Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study

Background: We aimed to determine the role of demographic, lifestyle, and personality trait factors in predicting control of blood pressure (BP) among patients with hypertension (HTN) in West Azerbaijan, Iran. Methods: In this case control study we recruited participants from all primary health cent...

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Main Authors: Zeinab Javadivala, Akbar Ranjbarkhah, Asghar Mohammadpoorasl, Farhad Shekari, Devender Bhalla, Neda Gilani
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2022-08-01
Series:Health Promotion Perspectives
Subjects:
Online Access:https://hpp.tbzmed.ac.ir/PDF/hpp-12-218.pdf
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author Zeinab Javadivala
Akbar Ranjbarkhah
Asghar Mohammadpoorasl
Farhad Shekari
Devender Bhalla
Neda Gilani
author_facet Zeinab Javadivala
Akbar Ranjbarkhah
Asghar Mohammadpoorasl
Farhad Shekari
Devender Bhalla
Neda Gilani
author_sort Zeinab Javadivala
collection DOAJ
description Background: We aimed to determine the role of demographic, lifestyle, and personality trait factors in predicting control of blood pressure (BP) among patients with hypertension (HTN) in West Azerbaijan, Iran. Methods: In this case control study we recruited participants from all primary health centers of Salmas city; who were at least 18 years of age, had a HTN diagnosis during the previous six months, and had a mandatory household record. Of 490 random subjects approached, 441 (84.2%) fulfilled our inclusion criteria (case: 221; control: 220). The age-matched controls were recruited from the same source population and were required to have controlled HTN. Data were collected through demographic Checklist, Ten-Item Personality Inventory (TIPI) and International Physical Activity Questionnaire (IPAQ). Results: Upon multivariate analyses, factors related to personality traits subdomains including extraversion personality (odd ratio [OR]: 0.85; CI: 0.73, 0.97) was effective in control of BP. Factors related to uncontrolled BP were agreement and consciences subdomains (OR 1.26 [CI: 1.07, 1.48] and OR 1.21 [CI: 1. 02, 1.44]), rare fruit consumption (OR 5.95 [CI: 1.24, 12.1]), Grade 1 and 2 obesities (OR 2.29 [CI: 1.28, 4.09] and OR 7.11 [CI: 2.21, 12.52]) and smoking (OR 3.27 [CI: 1.56, 6.89]). Conclusion: In addition to regular physical activity and fruit consumption and quitting smoking; personality traits such as Agreement and conscience personality traits were predictive of HTN control. We believe our work provides the required knowledge to design comprehensive HTN prevention programs by taking into account the multi-level causality approach.
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spelling doaj.art-64e64d225e53413abcdf465a9fb4c8022022-12-22T01:51:55ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972022-08-0112221822510.34172/hpp.2022.27hpp-37268Psycho-behavioral predictors of uncontrolled blood pressure: A case-control studyZeinab Javadivala0Akbar Ranjbarkhah1Asghar Mohammadpoorasl2Farhad Shekari3Devender Bhalla4Neda Gilani5Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, IranMember of the Student Research Committee, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranPle Universitaire Euclide Intergovernmental UN Treaty 49006/49007, Bangui, Central African RepublicDepartment of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranBackground: We aimed to determine the role of demographic, lifestyle, and personality trait factors in predicting control of blood pressure (BP) among patients with hypertension (HTN) in West Azerbaijan, Iran. Methods: In this case control study we recruited participants from all primary health centers of Salmas city; who were at least 18 years of age, had a HTN diagnosis during the previous six months, and had a mandatory household record. Of 490 random subjects approached, 441 (84.2%) fulfilled our inclusion criteria (case: 221; control: 220). The age-matched controls were recruited from the same source population and were required to have controlled HTN. Data were collected through demographic Checklist, Ten-Item Personality Inventory (TIPI) and International Physical Activity Questionnaire (IPAQ). Results: Upon multivariate analyses, factors related to personality traits subdomains including extraversion personality (odd ratio [OR]: 0.85; CI: 0.73, 0.97) was effective in control of BP. Factors related to uncontrolled BP were agreement and consciences subdomains (OR 1.26 [CI: 1.07, 1.48] and OR 1.21 [CI: 1. 02, 1.44]), rare fruit consumption (OR 5.95 [CI: 1.24, 12.1]), Grade 1 and 2 obesities (OR 2.29 [CI: 1.28, 4.09] and OR 7.11 [CI: 2.21, 12.52]) and smoking (OR 3.27 [CI: 1.56, 6.89]). Conclusion: In addition to regular physical activity and fruit consumption and quitting smoking; personality traits such as Agreement and conscience personality traits were predictive of HTN control. We believe our work provides the required knowledge to design comprehensive HTN prevention programs by taking into account the multi-level causality approach.https://hpp.tbzmed.ac.ir/PDF/hpp-12-218.pdfpredictionblood pressurehypertensioncase-controlepidemiology
spellingShingle Zeinab Javadivala
Akbar Ranjbarkhah
Asghar Mohammadpoorasl
Farhad Shekari
Devender Bhalla
Neda Gilani
Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
Health Promotion Perspectives
prediction
blood pressure
hypertension
case-control
epidemiology
title Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
title_full Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
title_fullStr Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
title_full_unstemmed Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
title_short Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study
title_sort psycho behavioral predictors of uncontrolled blood pressure a case control study
topic prediction
blood pressure
hypertension
case-control
epidemiology
url https://hpp.tbzmed.ac.ir/PDF/hpp-12-218.pdf
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