Unmet Healthcare Needs and Associated Factors in Rural Vietnam: A Cross-Sectional Study

Kim, Ju Young; Kim, Ju Young; Kim, Dae In; Park, Hwa Yeon; Pak, Yuliya; Tran, Phap Hoang Ngoc; Thai, Truc Thanh; Thuy, Mai Thi Thanh; Dung, Do Van

doi:10.21203/rs.3.rs-35473/v1

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, the prevalence and risk factors of hypertension also change. Furthermore, in some rural regions, medical facilities are inadequately equipped and difficult to access, leading to a high rate of uncontrolled hypertension ( 6 , 13 ). Therefore, it is essential to assess the status and influencing factors of HTN in rural areas, which could help to develop effective strategies to improve the detection and management of hypertension, reducing its burden.…”

Section: Introductionmentioning

confidence: 99%

Body mass index, body fat percentage, and visceral fat as mediators in the association between health literacy and hypertension among residents living in rural and suburban areas

Nguyen

et al. 2022

Front. Med.

View full text Add to dashboard Cite

BackgroundHypertension is a major cause of death and disability worldwide. Enhancing health literacy (HL) may help to alleviate the risk of hypertension and its burden. However, evidence on the association between HL and hypertension and potential mechanisms remain to be explored.ObjectivesThis study examined the association between HL and hypertension; and explored whether body mass index (BMI), body fat percentage (PBF), and visceral fat (VF) were mediators of this association in people who resided in rural and suburban areas in Vietnam.MethodsA cross-sectional survey was conducted from 1st July to 31st December 2019, involving 1655 residents and exploring participants' sociodemographic characteristics, HL, health-related behaviors, comorbidities, body composition, and blood pressure (BP). People with systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or using antihypertensive medication were classified as having hypertension. Multiple logistic regression and mediation analyses were used to explore associations.ResultsThe hypertension prevalence was 41.9% (694/1,655). In adjusted models, a higher HL score was associated with a lower hypertension likelihood (OR = 0.96; 95%CI = 0.95–0.97; p < 0.001). Factors associated with a higher odd of hypertension were overweight/obese (OR = 1.69; 95%CI = 1.24–2.29; p = 0.001), high PBF (OR = 2.35; 95%CI = 1.85–2.99; p < 0.001), and high VF (OR = 2.27; 95%CI = 1.63–3.16; p < 0.001). Notably, PBF significantly mediated the association between HL and hypertension (indirect effect, OR = 0.99; 95%CI = 0.98–0.99; p = 0.009; percent mediated = 8.56%). The mediating roles of BMI and VF were not found.ConclusionThe prevalence of hypertension was relatively high. People with better HL were less likely to have hypertension. The association between HL and hypertension was partially explained by PBF. Strategic approaches are required to improve people's HL and body fat which further help to manage hypertension in rural and suburban areas.

show abstract

Section: Introductionmentioning

confidence: 99%

Body mass index, body fat percentage, and visceral fat as mediators in the association between health literacy and hypertension among residents living in rural and suburban areas

Nguyen

et al. 2022

Front. Med.

View full text Add to dashboard Cite

show abstract

Unmet Healthcare Needs and Associated Factors in Rural Vietnam: A Cross-Sectional Study

Cited by 1 publication

References 13 publications

Body mass index, body fat percentage, and visceral fat as mediators in the association between health literacy and hypertension among residents living in rural and suburban areas

Body mass index, body fat percentage, and visceral fat as mediators in the association between health literacy and hypertension among residents living in rural and suburban areas

Contact Info

Product

Resources

About