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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1818050514929057792 |
---|---|
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. |
first_indexed | 2024-12-10T10:54:41Z |
format | Article |
id | doaj.art-64e64d225e53413abcdf465a9fb4c802 |
institution | Directory Open Access Journal |
issn | 2228-6497 |
language | English |
last_indexed | 2024-12-10T10:54:41Z |
publishDate | 2022-08-01 |
publisher | Tabriz University of Medical Sciences |
record_format | Article |
series | Health Promotion Perspectives |
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 |
work_keys_str_mv | AT zeinabjavadivala psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy AT akbarranjbarkhah psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy AT asgharmohammadpoorasl psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy AT farhadshekari psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy AT devenderbhalla psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy AT nedagilani psychobehavioralpredictorsofuncontrolledbloodpressureacasecontrolstudy |