Lifestyle and self-management determinants of hypertension control in a sample of Australian adults
Embargoed until: 2019-02-05
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Background: Poor hypertension control can increase the risk of cardiovascular, renal and kidney diseases, and increase the social and economic burden of the disease. Methods: This study aimed to explore the lifestyle and self-management skills (medication adherence, self-monitoring, self-efficacy) determinants of hypertension control in a sample of hypertensive Australians. In a cross-sectional design, a total of 233 hypertensive adults completed a survey. Hypertension control was categorised as good control if hypertensive individuals managed to reduce their blood pressure (BP) < 140/90 mmHg, otherwise it was categorised as poor control. Data were analysed using bivariate analysis and hierarchical logistic regression. Results: 55% of the participants had poor BP control. A significantly higher frequency of poor BP self-monitoring was observed in individuals with poor control compared to their counterparts. Poor self-monitoring and a sedentary lifestyle were associated with higher odds of poor control (OR: 5.33, 95% CI: 1.78 – 15.93; p < 0.01, and OR: 4.69, 95% CI: 1.00 – 22.25; p < 0.05, respectively). No significant association was observed between other variables and hypertension control. Conclusion: Successful BP control for hypertensive individuals may require interventions and strategies that assist with improving BP self-monitoring skills and increasing physical activity.
Expert Review of Cardiovascular Therapy
© 2018 Expert Reviews Ltd. Published by Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Review of Cardiovascular Therapy on 05 Feb 2018, available online: http://www.tandfonline.com/doi/10.1080/14779072.2018.1435272
This publication has been entered into Griffith Research Online as an Advanced Online Version.
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