ArticleBMJ open2019
Self-management and blood pressure control in China: a community-based multicentre cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Self-management interventions for common long-term conditions in low- and middle-income countries: a synthesis of current evidence.Journal of global health · 2025Pooled it
- Integrative, multimodal nursing intervention for uncontrolled hypertension: randomized controlled trial effects on blood pressure, perceived stress, and medication adherence.Clinical hypertension · 2026Article
- Self-care practice and associated factors among hypertensive patients in Ethiopia: Umbrella review of systematic review and meta-analysis studies.International journal of nursing studies advances · 2025Review
- Data-driven identification of key predictors of uncontrolled hypertension: A cross-sectional study.PloS one · 2025Article
- Long-Term Effects of Sustained Regular Medication in Hypertensive Patients in Yunnan, China: A Cohort Study of 5 Years' Follow-Up.International journal of hypertension · 2025Article
- Temporal Relationship Between Treatment Burden and Self-Care and Its Impact on Systolic Blood Pressure and Hypertension Control.International journal of general medicine · 2025Article
- The effect of a self-management programme on blood pressure levels among people with hypertension: a randomised controlled trial.Journal of research in nursing : JRN · 2024Article
- Health literacy and self-management among middle-aged and young hypertensive patients: a parallel mediation effect of illness perception and self-efficacy.Frontiers in psychology · 2024Article
- Trends in output of hypertension management and associated factors in primary care facilities: a latent trajectory analysis in China from 2009 to 2017.BMC primary care · 2023Article
- Mobile APP-assisted family physician program for improving blood pressure outcome in hypertensive patients.BMC primary care · 2023Article
- Understanding perspectives on health-promoting behaviours among older adults with hypertension.International journal of qualitative studies on health and well-being · 2022Article
- Association between Dietary Carbohydrate Intake and Control of Blood Pressure in Patients with Essential Hypertension.Healthcare (Basel, Switzerland) · 2022Article
- Proportion and risk factors of diabetic retinopathy by stage in less-developed rural areas of Hunan province of China: A multi-site cross-sectional study.BMC public health · 2022Article
- Health literacy and health outcomes among older patients suffering from chronic diseases: A moderated mediation model.Frontiers in public health · 2022Article
- Factors Associated with Hemoglobin A1c Level Among Women Without Prior Diabetes Diagnosis in Rural Areas of Central South China: A Cross-Sectional Study.International journal of women's health · 2022Article
- Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis.International journal of hypertension · 2022Review
- Relative children's lipid accumulation with hypertension in Chinese children and adolescents.BMC public health · 2021Article
- Effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension.American journal of translational research · 2021Article
- Effectiveness and Efficiency of Non-drug Therapy Among Community-Dwelling Adults With Hypertension in China: A Protocol for Network Meta-Analysis and Cost-Effectiveness Analysis.Frontiers in medicine · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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 MEASUREMENTS: BP 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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