ArticleBMC geriatrics2026
Pathways associated with hypertension self-management behaviors among older adults: a PRECEDE-PROCEED theory-guided path analysis.
Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHypertension self-management is essential for reducing complications and maintaining functional well-being in later life, yet the multi-level factors associated with self-management among older adults remain insufficiently understood. This study investigated pathways linking predisposing, enabling, and reinforcing factors to hypertension self-management behaviors (HSMB) among older adults using a PRECEDE-PROCEED theory-guided model.
methodsA cross-sectional study was conducted from late March to early April 2026 among 264 older adults with hypertension in Chongqing, China. Data were collected through interviewer-administered structured questionnaires. Pearson correlation analysis and path analysis were used to examine direct and indirect associations among hypertension-related knowledge, self-efficacy, health education, healthcare resources and access, family support, and HSMB.
resultsSelf-efficacy and hypertension-related knowledge showed significant direct associations with HSMB. Healthcare resources and access demonstrated both direct and indirect associations with HSMB through knowledge and self-efficacy. Family support was associated with HSMB both directly and indirectly through healthcare resources and access, knowledge, and self-efficacy. Health education showed a negative indirect association with HSMB through knowledge, suggesting that the content, timing, or targeting of education may warrant closer examination.
conclusionsHSMB among older adults was associated with multi-level cognitive, environmental, and social factors. Self-efficacy, healthcare resources and access, and family support appeared to be particularly important correlates. Interventions for older adults with hypertension may benefit from combining skills-building, accessible services, and family-engaged support while improving the relevance and comprehensibility of health education.
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