Evidence map›Paper›PMID 40399797›Full record

ArticleBMC primary care2025

Factors influencing adoption of self-monitoring of blood pressure among hypertensive patients in primary healthcare in Vietnam: a cross-sectional facility-based study.

Nguyen Hoang Giang, Nguyen Thi Phuong Lan, Le Thi Kim Anh, Dominika Plancikova, Viera Rusnakova, Nguyen Thi Thang, Jaap A R Koot

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Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Nguyen Hoang GiangPublic Health Department Health Strategy and Policy Institute, Ministry of Health, Hanoi, Vietnam.ORCID 0000-0002-4944-2825
Nguyen Thi Phuong LanThai Nguyen University of Pharmacy and Medicine, Thai Nguyen, Vietnam.ORCID 0000-0001-5266-1765
Le Thi Kim AnhHanoi University of Public Health, Hanoi, Vietnam.ORCID 0000-0003-4250-7507
Dominika PlancikovaInstitute for Global Health and Epidemiology, Department of Public Health, Faculty of Health Care and Social Work, Trnava University, Trnava, Slovak Republic.ORCID 0000-0003-1140-4636
Viera RusnakovaInstitute for Global Health and Epidemiology, Department of Public Health, Faculty of Health Care and Social Work, Trnava University, Trnava, Slovak Republic.ORCID 0000-0002-1163-6675
Nguyen Thi ThangPublic Health Department Health Strategy and Policy Institute, Ministry of Health, Hanoi, Vietnam.ORCID 0009-0007-6053-971X
Jaap A R KootDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands. j.a.r.koot@umcg.nl.ORCID 0000-0002-6933-0302

Funding

European Commission 825026
6 · The paper itself

Abstract

backgroundHypertension is an increasing health problem in low- and middle-income countries such as Vietnam. Self-monitoring of blood pressure (SMBP) is a crucial component of hypertension management in primary healthcare (PHC) and stimulated by healthcare providers. Yet, its adoption remains suboptimal. This study examines the application and contributing factors to adoption of SMBP among hypertensive patients in a PHC setting in Vietnam.

methodsA cross-sectional study was conducted among 989 hypertensive patients managed at commune health stations (CHSs), part of PHC, in two provinces in Vietnam. Participants were selected using systematic random sampling from CHS patient lists. Data were collected through structured interviews and analysed using descriptive statistics and multivariate logistic regression to identify factors contributing to SMBP practices.

resultsThe prevalence of SMBP among hypertensive patients was 43.1%. Among those who practiced SMBP, 42.3% monitored their blood pressure daily, while 57.7% measured it at least weekly. The majority (80.2%) used home sphygmomanometers, 12% relied on friends or relatives with BP monitoring devices, 7.8% went to a pharmacy of health worker's home to measure BP. Multivariate analysis identified key factors associated with SMBP adoption. Higher educated persons were more engaged in SMBP (p < 0.001). Pensioners were more likely to engage in SMBP than unemployed individuals (OR = 2.2; p < 0.001). Higher knowledge of hypertension management (OR = 1.10; p < 0.001) and regular physical activity (OR = 1.54; p = 0.005) were also positively associated with SMBP practice. Persons living in Ninh Bing were also more likely to apply SMBP (OR = 1.58; p < 0.001).

conclusionLess than half of hypertensive patients practiced SMBP, highlighting a need for targeted interventions to promote self-monitoring. Key facilitators for patients include better health knowledge, socioeconomic stability, and local healthcare service availability. On the service provision side, strategies to improve SMBP adoption should focus on increasing patient education, ensuring the affordability of BP monitoring devices, and strengthening the role of primary healthcare providers in coaching patients on SMBP. A patient-centred, community-based approach is necessary to enhance hypertension self-management and improve overall cardiovascular health outcomes in Vietnam.

Indexed as

Blood Pressure Monitoring, AmbulatoryHypertensionPrimary Health CareAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedVietnamChronic disease managementHypertensionPrimary healthcareSelf-care practicesSelf-monitoring of blood pressureVietnam

Identifiers

PMID40399797
PMCPMC12093837

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.