Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran

The aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health l...

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Main Authors: Azam Larki, Rahim Tahmasebi, Mahnoush Reisi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2018/9752736
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author Azam Larki
Rahim Tahmasebi
Mahnoush Reisi
author_facet Azam Larki
Rahim Tahmasebi
Mahnoush Reisi
author_sort Azam Larki
collection DOAJ
description The aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health literacy were identified by S-TOFHLA. The data were collected using H-scale for assessing self-care behaviors and, HK-LS for assessing knowledge of hypertension. A researcher-made questionnaire was applied for collecting data of health belief model constructs. Data were analyzed by SPSS version 22 with using multiple logistic regression analyses. Perceived self-efficacy was associated with all self-care behaviors except medication regimens. There was a significant association between perceived susceptibility and adherence to both low-salt diet (OR = 3.47) and nonsmoking behavior (OR = 1.10). Individuals who had more perceived severity (OR = 1.82) had significantly greater adherence to their medication regimens. Perceived benefits and barriers were not significantly associated with either type of hypertension self-care behaviors. It seems that designing and implementation of educational programs to increase self-efficacy of patients and promote their beliefs about perceived susceptibility and severity of complications may improve self-care behaviors among low health literacy hypertensive patients.
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series International Journal of Hypertension
spelling doaj-art-8edfe71395414cf9a0190c07f456a70c2025-02-03T05:53:59ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/97527369752736Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of IranAzam Larki0Rahim Tahmasebi1Mahnoush Reisi2Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Biostatistics, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, IranThe aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health literacy were identified by S-TOFHLA. The data were collected using H-scale for assessing self-care behaviors and, HK-LS for assessing knowledge of hypertension. A researcher-made questionnaire was applied for collecting data of health belief model constructs. Data were analyzed by SPSS version 22 with using multiple logistic regression analyses. Perceived self-efficacy was associated with all self-care behaviors except medication regimens. There was a significant association between perceived susceptibility and adherence to both low-salt diet (OR = 3.47) and nonsmoking behavior (OR = 1.10). Individuals who had more perceived severity (OR = 1.82) had significantly greater adherence to their medication regimens. Perceived benefits and barriers were not significantly associated with either type of hypertension self-care behaviors. It seems that designing and implementation of educational programs to increase self-efficacy of patients and promote their beliefs about perceived susceptibility and severity of complications may improve self-care behaviors among low health literacy hypertensive patients.http://dx.doi.org/10.1155/2018/9752736
spellingShingle Azam Larki
Rahim Tahmasebi
Mahnoush Reisi
Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
International Journal of Hypertension
title Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
title_full Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
title_fullStr Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
title_full_unstemmed Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
title_short Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran
title_sort factors predicting self care behaviors among low health literacy hypertensive patients based on health belief model in bushehr district south of iran
url http://dx.doi.org/10.1155/2018/9752736
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AT rahimtahmasebi factorspredictingselfcarebehaviorsamonglowhealthliteracyhypertensivepatientsbasedonhealthbeliefmodelinbushehrdistrictsouthofiran
AT mahnoushreisi factorspredictingselfcarebehaviorsamonglowhealthliteracyhypertensivepatientsbasedonhealthbeliefmodelinbushehrdistrictsouthofiran