PMID- 34112122
OWN - NLM
STAT- MEDLINE
DCOM- 20210701
LR  - 20210701
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Jun 10
TI  - The effect of high blood pressure-health literacy, self-management behavior, 
      self-efficacy and social support on the health-related quality of life of Kazakh 
      hypertension patients in a low-income rural area of China: a structural equation 
      model.
PG  - 1114
LID - 10.1186/s12889-021-11129-5 [doi]
LID - 1114
AB  - BACKGROUND: Health-Related Quality of Life (HRQoL) of hypertensive patients is 
      not only affected by the disease itself but also by some subjective factors. Low 
      health literacy is prevalent among ethnic minorities. Considering the 
      Kazakh-Chinese people have the highest prevalence of hypertension in Xinjiang, 
      and the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the 
      study of HRQoL. The synergistic effects and the potential mechanism HBP-HL, 
      self-management behavior, therapeutic adherence, self-efficacy, social support on 
      HRQoL remain unclear. This study aimed to introduce the HBP-HL, and develop a 
      structural equation model (SEM) to identify the factors influencing of the HRQoL 
      among Kazakh hypertensive patients. METHODS: The data was obtained by 
      questionnaire survey and physical examination in 2015. Patients with hypertension 
      were recruited through random cluster sampling in Kazakh settlements in Xinjiang. 
      Firstly, the blood pressure was measured. Then the one-for-one household 
      interviews were conducted by Kazakh investigators. The questionnaires regarding 
      HBP-HL, HRQoL, self-management behavior, therapeutic adherence, self-efficacy, 
      and social support were used to collect data. Finally, SEM was constructed, and 
      p </= 0.05 was taken as significant. RESULTS: The data was analysed by SPSS18.0 and 
      AMOS18.0 software. 516 Kazakh hypertension patients were recruited, and 94.4% of 
      them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, 
      self-management, therapeutic adherence were poor; they were 63.5, 66.2, and 64.4, 
      respectively. But 96.1% and 98.3% of the participants had high levels of 
      self-efficacy and social support. The SEM of the HRQoL had a good overall fit 
      (chi(2)/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, 
      RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation 
      with HRQoL, following with self-management behavior, social support, and 
      self-efficacy. CONCLUSIONS: Low HBP-HL is a major influenced factor of HRQoL 
      among Kazakh hypertensive patients. Future programs should consider HBP-HL as the 
      breakthrough point when designing targeting intervention strategies.
FAU - Zhang, Qinghua
AU  - Zhang Q
AD  - School of Medicine, Hu Zhou University, 759-Second Ring East Road, Huzhou, 
      313000, Zhejiang, China. 02598@zjhu.edu.cn.
FAU - Huang, Feifei
AU  - Huang F
AD  - School of Nursing, Fu Jian Medical University, Fu Zhou, Fujian, China.
FAU - Zhang, Lei
AU  - Zhang L
AD  - First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 
      China.
FAU - Li, Shasha
AU  - Li S
AD  - School of Medicine, Hu Zhou University, 759-Second Ring East Road, Huzhou, 
      313000, Zhejiang, China.
FAU - Zhang, Jingping
AU  - Zhang J
AD  - Nursing Psychology Research Center of Xiangya Nursing School, Central South 
      University, 172 Tong Zi Po Road, Changsha, 410000, Hunan, China. 
      jpzhang1965@csu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210610
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - China/epidemiology
MH  - Cross-Sectional Studies
MH  - *Health Literacy
MH  - Humans
MH  - *Hypertension/epidemiology/therapy
MH  - Quality of Life
MH  - Self Efficacy
MH  - *Self-Management
MH  - Social Support
MH  - Surveys and Questionnaires
PMC - PMC8194055
OTO - NOTNLM
OT  - Health literacy
OT  - Health-related quality of life
OT  - Hypertension
OT  - Kazakh
OT  - Structural equation model
COIS- The authors declare that they have no competing interests.
EDAT- 2021/06/12 06:00
MHDA- 2021/07/02 06:00
PMCR- 2021/06/10
CRDT- 2021/06/11 05:37
PHST- 2021/02/16 00:00 [received]
PHST- 2021/05/19 00:00 [accepted]
PHST- 2021/06/11 05:37 [entrez]
PHST- 2021/06/12 06:00 [pubmed]
PHST- 2021/07/02 06:00 [medline]
PHST- 2021/06/10 00:00 [pmc-release]
AID - 10.1186/s12889-021-11129-5 [pii]
AID - 11129 [pii]
AID - 10.1186/s12889-021-11129-5 [doi]
PST - epublish
SO  - BMC Public Health. 2021 Jun 10;21(1):1114. doi: 10.1186/s12889-021-11129-5.