Hypertension Knowledge, Awareness, and Self-Management Behaviors Affect Hypertension Control: A Community-Based Study in Xuhui District, Shanghai, China

Gu, Jie; Zhang, Xiangjie; Wang, Tianhao; Zhang, Yuan; Chen, Qian

doi:10.1159/000355576

Cited by 30 publications

(20 citation statements)

References 13 publications

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“…Integrating traditional practices into hypertension management regimens with frequent and careful monitoring of side effects and adjustment of medications may be warranted. Effectiveness and adherence to antihypertensive medication regimens depends on regularly scheduled visits to CHC 25. Regular BP monitoring also reduces hypertension,19 84 suggesting home BP monitoring should have a primary role in long-term BP control in China.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies of hypertension self-management have improved BP outcomes in the Western societies,15 21 22 however, the evidence for hypertension self-management is absent in the Chinese population. A recent systematic review identified only two quasi-experimental studies focusing on hypertension self-management in a population of American Chinese23; much of the evidence was derived from a single urban site so is not representative of individuals living in community settings 24 25…”

Section: Introductionmentioning

confidence: 99%

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Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Parry

Liu

et al. 2019

BMJ Open

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ObjectivesThis study explored the relationship between self-management and blood pressure (BP) control in China.DesignA cross-sectional study.SettingEight community health centres from four cities in the Northeast (Shenyang), Northwest (Xi’an), Southwest (Chengdu) and South (Changsha) of China.ParticipantsA total of 873 adults with hypertension, including 360 men and 513 women. Hypertension was defined as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg.Outcome measurementsBP control was the primary outcome variable. This was categorised as good control if individuals with hypertension reduced their BP to <140/90 mm Hg, otherwise, it was categorised as poor control. Secondary outcomes included self-management, defined as: (1) context or condition-specific factors or physical/social environments (eg, age, sex, marital status, education, personal income and health insurance) and (2) process or knowledge/beliefs, self-regulation skills/abilities and social facilitation (eg, treatment, diet, exercise and risk factor management). Data were analysed using logistic regression models using SPSS V.20.ResultsA total of 67.1% (n=586) participants had poor BP control. Limited outpatient care benefits in mainly rural residents (OR 2.26, 95% CI 1.06 to 4.81) and longer disease duration (OR 1.03, 95% CI 1.01 to 1.04) were associated with poor BP control. Self-management practices reduced the odds of having poor BP control (OR 0.98, 95% CI 0.97 to 0.99).ConclusionsThe individual and family self-management theory can serve as an effective theory for understanding the key contexts, processes and outcomes essential for BP control in China. Future research should evaluate the effect of a self-management intervention (eg, self-monitoring, medication adherence, regular and routine doctor visits, and social supports) for BP control in China using a multisite cluster randomised controlled trial. Sex and gender difference, cost and patient-reported outcomes should also be examined.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Parry

Liu

et al. 2019

BMJ Open

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“…It was proven that only a small percentage of hypertensive patients are diagnosed and treated as a study showed that hypertension was controlled in only 36.1% of cases [7]. Usually patients who are diagnosed with hypertension are prescribed medications to manage their disease, yet they know only a little about it and its complications.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine

et al. 2018

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BackgroundHypertension is the second most common cause of chronic kidney disease (CKD). Therefore, the aims of the study were to assess the knowledge, attitudes and practices (KAP) of hypertensive patients towards prevention and early detection of CKD, and to determine the clinical and socio-demographic factors, which affect the KAP regarding prevention of CKD.MethodsA cross-sectional study was held using the CKD screening Index to assess the KAP of 374 hypertensive patients who were selected from multiple primary healthcare centers in Nablus, Palestine. The CKD Screening Index is formed of three scales. First, the knowledge scale was a dichotomous scale of 30 items, while the attitude scale used 5-point Likert-type scale for 18 items and finally the practice scale was measured using 4-point Likert-type scale for 12 items. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and practices.ResultsIn total, 374 hypertensive patients participated in the study. The mean age of participants was 59.14 ± 10.4 years, (range 26–85). The median (interquartile range) of the knowledge, attitude, and practice scores of hypertensive patients towards prevention and early detection of CKD were 20 (16–23), 69 (65–72), and 39 (36–42), respectively. In multiple linear regression analysis, patients age < 65 years (p < 0.001) and patients with high education level (p = 0.009) were the only factors significantly associated with higher knowledge scores. Additionally, patients age < 65 years (p = 0.007), patients with high income (p = 0.005), and patients with high knowledge score (p < 0.001) were the only factors significantly associated with higher attitude scores. Furthermore, regression analysis showed that patients with higher total knowledge (p = 0.001) as well as higher total attitudes scores towards CKD prevention (p < 0.001), male gender (p = 0.048), and patients with normal body mass index (BMI) (p = 0.026) were statistically significantly associated with higher practice score towards CKD prevention.ConclusionsAmong hypertensive patients, higher scores for total knowledge and attitudes toward prevention, male sex, and normal BMI were associated with modestly higher scores for prevention practices. Finally the findings may encourage healthcare workers to give better counseling to improve knowledge.

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“…Previous studies were mainly focused on hypertension in respect with knowledge of salt intake [28][29][30], and seldom study reported knowledge of salt intake in relation to salt consumption. A study conducted in consumers indicated that overall consumers were aware of positive relationship between high blood pressure and excessive salt consumption, but many of them were unaware of the other associated health conditions.…”

Section: Discussionmentioning

confidence: 99%

Salt Intake and Knowledge of Salt Intake in a Chinese Population: A Crosssectional Study

Lou¹

2015

Intern Med

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Consuming too much salt greatly increases the risk of heart disease and stroke, and limited studies focused on knowledge of salt intake in relation to salt consumption. Our study aimed to investigate salt intake and knowledge of salt intake in a Chinese population. Altogether 42114 adults aged 18 years and above were selected by multi-stage cluster sampling method. Salt consumption and knowledge of salt intake were assessed by self-reported questionnaire. The average salt intake was 15.5 ± 11.9 g/d, and 85.2% of subjects with excessive salt intake. Almost 80% of dietary salt came from salt, followed by salty vegetable (13.5%) and soy sauce (3.3%). There were 28.3% participants knowing the National recommended salt intake, and 29.7% with knowledge of excess salt intake resulting in hypertension. Overall 57.6% participants had ever been received health education on low-salt diet. After adjustment of confounders, subjects without knowledge of salt intake had a higher risk of excessive salt intake. Salt intake is high in the Chinese population. Awareness of salt intake is low, and it is inappropriate with current health education.

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Hypertension Knowledge, Awareness, and Self-Management Behaviors Affect Hypertension Control: A Community-Based Study in Xuhui District, Shanghai, China

Cited by 30 publications

References 13 publications

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine

Salt Intake and Knowledge of Salt Intake in a Chinese Population: A Crosssectional Study

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