 1.47, 95% CI = 1.370–7.515, p < 0.001) were the determinants of positive attitude. Being employed (aOR = 1.37, 95% CI = 1.237–5.407, p = 0.046) and having good knowledge (aOR = 1.38, 95% CI = 1.580–9.289, p = 0.002) were the determinants of good practice towards risk factors and prevention of CKD.

Conclusion

This study has shown high level of good attitude, moderate level of good knowledge, and low level of good practice towards risk factors and prevention of CKD. These findings indicate that there is a need of improving good practices of individuals in Tanzanian communities towards prevention of CKD.

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坦桑尼亚多马成年人对危险因素和慢性肾病预防的知识、态度和行为的决定因素：一项横断面研究

提高对危险因素和预防慢性肾脏疾病（CKD）的知识、态度和实践（KAP）有助于早期发现并降低死亡率。本研究旨在评估KAP水平及其对CKD危险因素和预防的决定因素。方法于2022年6月至11月对坦桑尼亚多马地区的217名成年人进行了一项基于社区的横断面分析研究。数据收集使用一份由35个问题组成的问卷来评估KAP领域。修正的Bloom’s cut-off水平为75%，用于将参与者的KAP分为好、正、差。使用二元逻辑回归分析评估知识、态度和实践的决定因素。结果良好知识、态度和行为的总体水平分别为54.8%（98/217）、69.1%（150/217）和35.9%（78/217）。男性（aOR = 2.01, 95% CI = 1.059 ~ 3.795, p = 0.033）、受过中等教育（aOR = 1.45, 95% CI = 1.436 ~ 3.048, p = 0.023）和居住在城市（aOR = 1.31, 95% CI = 1.275 ~ 2.968, p = 0.041）是良好知识的决定因素。此外，中学学历（aOR = 1.96, 95% CI = 1.956 ~ 5.498, p = 0.001）、高等教育学历（aOR = 1.76, 95% CI = 1.62 ~ 10.948, p = 0.046）和良好的知识（aOR = 1.47, 95% CI = 1.370 ~ 7.515, p < 0.001）是积极态度的决定因素。有工作（aOR = 1.37, 95% CI = 1.237 ~ 5.407, p = 0.046）和有良好的知识（aOR = 1.38, 95% CI = 1.580 ~ 9.289, p = 0.002）是对CKD危险因素和预防良好行为的决定因素。结论本研究显示对CKD危险因素和预防的良好态度水平高，良好知识水平中等，良好行为水平低。这些发现表明，有必要改善坦桑尼亚社区个人预防慢性肾病的良好做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.