Chronic Kidney Failure: Knowledge of Kidney Disease, Perception of Causes and Symptomatology in Uyo, Nigeria

Udeme E.  Ekrikpo; Effiong Ekong  Akpan

doi:10.4236/ojneph.2015.53014

Effiong Ekong Akpan, Udeme E. Ekrikpo

Abstract: Background: Chronic kidney disease (CKD) is now regarded as a global public health epidemic. Management of chronic kidney disease is often beyond the reach of some patients especially in resource-poor countries of sub-Saharan Africa where patients have to bear the funding. Many Nigerians do not know the functions of the kidney, the symptoms of kidney diseases and the causes of kidney failure. Aims: This study was designed to assess the awareness and knowledge of the kidney and kidney diseases among the people of Akwa Ibom State of Nigeria and their perception of the causes of kidney failure. Method: This was a cross-sectional survey of the Uyo residents in Akwa Ibom State for their knowledge, awareness and perception of CKD. A well structured but simple questionnaire was administered on all medically na?ve participants by trained personnel. Data were analyzed using STATA 10, StataCorp, Texas, USA. Categorical data were presented as frequencies and percentages. A p-value of <0.05 was considered statistically significant. Results: A total of 500 questionnaires were distributed, but 410 were returned. There were 214 (52.2%) females and 196 (47.8%) males with an age range of 18 to 60 years and a mean age of 25.97 ± 8.60 years. About ninety five percent (95.1%) of respondents had heard about CKD with their major source of knowledge being from doctors (29.4%) and media (28.9%). Only 43.3% of respondents knew the correct location of the kidneys. With regards to the knowledge and perception of the causes of kidney failure and body swelling, (11%) agreed that it was because of patient’s wrongdoing, Hypertension (38.9%), False oath taking (20.8%), Witchcraft (12.7%), Diabetes (46.9%), Parent’s wrongdoing (6.4%), Sickle cell disease (47.3%), Familial (19.8%), Herbal medicine (27.9%), Drug abuse (38.9%) and Fake drugs (42.1%). The well educated had better knowledge of hypertension and diabetes as the causes of kidney failure. In conclusion, knowledge of kidney disease is still poor among our populace and more education and public enlightenment is therefore needed.

Keywords: Awareness, Perception, Chronic Kidney Failure, Nigeria

Cite this paper: Akpan, E. and Ekrikpo, U. (2015) Chronic Kidney Failure: Knowledge of Kidney Disease, Perception of Causes and Symptomatology in Uyo, Nigeria. Open Journal of Nephrology, 5, 91-97. doi: 10.4236/ojneph.2015.53014.

References

[1] Murray, C.J.I., Ezzati, M., Flaxman, A.D., et al. (2012) GBD 2010: Design, Definition and Metrics. Lancet, 380, 2063-2066.
http://dx.doi.org/10.1016/S0140-6736(12)61899-6

[2] Ijoma, C.K., Ulasi, I.I. and Kalu, A.O. (1998) Cost Implications of Treatment of End Stage Renal Disease in Nigeria. Nigerian Journal of College of Medicine, 3, 95-96.

[3] Okwuonu, C.G., Chukwuonye, I.I., Ogah, S.O., Abali, C., Adejumo, O.A. and Oviasu, E. (2015) Awareness of Level of Kidney Functions and Disease among Adult in a Nigerian Population. Indian Journal of Nephrology, 25, 158-163.
http://dx.doi.org/10.4103/0971-4065.139096

[4] Kadiri, S., Arije, A. and Salako, B.L. (1999) Traditional Herbal Preparations and Acute Renal Failure in South West Nigeria. Tropical Doctor, 22, 224-226.

[5] Okaka, E.L. and Ojogwu, L.I. (2012) Aweareness Level of Kidney Disease among Non-Medical Students in Benin City, Nigeria. JMBR, 11, 29-34.

[6] Arogundade, F.A., Sanusi, A.A., Hassan, M.O. and Akinsola, A. (2011) The Pattern, Clinical Characteristics and Outcome of ESRD in Ile-Ife, Nigeria: Is There a Change in Trend? African Health Sciences, 11, 594-601.

[7] Alebiosu, C.O. (2002) Awareness of Kidney Disorders in Nigeria. African Journal of Health Sciences, 9, 165-168.

[8] Sanya, E.O., Salami, T.A.T., Goodman, O.O., Buhari, O.I.N. and Araoye, M.O. (2005) Perception and Attitude to Epilepsy among Teachers in Primary, Secondary and Tertiary Educational Institutions in Middle Belt Nigeria. Tropical Doctor, 35, 153-156.
http://dx.doi.org/10.1258/0049475054620905

[9] Alebiosu, C.O., Ayodele, O.O., Abbas, A. and Olutoyin, I.A. (2006) Chronic Renal Failure at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. African Journal of Health Sciences, 6, 132-138.

[10] US Renal Data System (2011) USRDS 2011 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Disease. Bethesda.

[11] Ulasi, I.I., Ijoma, C.K., Onwubere, B.J.C., Arodiwe, E., Onodugo, O. and Okafor, C. (2011) High Prevalence and Low Awareness of Hypertension in a Market Population in Enugu, Nigeria. International Journal of Hypertension, 2011, Article ID: 869675.

[12] Akpan, E.E., Ekrikpo, U.E., Udo, A.I.A. and Bassey, B.E. (2015) Prevalence of Hypertension in Akwa Ibom State South-South Nigeria: Rural versus Urban Communities Study. International Journal of Hypertension, 2015, Article ID: 975819.
http://dx.doi.org/10.1155/2015/975819

[13] Dana, V.R. and Arlene, B.C. (2014) Polycystic and Other Cystic Kidney Disease. In: Scott, J.G., Daniel, E.W., Debbie, S.G., Mark, A.P., Marcello, T., Eds., Primer of Nephrology, 6th Edition, Elsevier Saunders, Philadelphia, 362-370.

[14] Vimal, K.D. (2014) Sickle Cell Nephropathy. In: Scott, J.G., Daniel, E.W., Debbie, S.G., Mark, A.P. and Marcello, T., Eds., Primer of Nephrology, 6th Edition, Elsevier Saunders, Philadelphia, 357-361.

[15] Akpan, E.E. and Ekrikpo, U.E. (2015) Acute Renal Failure Induced by Chiene Herbal Medication in Nigeria. Case Reports in Medicine, 2015, Article ID: 150204.