ArticlePatient preference and adherence2018
Integrating factors associated with hypertensive patients' self-management using structural equation modeling: a cross-sectional study in Guangdong, China.
Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 44 citations in OpenAlex.
- Characteristics and influencing factors of self-management behaviors of hypertensive patients in areas with concentrated ethnic minorities on plateau: a latent profile analysis.BMC public health · 2026Article
- Path analysis of the influence of digital health literacy on self-management behaviour among elderly patients with chronic diseases in rural China.BMC geriatrics · 2025Article
- Factors influencing chronic disease self-management behaviors: a national multilevel analysis in China.Frontiers in public health · 2025Article
- Illness perception and self-care in hypertension treatment: a scoping review of current literature.BMC health services research · 2024Article
- Patient, family, and community factors associated with medication adherence among people with hypertension or diabetes: A cross-sectional analysis.Exploratory research in clinical and social pharmacy · 2024Article
- Social support and medication adherence among adult myasthenia gravis patients in China: the mediating role of mental health and self-efficacy.Orphanet journal of rare diseases · 2024Article
- Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study.Belitung nursing journal · 2024Article
- Factors affecting quality of life among older adults with hypertension in Wenzhou, China: A cross-sectional study.Belitung nursing journal · 2024Article
- Correlation between health literacy and health-related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self-management.Nursing open · 2023Article
- What Do Seniors Believe About Medication Adherence? A Qualitative Study Among Seniors with Chronic Conditions in Yogyakarta, Indonesia.Patient preference and adherence · 2023Article
- Article
- Patient engagement in decision making and associated factors among outpatients with selected non-communicable chronic diseases in public hospitals of West Shoa, Ethiopia.PLOS global public health · 2023Article
- Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea-hypopnea syndrome.BMC pulmonary medicine · 2022Article
- Factors associated with instrumental support in transitional care among older people with chronic disease: a cross-sectional study.BMC nursing · 2022Article
- Interaction between self-perceived disease control and self-management behaviours among Chinese middle-aged and older hypertensive patients: the role of subjective life expectancy.BMC public health · 2022Article
- Medication Adherence and Perceived Social Support of Hypertensive Patients in China: A Community-Based Survey Study.Patient preference and adherence · 2022Article
- Article
- The Effect of Social Support on Treatment Adherence in Hypertension in China.Patient preference and adherence · 2021Article
- Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan.International journal of general medicine · 2021Article
- Prevalence and Risk Factors Associated with Hyperuricemia in the Pearl River Delta, Guangdong Province, China.Risk management and healthcare policy · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHypertension is considered a major public health issue worldwide because of its high frequency and concomitant risk of cardiovascular disease (CVD). Chronic-disease self-management has been proven to be cost-effective, but influencing factors and pathways remain complex and unclear. The purpose of this study was to integrate factors associated with hypertension self-management to provide a theoretical reference for community hypertension management.
methodsA total of 268 community-dwelling hypertensive patients were enrolled in a cross-sectional study conducted from July to September in 2017. A questionnaire on demographic-disease characteristics, disease knowledge, social support, self-efficacy, and self-management was completed by patients. Structural equation modeling was performed to verify multiple factors in self-management based on the self-efficacy theory.
resultsThe final model showed a good fit to sample data, ie, younger patients with lower CVD risk, shorter disease course, and less disease knowledge and social support predicted less self-efficacy, less hypertension self-management, and less controlled hypertension. Furthermore, social support was negatively correlated with age, CVD risk, and disease course and positively with disease knowledge.
conclusionMedication adherence is the lowest dimension in self-management, and self-efficacy is vital to consider in the development of self-management interventions. Self-management education and mutual-help groups may be potential solutions with the power of technology. Younger patients with lower CVD risk and shorter disease course are vulnerable and need more attention.
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