Date of Conferral

8-1-2024

Date of Award

August 2024

Degree

Ph.D.

School

Public Health

Advisor

Scott McDoniel

Abstract

Chronic kidney disease (CKD) presents a significant public health concern, particularly in developing countries such as Nigeria, where health care resources are limited and awareness remains low. This quantitative study evaluated the prevalence of CKD and awareness levels among young adults in Imo and Anambra States, Nigeria. The relationship between health care access, medication adherence, and CKD diagnosis was also examined. The health belief model and the social ecological model provided the framework for the study. A sample of 800 participants was recruited from in- and outpatient facilities in Imo State and Anambra State, and sociodemographic information, awareness levels, and medication adherence were assessed. The prevalence of CKD in the two states was 30.02%. Imo State had a significantly higher prevalence (42.7%) than Anambra State (23.2%). The study revealed that most young adults with early CKD diagnoses faced challenges in accessing health care, and poor medication adherence was widespread. Additionally, a significant lack of awareness regarding CKD was observed among participants. These findings emphasize the pressing need for improved CKD awareness and prevention strategies in Nigeria to address this growing public health issue. Understanding factors contributing to the high CKD prevalence and limited awareness is crucial for formulating effective interventions and reducing the economic and health burdens associated with this condition.

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