Journal article
Maja E. Marcus, Anna Reuter, Lisa Rogge, Farah Diba, Marthoenis, Sebastian Vollmer
BMC Global and Public Health, 2025
BMC Global and Public Health, 2025
Paper
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APA
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Marcus, M. E., Reuter, A., Rogge, L., Diba, F., Marthoenis, & Vollmer, S. (2025). Hypertension and diabetes screening uptake in adults aged 40–70 in Indonesia: a knowledge, attitudes, and practices study. BMC Global and Public Health. https://doi.org/10.1186/s44263-025-00157-7
Chicago/Turabian
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Marcus, Maja E., Anna Reuter, Lisa Rogge, Farah Diba, Marthoenis, and Sebastian Vollmer. “Hypertension and Diabetes Screening Uptake in Adults Aged 40–70 in Indonesia: a Knowledge, Attitudes, and Practices Study.” BMC Global and Public Health (2025).
MLA
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Marcus, Maja E., et al. “Hypertension and Diabetes Screening Uptake in Adults Aged 40–70 in Indonesia: a Knowledge, Attitudes, and Practices Study.” BMC Global and Public Health, 2025, doi:10.1186/s44263-025-00157-7.
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@article{maja2025a,
title = {Hypertension and diabetes screening uptake in adults aged 40–70 in Indonesia: a knowledge, attitudes, and practices study},
year = {2025},
journal = {BMC Global and Public Health},
doi = {10.1186/s44263-025-00157-7},
author = {Marcus, Maja E. and Reuter, Anna and Rogge, Lisa and Diba, Farah and Marthoenis and Vollmer, Sebastian}
}
Abstract
Background Diabetes and hypertension are major global health crises, yet Indonesia is lagging behind in achievingcare outcomes compared to other middle-income countries. We examined barriers to screening uptake, a key careentry point, in 40–70-year-old adults in Aceh, Indonesia.
Methods We assessed individual-level data on diabetes and hypertension screenings in Banda Aceh and AcehBesar in 2019. Using two-stage random sampling, we collected survey data on 2080 adults that are indicated for,but had not undergone diabetes screening as per World Health Organization’s Package of Essential Noncommuni-cable Disease Intervention guidelines. Using this, we adjusted the data for complex survey design to describe (1)the share of respondents with screening indication and presence of risk factors; (2) disease-related knowledge, atti-tude, and practices, as well as (3) estimate associations of screening with socioeconomic characteristics, knowledge,and attitudes using multivariable linear and logistic regression.
Results We found that while respondents were aware of diabetes and hypertension, a majority lacked knowl-edge about leading risk factors, the conditions’ potentially asymptomatic nature, and screening needs. About41% of respondents never had any blood pressure or glucose check, the primary reason reported being not feel-ing ill. Blood glucose checks were rarely conducted. We found rural location and lower education to be associatedwith lower disease-related knowledge, and lower wealth with lower knowledge and screening uptake.
Conclusions Barriers to screening uptake in Aceh, Indonesia, include misconceptions around hypertension and dia-betes, provider-specific challenges especially around the provision of glucose testing, and socioeconomic gradients.
Background Diabetes and hypertension are major global health crises, yet Indonesia is lagging behind in achievingcare outcomes compared to other middle-income countries. We examined barriers to screening uptake, a key careentry point, in 40–70-year-old adults in Aceh, Indonesia.
Methods We assessed individual-level data on diabetes and hypertension screenings in Banda Aceh and AcehBesar in 2019. Using two-stage random sampling, we collected survey data on 2080 adults that are indicated for,but had not undergone diabetes screening as per World Health Organization’s Package of Essential Noncommuni-cable Disease Intervention guidelines. Using this, we adjusted the data for complex survey design to describe (1)the share of respondents with screening indication and presence of risk factors; (2) disease-related knowledge, atti-tude, and practices, as well as (3) estimate associations of screening with socioeconomic characteristics, knowledge,and attitudes using multivariable linear and logistic regression.
Results We found that while respondents were aware of diabetes and hypertension, a majority lacked knowl-edge about leading risk factors, the conditions’ potentially asymptomatic nature, and screening needs. About41% of respondents never had any blood pressure or glucose check, the primary reason reported being not feel-ing ill. Blood glucose checks were rarely conducted. We found rural location and lower education to be associatedwith lower disease-related knowledge, and lower wealth with lower knowledge and screening uptake.
Conclusions Barriers to screening uptake in Aceh, Indonesia, include misconceptions around hypertension and dia-betes, provider-specific challenges especially around the provision of glucose testing, and socioeconomic gradients.