ArticlePloS one2019
Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review.Global heart · 2023Pooled it
- Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis.Open heart · 2021Pooled it
- Self-Care Practice in the Management of Hypertension Among Adults in Africa: Findings From a Scoping Review.Health science reports · 2026Article
- Article
- Predictors of adherence to Hypertension Self-management practices among older persons attending a rural hospital in Uganda.African health sciences · 2025Article
- Factors influencing adoption of self-monitoring of blood pressure among hypertensive patients in primary healthcare in Vietnam: a cross-sectional facility-based study.BMC primary care · 2025Article
- Self-Care Behavior Based on Knowledge of Patients with Hypertension: A Cross-Sectional Study.Vascular health and risk management · 2025Article
- Self-Care Activities and Self-Efficacy Among Jordanian Patients with Hypertension: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Effect of Self-Care Activities on Blood Pressure Control Among Patients With Hypertension.BioMed research international · 2025Observational
- Self-Care Behaviors and Associated Factors Among Hypertensive Patients at Dessie Referral Hospital, Northeast Ethiopia.International journal of hypertension · 2025Article
- A cross-sectional study on socio-demographic correlates of self-reported self-care practices for hypertension and type 2 diabetes among adults living in rural Kenya.BMC health services research · 2024Article
- Illness perception and self-care in hypertension treatment: a scoping review of current literature.BMC health services research · 2024Article
- Knowledge and self-care practice among patients with hypertension in tertiary public hospitals of Addis Ababa, Ethiopia: A multicenter cross-sectional study.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- Therapeutic inertia and contributing factors among ambulatory patients with hypertension.BMC cardiovascular disorders · 2024Observational
- Self-care adherence and associated factors among hypertensive patients at Guraghe Zone, 2023.Heliyon · 2024Article
- Descriptive epidemiology of prevalence of exercise habits among participants with hypertension: The National Health and Nutrition Survey 2013-2018.Journal of general and family medicine · 2024Article
- Drug therapy problems among hospitalized patients with cardiovascular disease.BMC cardiovascular disorders · 2024Observational
- Predictors of self-care behaviors in patients with hypertension: The integrated model of theories of "planned behavior" and "protection motivation".Journal of education and health promotion · 2024Article
- Comparison of the Effects of Self-Administered Moxibustion versus Acupressure on Blood Pressure, Stress, Sleep Quality, and Quality of Life in Hypertensive Patients: A Randomized Parallel Trial.Healthcare (Basel, Switzerland) · 2023Article
- Factors associated with self-care behaviours among people with hypertension residing in Kathmandu: a cross-sectional study.BMJ open · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
backgroundDespite the benefits of evidence-based self-care behaviors in the management of hypertension, hypertensive patients have low rate of adherence to the recommended self-care behaviors. Studies related to self-care behaviors among hypertensive patients are limited in Ethiopia.
objectiveTo assess the rate of adherence to self-care behaviors and associated factors among hypertensive patients.
methodA cross-sectional study was conducted at the cardiac clinic of Ayder comprehensive specialized hospital among ambulatory hypertensive patients. Self-care behaviors were assessed using an adopted Hypertension Self-Care Activity Level Effects (H-SCALE). Data were collected through patient interview and review of medical records. Binary logistic regression analysis was performed to identify predictors of self-care behaviors.
resultA total of 276 patients were included in the study. The majority of the participants were nonsmokers (89.9%) and alcohol abstainers (68.8%). Less than half of the participants were adherent to the prescribed antihypertensive medications (48.2%) and recommended physical activity level (44.9%). Moreover, only 21.45% and 29% were adherent to weight management and low salt diet recommendations, respectively. Our finding indicated that rural resident (adjusted odds ratio [AOR]: 0.45, 95% confidence interval [CI]: 0.21-0.97), comorbidity (AOR: 0.16, 95% CI: 0.08-0.31), and negative medication belief (AOR: 0.25, 95% CI: 0.14-0.46) were significantly associated with medication adherence. Female sex (AOR: 0.46, 95% CI: 0.23-0.92), old age (AOR: 0.19, 95% CI: 0.06-0.60) and lack of knowledge on self-care behaviors (AOR: 0.13, 95% CI: 0.03-0.57) were significantly associated with adherence to weight management. Female sex (AOR: 1.97, 95% CI: 1.03-3.75) and lack of knowledge on self-care (AOR: 0.07, 95% CI: 0.03-0.16) were significantly associated with adherence to alcohol abstinence. Female sex (AOR: 6.33, 95% CI: 1.80-22.31) and khat chewing (AOR: 0.08, 95% CI: 0.03-0.24) were significantly associated with non-smoking behavior. There was also a significant association between female sex and physical activity (AOR: 0.22, 95% CI: 0.12-0.40).
conclusionThe rate of adherence to self-care behaviors particularly weight management, low salt intake, physical exercise, and medication intake was low in our study. Elders, females, khat chewers, rural residents, and patients with negative medication belief, comorbidity, and inadequate knowledge of SCBs were less adherent to self-care behaviors compared to their counterparts. Therefore, health care providers should pay more emphasis to patients at risk of having low self-care behaviors.
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