Factors influencing health-promoting behaviors among people at risk of hypertension in a rural community, Ubon Ratchathani Province

  • วานิช สุขสถาน College of Nursing and Health, Suan Sunandha Rajabhat University
Keywords: health-promoting behaviors, people at risk of hypertension, perception of health benefits


This cross-sectional study aimed to investigate health-promoting behaviors among people at risk of hypertension in a rural community. In total, 302 people at risk of hypertension aged over 35 years old were selected using stratified sampling method. Data were analyzed using Chi-square test and Stepwise-multiple regression analysis. Results indicated that 64.90% of participants had overall health promotion behaviors at moderate level. According to multiple regression model, the significant predicting variable (p<0.01) included perception of health benefits (Beta = .402), age (Beta = -.084), social support (Beta  = .162), and perception of self-efficacy (Beta = -.088). These factors could predict 32%  (adjusted R2 = 0.320) of health-promoting behaviors among those at risk of hypertension. These findings suggest that nurses and other health care providers should promote hypertension preventive behavior among people with prehypertension by focusing on perception of health benefits, social support, and perception of self-efficacy of self-care to prevent hypertension. This will enhance health-promoting behaviors among people at risk of hypertension in a rural community.


Download data is not yet available.


1. Bureau of Non Communicable Diseases, Department of Disease Control. Non communicable disease trends. Bangkok: War Veterans Organization of Thailand; 2010.(in Thai)

2. World Health Organization. Hypertension fact sheet. Geneva: World Health Organization; 2011.

3. Srivanichakorn S. Morbidity and mortality situation of non-communicable diseases (diabetes type 2 and cardiovascular diseases) in Thailand during 2010-2014. Disease Control Journal 2017;43:379-90. (in Thai)

4. World Health Organization. A global brief on hypertension. Geneva: World Health Organization; 2013.

5. Kannel WB, Wilson PW F. Cardiovascular risk factors and hypertension. In: Joseph L Izzo, Henry R Black, editors. Hypertension primer the essential of high blood pressure. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 293-8.

6. Karnjanapiboonwong A, Sanchaisuriya P, Srivanichakorn S. Data system for surveillance of cardiovascular disease, diabetes and related risk factors in Thailand during 2010-2015. Disease Control Journal 2017;43:220-32. (in Thai)

7. Nitikul K. Risk factors of cardiovascular disease prevention among diabetic patients receiving healthcare services in Kuannieng Hospital, Songkhla Province. Disease Control Journal 2017;43:196-206. (in Thai)

8. World Health Organization. Global status report on non-communicable diseases. Geneva: World Health Organization; 2014.

9. International Health Policy Program, Ministry of Public Health. Disability-Adjusted Life Years (DALYs) in 2014. Nonthaburi: International Health Policy Program; 2015. (in Thai)

10. Health Data Center, Ministry of Public Health. Population classified by gender, age group in 2018 [Internet]. 2018 [cited 2018 Jun 6]. Available from:
https://hdcservice.moph.go.th/hdc/main/index_pk.php (in Thai)

11. Ubonratchathani Provincial Public Health Office, Human Resource and Service Quality Development Section. Manual of family health. Ubonratchathani: Ubonratchathani Provincial Public Health Office; 2017.

12. Green LW, Kreuter MW. Health program planning: an educational and ecological approach. 4th ed. New York: McGraw-Hill, 2005.

13. Polit DF, Beck CT. Essentials of nursing research: methods, appraisal and utilization. 6th ed. London: Lippincott Williams & Wilkins; 2006.

14. Boonvarasatit S, Homsin P, Srisuriyawet R. Factors Influencing health-promoting behaviors among prison officers in Department of Corrections, Nakhon Ratchasima Province [dissertation]. Chonburi: Burapha University; 2015. 91 p. (in Thai)

15. Bunlong N. Factors related to health promoting behaviors of health personnel in general hospital, Phangnga Province [dissertation]. Chonburi: Burapha University; 2009. 116 p. (in Thai)

16. Seeherunwong A, Suwonnaroop N. An analysis of validity and reliability of the health-promoting lifestyle profile. Thai Journal of Nursing Council 2004;19:44-63. (in Thai)17. Becker MH, Drachman RH, Kirscht JP. A new approach to explaining sick-role behavior in low-income populations. Am J Public health 1974;64:205-16.

18. Khuneepong A. The effectiveness of health promotion program on preventive behaviors affecting complications of hypertensive patients, Pathum Thani Province. VRU Research and Development Journal Science and Technology 2017;12:55-65.

19. Sanghuaiprai K. Factors affecting health promotion behaviors of officers working at Royal Thai Navy Hospitals [dissertation]. Bangkok: Ramkhamhaeng University; 2008. 170 p.

20. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. New Jersey: Prentice Hall; 2006.

21. Green W, Kreuter W. Health program planning an educational and ecological
approach. New York: Quebecor World Fairfield; 2005.

22. House S. Work stress and social support. New Jersey: Prentice Hall; 1981.

23. Sootsukon S. Factors relating hypertension protective health behaviors of out-
patients seeking care at Bhumibol Adulyadej Hospital [dissertation]. Bangkok:
Kasetsart University; 2011. 123 p.

24. Kohtbantau S, Witayapichetsakul S, Salout A, Suksawang P. A causal relationship model of practice toreduce hypertension risk of people in Bansuan Municipality, Muang District, Chonburi Province. The Public Health Journal of Burapha University 2014;9:85-96.

25. Kanganapangka P, Suntayakorn C, Wannapornsiri C, Siripornpibul T. Effects of self efficacy promotion program on health behaviors and levels of blood pressure of the patients with hypertension. Naresuan University Journal 2009;17:63-73. (in Thai)

26. Srisiri S. Application of self-efficacy program for changing health behaviors among elderly people with hypertension, Health Center 19 Wong Sawang, Bangkok Metropolitan. Journal of Faculty of Physical Education 2012;15(special): 308-15. (in Thai)
Original Article