Cardiology
Original Research
Hypertension Knowledge, Awareness, and Self-Management Behaviors Affect Hypertension Control: A Community-Based Study in Xuhui District, Shanghai, ChinaGu J. · Zhang X.-J. · Wang T.-H. · Zhang Y. · Chen Q.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: May 17, 2013
Accepted: September 11, 2013
Published online: November 22, 2013
Issue release date: January 2014
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 5
ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)
For additional information: https://www.karger.com/CRD
Abstract
Objective: To investigate correlations between hypertensive patients' knowledge of hypertension, awareness of hypertension education, self-management behaviors, and hypertension control. Methods: Hypertensive patients from 5 community health centers in Xuhui District, Shanghai, China, were enrolled into this study. Data were collected via patient interviews and a questionnaire survey. Independent influence factors for hypertension control were identified by logistic regression analysis. Results: In total, 3,328 hypertensive patients, including 1,935 females and 1,390 males with a mean age 70.6 years, were studied. The mean systolic blood pressure was 133.1 mm Hg. The mean diastolic blood pressure was 80.5 mm Hg. Hypertension was controlled in 1,050 (36.1%) patients. Independent influence factors for failed hypertension control were comorbidities, including diabetes mellitus, coronary artery disease, and stroke. Patients who knew that ‘high blood pressure is related to salt intake' and were willing to receive regular health education were less likely to fail in hypertension control. Patients who visited clinics because of fear of complications and visited medical institutions other than community health centers for hypertension were more likely to fail in hypertension control. Conclusions: In Shanghai, failed hypertension control is significantly associated with chronic disease history. Limiting salt intake, receiving regular health education, and visiting community health centers for hypertension care may help control hypertension.
© 2013 S. Karger AG, Basel
References
- Lawes CM, Vander Hoorn S, Law MR, Elliott P, MacMahon S, Rodgers A: Blood pressure and the global burden of disease 2000. 2. Estimates of attributable burden. J Hypertens 2006;24:423-430.
-
National Bureau of Statistics: China Statistical Yearbook. Beijing, China Statistics Press, 2010.
-
Liu LS, Wang W, Yao CH: Chinese Guidelines for the Prevention and Treatment of Hypertension - Joint Issue by the Ministry of Health, the Bureau for Disease Prevention and Control, the Center of National Cardiovascular Diseases and the Chinese Hypertension Alliance (in Chinese). Beijing, Ding-Xiang-Yuan Medical Forum, 2010.
- Carter BL: Implementing the new guidelines for hypertension: JNC 7, ADA, WHO-ISH. J Manag Care Pharm 2004;10:S18-S25.
-
Guo L, Zhou L, Yang Z, Gao E: Survey of knowledge and current status of hypertension in middle and old age patients in Xuhui District, Shanghai (in Chinese). Chin J Prev Control Chronic Dis 2005;13:76-77.
-
Rubio DM, Berg-Weber M, Tebb SS, Lee ES, Rauch S: Objectifying content validity: conducting a content validity study in social work research. Soc Work Res 2003;27:94-104.
External Resources
- Prugger C, Keil U, Wellmann J, de Bacquer D, de Backer G, Ambrosio GB, Reiner Z, Gaita D, Wood D, Kotseva K, Heidrich J, EUROASPIRE III Study Group: Blood pressure control and knowledge of target blood pressure in coronary patients across Europe: results from the EUROASPIRE III survey. J Hypertens 2011;29:1641-1648.
- Waeber B, Feihl F, Ruilope L: Diabetes and hypertension. Blood Press 2001;10:311-321.
- Khosravi A, Mehr GK, Kelishadi R, Shirani S, Gharipour M, Tavassol A, Noori F, Sarrafzadegan N: The impact of a 6-year comprehensive community trial on the awareness, treatment and control rates of hypertension in Iran: experiences from the Isfahan Healthy Heart Program. BMC Cardiovasc Disord 2010;10:61.
- Cadilhac DA, Kilkenny MF, Johnson R, Wilkinson B, Amatya B, Lalor E: The Know Your Numbers (KYN) program 2008 to 2010: impact on knowledge and health promotion behavior among participants. Int J Stroke 2013, DOI: 10.1111/ijs.12018.
- Villablanca AC, Arline S, Lewis J, Raju S, Sanders S, Carrow S: Outcomes of national community organization cardiovascular prevention programs for high-risk women. J Cardiovasc Transl Res 2009;2:306-320.
- Victor RG, Leonard D, Hess P, Bhat DG, Jones J, Vaeth PA, Ravenell J, Freeman A, Wilson RP, Haley RW: Factors associated with hypertension awareness, treatment, and control in Dallas County, Texas. Arch Intern Med 2008;168:1285-1293.
- Xu T, Wang Y, Li W, Chen WW, Zhu M, Hu B, Chen T, Liu B: Survey of prevalence, awareness, treatment, and control of hypertension among Chinese governmental and institutional employees in Beijing. Clin Cardiol 2010;33:E66-E72.
- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ, Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National Heart, Lung, and Blood Institute, National High Blood Pressure Education Program Coordinating Committee: Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension 2003;42:1206-1252.
- American Diabetes Association: Hypertension management in adults with diabetes: Diabetes Care 2004;27:565-567.
- Nguyen QC, Waddell EN, Thomas JC, Huston SL, Kerker BD, Gwynn RC: Awareness, treatment, and control of hypertension and hypercholesterolemia among insured residents of New York City. Prev Chronic Dis 2011;8:A109.
- Chen CM, Zhao W, Yang Z, Zhai Y, Wu Y, Kong L: The role of dietary factors in chronic disease control in China. Obes Rev 2008;9(suppl 1):100-103.
Article / Publication Details
Received: May 17, 2013
Accepted: September 11, 2013
Published online: November 22, 2013
Issue release date: January 2014
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 5
ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)
For additional information: https://www.karger.com/CRD
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Get Permission
PubMed ID
