ArticleInternational journal of general medicine2021
Levels and Predictors of Self-Care Among Patients with Hypertension in Pakistan.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- Trial
- Self-Care Practice in the Management of Hypertension Among Adults in Africa: Findings From a Scoping Review.Health science reports · 2026Article
- Self-Care Behaviors and Associated Factors among Patients with Hypertension in the Kurdistan Region of Iraq: A Cross-Sectional Study.Journal of patient experience · 2025Article
- The relationships among disease perception, perceived control, and self-care behaviors in hypertensive patients: Results of a cross-sectional study.Journal of education and health promotion · 2025Article
- May Measurement Month 2021: an analysis of blood pressure screening results from Pakistan.European heart journal supplements : journal of the European Society of Cardiology · 2024Article
- Translation, adaptation, and validation of a Chinese version of the Hypertension Self-Care Activity Level effects (H-SCALE) for patients with hypertension.BMC nursing · 2024Article
- Factors associated with dietary and exercise compliance among elderly with chronic conditions of hypertension and type 2 diabetes mellitus residing in rural areas of coastal Karnataka: A community-based cross-sectional study.Journal of education and health promotion · 2024Article
- Self-management of chronic, non-communicable diseases in South Asian settings: A systematic mixed-studies review.PLOS global public health · 2024Article
- Factors associated with self-care behaviours among people with hypertension residing in Kathmandu: a cross-sectional study.BMJ open · 2023Article
- Challenges of managing hypertension in Pakistan - a review.Clinical hypertension · 2023Review
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan.
methodsThis study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban cosmopolitan setting within Karachi Pakistan. Four hundred and two patients were screened using the H-SCALE questionnaire, while socio-demographic predictors of self-care and level of knowledge of hypertension were identified using a study-specific checklist. Self-care was assessed against six clinical domains including medication adherence, diet, weight management, physical activity, and abstinence from alcohol.
resultsParticipants were recruited from the two largest tertiary care hospitals in Karachi. Good knowledge about hypertension, including its causes, management, and complications was reported by 4.47% of the participants. Highest levels of self-care adherence were found for abstinence from alcohol (100%), smoking cessation (83.33%), and medication compliance (71.89%), whereas lowest levels were found for diet (27.11%), and physical activity (24.88%). In terms of predictors for self-care, age, male gender, and self-checking of blood pressure at home, followed by the level of education were the most common predictors for each self-care behavior in the given population.
conclusionOverall knowledge of self-care for hypertension is sub-optimal among hypertensive patients in Pakistan which is reflected in their behaviors. There is a need to introduce healthcare educational programs in Pakistan which can improve self-care behaviors of hypertensive individuals and potentially reduce the prevalence of associated cardiovascular diseases and its complications.
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