Level of Knowledge about Hypertension among Older Adults in Relation to Age, Sex, and Educational Attainment: A Descriptive Study
Main Article Content
Andro Ruben Runtu
Meilita Enggune
Lyvenda Inri Lengkong
Fransiska Kristiningsih
Background: Hypertension is a common degenerative condition among older adults and is frequently under-recognized because of its typically asymptomatic course. Adequate knowledge is a prerequisite for effective self-management and preventive behavior, yet many community-dwelling older adults in Indonesia have limited understanding of the condition. This study aimed to describe the level of knowledge about hypertension among older adults in Kelurahan Tinoor Satu, within the working area of Tinoor Community Health Center, Tomohon City, Indonesia, together with their sociodemographic profile of age, sex, and educational attainment.
Methods: A descriptive quantitative design with a cross-sectional approach was used. A purposive sample of 103 older adults was drawn from a population of 138 residents. Data were collected using a modified 28-item closed-ended questionnaire, adapted from Aspuah (2013), scored on a Guttman scale and categorized as good (18-28 correct), sufficient (9-17), or poor (0-8) knowledge, then analyzed univariately using frequencies and percentages. Ethical approval was obtained from the Health Research Ethics Committee of STIKes Bethesda Tomohon.
Results: Most respondents were aged 60-74 years (76.7%), female (57.3%), and had completed only primary school (48.5%). Regarding knowledge, 75.7% had sufficient knowledge, 20.4% had good knowledge, and 3.9% had poor knowledge about hypertension.
Conclusion: Knowledge about hypertension among older adults in this community was predominantly sufficient, coinciding with a generally low educational profile. These findings indicate a continuing need for structured, literacy-appropriate health education delivered through community health programs, such as the elderly integrated health post, to improve hypertension-related knowledge in this population
Anitha. (2021). Hubungan tingkat pengetahuan lansia terhadap penatalaksanaan hipertensi [The relationship between elderly knowledge level and hypertension management]. Neliti. https://www.neliti.com/publications/468742/hubungan-tingkat-pengetahuan-lansia-terhadap-penatalaksanaan-hipertensi
Ariyanti, R., et al. (2020). Edukasi kesehatan dalam upaya pencegahan dan pengendalian penyakit hipertensi pada lansia [Health education in the prevention and control of hypertension among the elderly]. Jurnal Tomaega, 3(2). https://www.ojs.unanda.ac.id/index.php/tomaega/article/view/369
Aspuah, S. (2013). Kumpulan kuesioner dan instrumen penelitian kesehatan [Collection of health research questionnaires and instruments]. Nuha Medika.
Astuti, R., et al. (2023). Keperawatan gerontik [Gerontological nursing]. Google Books.
Badan Pusat Statistik. (2019). Prevalensi tekanan darah tinggi menurut provinsi 2013–2018 [Prevalence of high blood pressure by province 2013–2018]. https://www.bps.go.id/indicator/30/1480/1/prevalensi-tekanan-darah-tinggi-menurut-provinsi.html
Badan Pusat Statistik. (2024). Persentase penduduk lanjut usia menurut provinsi dan jenis kelamin [Percentage of the elderly population by province and sex]. https://www.bps.go.id
Badan Pusat Statistik Kota Tomohon. (2024). Jumlah penduduk lanjut usia Kota Tomohon 2023 [Number of elderly residents of Tomohon City, 2023]. https://tomohonkota.bps.go.id
Damanik, S., & Hasian. (2019). Modul bahan ajar keperawatan gerontik [Gerontological nursing teaching module]. Universitas Kristen Indonesia Repository. http://repository.uki.ac.id/2742/
Delfriana, A., et al. (2022). Faktor-faktor yang menyebabkan hipertensi di Kelurahan Medan Tenggara [Factors causing hypertension in Kelurahan Medan Tenggara]. Jurnal Kesehatan Masyarakat, 10(3). https://ejournal3.undip.ac.id/index.php/jkm/article/
Elmiaty. (2022). Gambaran tingkat pengetahuan lansia hipertensi di Puskesmas Pugaan Kabupaten Tabalong [Overview of the knowledge level of hypertensive older adults at Pugaan Community Health Center, Tabalong Regency] [Undergraduate thesis, Universitas Lambung Mangkurat]. ULM Repository. https://repo-mhs.ulm.ac.id/handle/
Fachry, A. W. R. (2020). Hubungan antara tingkat pengetahuan diet hipertensi dengan derajat hipertensi pada lansia penderita hipertensi di wilayah kerja Puskesmas Junrejo [Undergraduate thesis, Universitas Islam Negeri Maulana Malik Ibrahim Malang]. http://etheses.uin-malang.ac.id/21914/
Fryar, C. D., Kit, B. K., Carroll, M. D., & Afful, J. (2024). Hypertension prevalence, awareness, treatment, and control among adults age 18 and older: United States, August 2021–August 2023 (NCHS Data Brief No. 511). National Center for Health Statistics. https://www.cdc.gov/nchs/products/databriefs/db511.htm
Gusty, R. P., Effendi, N., Abdullah, K. L., & Syafrita, Y. (2022). Association between knowledge and self-care adherence among elderly hypertensive patients in dwelling community. Open Access Macedonian Journal of Medical Sciences, 10(E), 206–212. https://doi.org/10.3889/oamjms.2022.8342
Kementerian Kesehatan Republik Indonesia. (2019). Prevalensi hipertensi di Indonesia [Hypertension prevalence in Indonesia]. https://p2tm.kemkes.go.id/tag/hari-hipertensi-dunia-2019-know-your-number-kendalikan-tekanan-darahmu-dengan-cerdik
Kementerian Kesehatan Republik Indonesia. (2023). Bagaimana cara mengendalikan penyakit hipertensi? [How to control hypertension?]. https://yankes.kemkes.go.id/view_artikel/2004/bagaimana-cara-mengendalikan-penyakit-hipertensi
Kristiana. (2022). Gambaran tingkat pengetahuan lansia tentang hipertensi di wilayah kerja Puskesmas Darit [Undergraduate thesis]. STIKM Pontianak Repository. https://repo.stikmuhptk.ac.id/jspui/
Kumoro, D. A., & Kumala, S. R. (2022). Gambaran tingkat pengetahuan lansia tentang diet hipertensi di Panti Werdha Wisma Mulia. Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia, 3(2). http://journal.universitaspahlawan.ac.id/index.php/jpdk/article/view/6201
Mancia, G., Kreutz, R., Brunström, M., Burnier, M., Grassi, G., Januszewicz, A., Muiesan, M. L., Tsioufis, K., Agabiti-Rosei, E., & Algharably, E. A. E. (2023). 2023 ESH guidelines for the management of arterial hypertension. Journal of Hypertension, 41(12), 1874–2071. https://doi.org/10.1097/HJH.0000000000003480
Minarti. (2022). Asuhan keperawatan lansia dengan spiritual well being [Nursing care for older adults with spiritual well-being]. Google Books.
Munawaroh. (2021). Konsep dasar pengetahuan [Basic concept of knowledge]. Universitas Muhammadiyah Kalimantan Timur Repository. https://dspace.umkt.ac.id
Putri, S. E., Rekawati, E., & Wati, D. N. K. (2021). Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension. Journal of Public Health Research, 10(1_suppl), Article 2406. https://doi.org/10.4081/jphr.2021.2406
Ranjan, A., Agarwal, R., Mudgal, S. K., Kumar, S., & Arnav, A. (2025). Determinants and knowledge of hypertension among adult population visited in out-patients department of a tertiary care centre: A cross-sectional study. Discover Public Health, 22(1), Article 163. https://doi.org/10.1186/s12982-025-00547-0
Santika, E. F. (2024, May 7). Indonesia's hypertension prevalence falls to 30.8% in 2023. Databoks. https://databoks.katadata.co.id/en/consumer-services/statistics/8a60c7f555dd1ac/indonesias-hypertension-prevalence-falls-to-308-in-2023
Ullah, H. (2025). Prevalence and awareness of hypertension among older adults. Cureus, 17(6), Article e85622. https://doi.org/10.7759/cureus.85622
Wibowo, F., et al. (2023). Teknik analisis data penelitian: Univariat, bivariat dan multivariat [Research data analysis techniques: Univariate, bivariate, and multivariate]. Google Books.
Wirakhmi, I. N., & Novitasari, D. (2021). Pemberdayaan kader pengendalian hipertensi [Empowerment of hypertension-control cadres]. Jurnal Altifani, 1(3). http://altifani.org/index.php/altifani/article/view/162
World Health Organization. (2023, September 19). First WHO report details devastating impact of hypertension and ways to stop it [News release]. https://www.who.int/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it
World Health Organization. (2025a, September 25). Hypertension [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/hypertension
World Health Organization. (2025b, October 1). Ageing and health [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Yusril. (2023). Gambaran pengetahuan lansia tentang hipertensi di Puskesmas Sitinjak [Undergraduate thesis]. Universitas Aufa Royhan Repository. https://repository.unar.ac.id/jspui/handle/




