ArticleThe journal of Tehran Heart Center2022
The Relationship between Health Literacy and Hypertension Control: A Cross-Sectional Study.
Article in The journal of Tehran Heart Center, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- The Effects of a Health Literacy Promotion Program on Health Behaviors and Blood Pressure Levels Among Uncontrolled Hypertensive Patients: A Quasi-Experimental Study.Journal of primary care & community healthTrial
- Association between health literacy and the need for hemodialysis in patients with type 2 diabetes: a case-control study.Scientific reports · 2026Article
- Review
- Association Between Health Literacy and Prehypertension in South Korean Adults: Cross-Sectional Study Using the 2023 Korea National Health and Nutrition Examination Survey.JMIR public health and surveillance · 2026Article
- Examine the effects of the developed Pender's model constructs on medication compliance and adherence to a low-salt diet in patients with uncontrolled hypertension.Journal of education and health promotion · 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
- Health literacy and adherence to physical activity guidelines among adults with hypertension: evidence from a Korean National Survey.Preventive medicine reports · 2025Article
- Health literacy and uptake of healthy diet and exercise amongst individuals with prehypertension in Thailand.Health promotion international · 2025Article
- Predicting Factors Associated With Uncontrolled Hypertension Using Machine Learning Methods: A Cross-Sectional Study in Western Iran.International journal of hypertension · 2025Article
- Factors Influencing Self-Care Practices and Blood Pressure Among Individuals with Uncontrolled Hypertension: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Awareness, Treatment, and Control of Hypertension among 10663 Adults Based on the Baseline Data of the Kherameh Cohort Study.The journal of Tehran Heart Center · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Uncontrolled hypertension is a major public health problem among patients in developed and developing countries. The present study was conducted to investigate the prevalence and causes of uncontrolled hypertension to facilitate the design of more effective methods of hypertension control. Methods: This cross-sectional study was conducted on 303 adults with hypertension. The Standard Health Literacy Questionnaire was used to collect data. Uncontrolled hypertension was ascertained based on the WHO definition. A multiple logistic regression model was used at a 95% confidence level. Variables considered were confounders including age, sex, marital status, family size, income (monthly mean), smoking (past or current), education level, and physical activity (times in a week). Results: The mean (SD) age of the participants (n=303) was 59.3(12.7) years, and 57.4% were men. The prevalence of uncontrolled hypertension was 50.5%. The mean score of health literacy among patients with controlled hypertension was higher than that among patients with uncontrolled hypertension (64.83±23.72 vs 46.28±22.19; P<0.001). The odds of uncontrolled hypertension decreased by 3% in the patients (OR: 0.97; P=0.06). Adherence to treatment (OR: 0.13; P<0.001), salt consumption per package purchased per month (OR: 4.40; P=0.001), increased physical activity per hour per week (OR: 0.56; P<0.001), current or passive cigarette smoking (OR: 4.59; P=0.010), a positive history of chronic diseases (OR: 2.62; P=0.027), and increased family size (per 1 child) (OR: 0.57; P<0.001) were associated with uncontrolled hypertension. Conclusion: The results showed a borderline association between increased health literacy and hypertension control. Additionally, increased salt consumption, reduced physical activity, small family size, and underlying diseases (eg, diabetes, chronic heart disease, and renal disease) could increase the odds of uncontrolled hypertension in Iranian society.
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