ArticleBMC public health2021
The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07050303 (The Effect of a Mobile Application Based on the Social Cognitive Learning Theory on Medication Adherence and Hypertension Self-Efficacy in Patients With Hypertension), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of a Mobile Application Based on the Social Cognitive Learning Theory on Medication Adherence and Hypertension Self-Efficacy in Patients With Hypertension: A Randomized Controlled Trial
Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The social determinants of health-related quality of life among people with chronic disease: a systematic literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- Family Self-management Program for Hypertension Management and Sodium Consumption Adherence: A Parallel Randomized Control Trial Among Family Caregivers and People With Hypertension.Journal of research in health sciences · 2024Trial
- 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
- Exploring the social and behavioral barriers to hypertension self-care among indonesian adults: a qualitative study based on the theory of planned behavior.BMC public health · 2026Article
- Article
- Association between nutrition literacy and hypertension control: chain mediating association of diet-control intention and salt-restriction tools utilization.Frontiers in nutrition · 2026Article
- Oral Health-Related Quality of Life and Depression in Patients with Schizophrenia: The Mediating Roles of Oral Health Literacy and Oral Health-Related Self-Efficacy in a Cross-Sectional Structural Equation Analysis.Neuropsychiatric disease and treatment · 2026Article
- Effects of a transformative learning theory-based health literacy enhancement program on self-management behaviors and blood pressure in adults with uncontrolled hypertension in Thailand: A cluster randomized controlled trial.Belitung nursing journal · 2026Article
- The effect of health literacy on quality of life in patients with heart failure: the mediating role of self-care confidence.Frontiers in cardiovascular medicine · 2026Article
- Quality of life in hypertensive patients using the WHOQOL-BREF instrument in the post-pandemic Bangladesh: A cross-sectional study.PloS one · 2026Article
- Online-dominant self-management is associated with lower, while hybrid mode is associated with higher, quality of life: a community-based cross-sectional study.Frontiers in public health · 2026Article
- Assessment of health-related quality of life of patients with gout and hyperuricemia in the Tianjin area according to the SF-6Dv2 scale.Frontiers in public health · 2026Article
- The relationship between patient activation levels and health literacy levels of hypertension patients in a family health centre in Turkey.BMC health services research · 2025Article
- The relationship between cognitive function and quality of life in older hypertension patients: a parallel mediation effect of frailty and medication discrepancies.BMC geriatrics · 2025Article
- Efficacy of Narrative Nursing Model in psychological adjustment and improvement of treatment compliance in hypertension patients.Pakistan journal of medical sciences · 2025Article
- Article
- The effect of self-care, self-efficacy, and health literacy on health-related quality of life in patients with hypertension: a cross-sectional study.BMC public health · 2025Article
- Understanding how digital health literacy affects health self-management behaviors: The mediating role of self-efficacy in college students.Scientific reports · 2025Article
- The Role of Social Support and Depressive Symptoms in Mediating the Association Between Hearing Loss and Self-neglect Among Older Adults in China.International journal of behavioral medicine · 2025Article
- Mediating effect of dietary self-efficacy in the relationship between health literacy and nutrition label use among coronary heart disease patients.Scientific reports · 2025Article
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Authors and funding
5 authors.
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Abstract
backgroundHealth-Related Quality of Life (HRQoL) of hypertensive patients is not only affected by the disease itself but also by some subjective factors. Low health literacy is prevalent among ethnic minorities. Considering the Kazakh-Chinese people have the highest prevalence of hypertension in Xinjiang, and the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of HRQoL. The synergistic effects and the potential mechanism HBP-HL, self-management behavior, therapeutic adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the HBP-HL, and develop a structural equation model (SEM) to identify the factors influencing of the HRQoL among Kazakh hypertensive patients.
methodsThe data was obtained by questionnaire survey and physical examination in 2015. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Xinjiang. Firstly, the blood pressure was measured. Then the one-for-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, therapeutic adherence, self-efficacy, and social support were used to collect data. Finally, SEM was constructed, and p ≤ 0.05 was taken as significant.
resultsThe data was analysed by SPSS18.0 and AMOS18.0 software. 516 Kazakh hypertension patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, therapeutic adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The SEM of the HRQoL had a good overall fit (χ
conclusionsLow HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies.
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