Self-rated health and its determinants in patients with hypertension in Isfahan in 2019
Abstract Background and objectives Self-rated health (SRH) serves as an assessment of contentment regarding one’s social, mental, and physical well-being and has been linked to both cardiovascular mortality and morbidity. Nonetheless, the relationship between SRH and medical outcomes in individuals...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-17887-2 |
| _version_ | 1797272962376663040 |
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| author | Asieh Mansouri Alireza Khosravi Farsani Noushin Mohammadifard Fatemeh Nouri Mahnaz Jozan Ghazaal Alavi Tabatabaei Rezvan Salehidoost Hamed Rafiee |
| author_facet | Asieh Mansouri Alireza Khosravi Farsani Noushin Mohammadifard Fatemeh Nouri Mahnaz Jozan Ghazaal Alavi Tabatabaei Rezvan Salehidoost Hamed Rafiee |
| author_sort | Asieh Mansouri |
| collection | DOAJ |
| description | Abstract Background and objectives Self-rated health (SRH) serves as an assessment of contentment regarding one’s social, mental, and physical well-being and has been linked to both cardiovascular mortality and morbidity. Nonetheless, the relationship between SRH and medical outcomes in individuals with hypertension unsettled. This research endeavors to pinpoint the determinants that affect SRH in Iranian patients with hypertension. Materials and methods This cross-sectional study took place in Isfahan, Iran, from November 2018 to August 2019 and involved 886 patients with essential HTN. The data collection methods included a checklist for demographic information and risk factors, blood pressure measurements (systolic and diastolic), the Persian version of the 8-Item Morisky Medication Adherence scale, and a self-rated health questionnaire recommended by the World Health Organization. Independent sample T-test and chi squared test were used for comparison of variables between two groups of SRH. Additionally, multivariable logistic regression was used to analyze the factors influencing self-rated health status. Results Among 886 participants (mean age 57.8 ± 8.8 years, 71.9% women), 89.62% reported good SRH. Comorbid conditions were significantly associated with poorer SRH (p < 0.05). Notably, higher education (odd ratio (OR) = 1.88, 95% confidence interval (CI) = 1.13–3.11, p = 0.015) and increased income (OR = 4.34, 95% CI = 1.43–13.18, p = 0.010) were identified as positive determinants of good SRH. Conclusion We concluded that socioeconomic factors (education and income) and comorbid conditions (diabetes, hyperlipidemia, and pulmonary diseases) are risk factors for poor SRH among hypertensive patients. These findings could help planning of health enhancement initiative. |
| first_indexed | 2024-03-07T14:36:50Z |
| format | Article |
| id | doaj.art-654b2ba7e9044dabb1a318a88f0c5b5e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T14:36:50Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-654b2ba7e9044dabb1a318a88f0c5b5e2024-03-05T20:34:52ZengBMCBMC Public Health1471-24582024-02-012411710.1186/s12889-024-17887-2Self-rated health and its determinants in patients with hypertension in Isfahan in 2019Asieh Mansouri0Alireza Khosravi Farsani1Noushin Mohammadifard2Fatemeh Nouri3Mahnaz Jozan4Ghazaal Alavi Tabatabaei5Rezvan Salehidoost6Hamed Rafiee7Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesCentre for Endocrinology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of LondonCardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesAbstract Background and objectives Self-rated health (SRH) serves as an assessment of contentment regarding one’s social, mental, and physical well-being and has been linked to both cardiovascular mortality and morbidity. Nonetheless, the relationship between SRH and medical outcomes in individuals with hypertension unsettled. This research endeavors to pinpoint the determinants that affect SRH in Iranian patients with hypertension. Materials and methods This cross-sectional study took place in Isfahan, Iran, from November 2018 to August 2019 and involved 886 patients with essential HTN. The data collection methods included a checklist for demographic information and risk factors, blood pressure measurements (systolic and diastolic), the Persian version of the 8-Item Morisky Medication Adherence scale, and a self-rated health questionnaire recommended by the World Health Organization. Independent sample T-test and chi squared test were used for comparison of variables between two groups of SRH. Additionally, multivariable logistic regression was used to analyze the factors influencing self-rated health status. Results Among 886 participants (mean age 57.8 ± 8.8 years, 71.9% women), 89.62% reported good SRH. Comorbid conditions were significantly associated with poorer SRH (p < 0.05). Notably, higher education (odd ratio (OR) = 1.88, 95% confidence interval (CI) = 1.13–3.11, p = 0.015) and increased income (OR = 4.34, 95% CI = 1.43–13.18, p = 0.010) were identified as positive determinants of good SRH. Conclusion We concluded that socioeconomic factors (education and income) and comorbid conditions (diabetes, hyperlipidemia, and pulmonary diseases) are risk factors for poor SRH among hypertensive patients. These findings could help planning of health enhancement initiative.https://doi.org/10.1186/s12889-024-17887-2Self-rated healthHypertensionSocioeconomic statusChronic diseaseIran |
| spellingShingle | Asieh Mansouri Alireza Khosravi Farsani Noushin Mohammadifard Fatemeh Nouri Mahnaz Jozan Ghazaal Alavi Tabatabaei Rezvan Salehidoost Hamed Rafiee Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 BMC Public Health Self-rated health Hypertension Socioeconomic status Chronic disease Iran |
| title | Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 |
| title_full | Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 |
| title_fullStr | Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 |
| title_full_unstemmed | Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 |
| title_short | Self-rated health and its determinants in patients with hypertension in Isfahan in 2019 |
| title_sort | self rated health and its determinants in patients with hypertension in isfahan in 2019 |
| topic | Self-rated health Hypertension Socioeconomic status Chronic disease Iran |
| url | https://doi.org/10.1186/s12889-024-17887-2 |
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