The positive effect of an intervention program on the hypertension knowledge and lifestyles of rural residents over the age of 35 years in an area of China

Huang, Shuqiong; Hu, Xiaoyun; Chen, Hongying; Xie, Daxing; Gan, Xiumin; Wu, Yue; Nie, Shaoping; Wu, Jing

doi:10.1038/hr.2010.265

Cited by 35 publications

(72 citation statements)

References 17 publications

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“…Unfortunately this approach poses political and financial challenges for most LMICs. More feasible alternatives include community-based programs on salt reduction [12,13], life-style interventions [14–16], and secondary prevention with multidrug treatment of hypertension and diabetes [17,18]. …”

Section: Cardiovascular Diseasementioning

confidence: 99%

Management of NCD in Low- and Middle-Income Countries

et al. 2014

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Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified “best buys” it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.

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Section: Cardiovascular Diseasementioning

confidence: 99%

Management of NCD in Low- and Middle-Income Countries

et al. 2014

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“…Many behaviors have been proved to be modifiable risk factors of hypertension such as smoking, alcohol use, lack of exercise, excessive salt intake, excessive pickled food intake, and so on [7,8,9,10], sufficient hypertension-related knowledge and correct behavior form the basis for hypertension prevention and control [11,12]. Socioeconomic status (SES), which is consisted of factors such as education, occupation, and income, is considered to be the determinant of health-related knowledge and behavior, individuals with low SES more often have poor knowledge and unhealthy behavior [13].…”

Section: Introductionmentioning

confidence: 99%

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Zhang

Meng

Luo

et al. 2018

IJERPH

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The rapid urbanization in China has brought with it some health benefits, but it also brought about a negative influence on the lifestyle of residents. We conducted this study to assess the change in hypertension-related knowledge and behavior from 2013 to 2016 among recently urbanized residents and determine their association with socioeconomic status (SES). This research used data from two cross-sectional studies conducted in Hezuo community in Chengdu, Sichuan province of China. A total of 2268 and 2601 individuals, respectively, participated and completed standard questionnaires. According to the results, the median (IQR) scores of health knowledge was 1 (0,3) and 3 (1,5), respectively, (p < 0.001) and the median (IQR) scores of health behavior was 6 (5,6) and 5 (5,6), respectively, (p < 0.001) in 2013 and 2016. The rate of sufficient knowledge increased from 8.8% to 18.1% (p < 0.001), while the rate of correct behavior decreased from 54.5% to 45.5% (p < 0.001) in three years. Logistic regression analysis showed that higher education was associated with sufficient hypertension-related knowledge (p < 0.05), and those with higher education, unemployment, and retirement were more likely to have sufficient behavior (p < 0.05). The impact of SES on knowledge was stable between 2013 and 2016. The behavior difference between the middle school educated and the illiterate increased from 2013 to 2016 (p < 0.05), and the behavior difference between the unemployed and manual workers decreased from 2013 to 2016 (p < 0.05). Our results revealed that hypertension-related knowledge improved with no corresponding improvement in self-reported behavior among recently urbanized residents from 2013 to 2016. Organizational strategy should be implemented to improve health education on knowledge, and what is more, translate knowledge into behavior. All these measures should be given more attention to the lower educated and manual workers among recently urbanized residents to eliminate the SES disparity.

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“…Educational programmes have been shown to be feasible and effective in rural communities,9 10 with effective strategies including educational programmes delivered by local healthcare staff, print media and health education sessions, as used in rural China. 10 …”

Section: Discussionmentioning

confidence: 99%

Knowledge of risk factors for hypertension in a rural Indian population

et al. 2019

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ObjectiveTo study knowledge of risk factors and consequences of hypertension in a rural population in South India.MethodsThis is a community-based study conducted among adults of a rural population in the Rishi Valley, India. Residents of randomised rural villages were invited to participate in a study of hypertension. We obtained measures of blood pressure, height, weight, waist and hip circumferences and questionnaire-based information on knowledge about hypertension, sociodemographic characteristics and health behaviours. Multivariable logistic regression analyses were conducted to determine the factors associated with knowledge of risk factors for hypertension (knowledge of ≥2 risk factors).ResultsThe study comprised 641 adults; 132 aware and 218 unaware of their hypertension, and 291 with normal blood pressure. Only 31% of participants knew that hypertension adversely affects an individual’s health and 7% knew the benefits of treating hypertension. Almost a third (30%) of those aware of their hypertensive status, and 48% overall, did not know any of the risk factors for hypertension. Being aware of one’s hypertensive status (OR 2.51, 95% CI 1.44 to 4.39), being treated for hypertension, male sex, younger age, having some schooling, abdominal obesity and physical inactivity were associated with better knowledge of risk factors for hypertension.Conclusion Knowledge of risk factors and consequences of hypertension in this disadvantaged population was poor. There was better knowledge of risk factors in some, but not all, people who were aware of having hypertension. Screening and targeted educational programmes are warranted in this population to improve health behaviours and reduce the consequences of hypertension.

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The positive effect of an intervention program on the hypertension knowledge and lifestyles of rural residents over the age of 35 years in an area of China

Cited by 35 publications

References 17 publications

Management of NCD in Low- and Middle-Income Countries

Management of NCD in Low- and Middle-Income Countries

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Knowledge of risk factors for hypertension in a rural Indian population

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