Factors Related to Health-Promoting Behaviors Among the People at Risk of Hypertension: A Case Study in Paphayom District, Phatthalung Province
Keywords:
health literacy, health-promoting behaviors, hypertensionAbstract
This descriptive study aimed to investigate factors associated with Health-promoting behaviors among people at risk of hypertension in Paphayom District, Phatthalung Province. A total of 164 individuals aged 35–59 years registered as high-risk for hypertension were selected using systemic sampling from the registry. Data were collected using a health literacy and health behaviors questionnaire based on the 3E2S (3 Es: Eating, exercise, emotions and 2Ss: avoid alcohol drinking and smoking) framework. The reliability of the questionnaire was confirmed with Cronbach’s alpha values of 0.80 and 0.75, respectively. Descriptive statistics, Chi-square tests, and Pearson’s correlation coefficients were employed for data analysis.
Results showed that 64.63% of the participants had moderate health literacy, while 57.32% exhibited poor health-promoting behaviors. Health literacy was positively associated with health behaviors at a moderate level (p < .001). However, personal factors such as age, education, and BMI were not significantly associated with health-promoting behaviors. The findings suggest that initiatives to improve health literacy and health-promoting behaviors, particularly those aligned with the 3E2S framework, should be developed to prevent hypertension effectively and sustainably.
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References
World Health Organization. Global report on hypertension: the race against a silent killer [Internet]. 2023. [cited 2024 Oct 26]. Available from: https://www.who.int/publications/i/item/9789240081062
Aekplakorn W. Thai national health examination survey VI (2019-2020) [Internet]. 2019 [cited 2022 Jan 11]. Available from:https://online.fliphtml5.com/bcbgj/znee/ p=187.
Ministry of Public health [Internet]. 2024. [cited 2024 Jan 19]. Available from: https://plg.hdc.moph.go.th/hdc/reports/report.php?source=populationpyramid.php&cat_id=ac4eed1bddb23d6130746d62d2538fd0&id=db4e8d42e1234a75bd03d430c31feb2f
Kario K, Okura A, Hoshide S, Mogi M. The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertens Res. 2024;47(5):1099-102.
Sakboonyarat B, Poovieng J, Srisawat P, Hatthachote P, Mungthin M, Rangsin R, et al. Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021. Sci Rep. 2023;3:6946.
Thai Hypertension Society. 2019 Thai guidelines on the treatment of hypertension. Chiang-Mai: Trick Think; 2019. (in Thai)
Strategy Planning Division. National Health Development Plan No. 12. (2560-2564). Ministry of Public Health. (in Thai)
Onsrinoi N, Leelukkanaveera Y, Toonsiri C. Predictive factors of hypertension preventive behaviors among people with pre-hypertension. Songklanagarind Journal of Nursing, 2017;37(1):63-74. (in Thai)
Nuntakamol J, Markmee P, Saengoen S. Health literacy factors influencing on hypertension preventive behaviors among risk group with hypertension in Tha Chai Subdistrict, Si Satchanalai District, Sukhothai Province. Science and Technology Northern Journal. 2022;3(3):18-37. (in Thai)
Chukumnird S, Boonyasophun U, Sirisom K. Factors influencing adherence to preventive behaviors among Thais with hypertension: a literature review. Walailak Journal of Science and Technology. 2018;16(8):509–21.
Suksatan W. Factors related to health - promoting behaviors among people at risk of hypertension under the universal coverage policy, Khemarat District, Ubon Ratchathani Province. Public Health & Health Laws Journal. 2018;4(3):431-41. (in Thai)
Nutbeam D. Defining and measuring health literacy: what can we learn from literacy studies? Int J Public Health. 2009;54:303–15.
Visanuyothin S. Effectiveness of integrated health literacy and self-management model for hypertension control in urban community Nakhonratchasima Province [dissertation Ph.D Public health science.] Bangkok: Chulalongkorn University; 2017. (in Thai)
Shahid R, Shoker M, Chu LM, Frehlick R, Ward H, Pahwa P. Impact of low health literacy on patients’health outcomes: a multicenter cohort study. BMC Health Serv Res. 2022;22:1148.
Du S, Zhou Y, Fu C. Wang Y, Du X, Xie R. Health literacy and health outcomes in hypertension: An integrative review. Inter J Nurs Sci. 2018;5(3):301–9.
Sinto N, Kamkaew W, Chummalee I, Srisaknnok T. Health literacy and health behaviors among risk group of hypertension disease, Mahasarakham Province. Research and Development Health System Journal. 2022;15(3):99-113. (in Thai)
Chukumnird S, Chuakompeng A, Tejavanija N. Health literacy based on 3E2S and adherence to preventive behavior of people with high-normal blood pressure. Journal of Nursing and Health Research. 2022;(23)2:55-70. (in Thai)
Health Education Division, Department of Health Service Support Ministry of Public Health and Srinakharinwirot University. ABCDE-Health literacy scale of Thai adults. Nonthaburi: Department of Health Service Support Ministry of Public Health; 2016. (in Thai).
Hinkle DE. Applied Statistic for the Behavioral Sciences. Boston: Houghton Mifflin; 1998.
Madican K, Oba N, Supametaporn P. Factors related to health literacy in patients with uncontrolled type 2 diabetes. Journal of Nursing and Health Sciences. 2020;14(1):38-53. (in Thai)
Photihung P. Relationship of health literacy to health promoting and disease prevention behavior in Thailand: a systematic review. The Journal Faculty of Nursing Burapa University. 2021;29(3):116-30. (in Thai)
Bodur AS, Filiz E, Kalkani I. Factors affecting health literacy in adults: a community based study in Konya, Turkey. Int J Caring Sci.2017;10(1):100-9.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21th century. Health Promot Int. 2000;15(3):259-67.
Mongkolmoo S, Chanandchidadussadee Toonsiri, Pornnapa Homsin. Factors related to health literacy for hypertension prevention among high-risk individuals in Nadee District, Prachinburi Province. Thai Pharmaceutical and Health Science Journal. 2022;17(3):168-75. (in Thai)
Saleema L, Panpakdee O, Arpanantikul M, Chai-Aroon T. The influence of basic conditioning factors and self-care agency on self-care behaviors in Thais with hypertension. Pac Rim Int J Nurs Res. 2016;20(1):5-17.
Tanak L, Koshakri R, Jewpattanakul Y. Factors related to health literacy among high-risk hypertension population in Bangkok. Journal Royal Thai Army Nurses. 2020;21(3):140-5. (in Thai)
Arahung R, Hoontrakul S, Roojanavech S. The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a community in Nakhon Pathom Province. Thai Navy Medical Journal. 2018;45(3):509-26. (in Thai)
Khumthong T. A causal model and effect of health literacy to health behavior and health outcome of risk Thai adults with diabetes and hypertension in Uthai Thani and Ang Thong Province [dissertation Ph.D Demography.] Bangkok: Chulalongkorn University; 2016. (in Thai)
Urwannachotoma N. Social determinants of health and health promotion in population. Journal of Health Science. 2016;25(1):147-56. (in Thai)
Gaffari-Fam S, Babazadeh T, Oliaei S, Behboodi L, Daemi A. Adherence to a health literacy and healthy lifestyle with improved blood pressure control in Iran. Patient Prefer Adherence. 2020;14:499–506.
Froze S, Arif M. Determinants of health literacy and healthy lifestyle against metabolic syndrome among major ethnic groups of Sarawak, Malaysia: a multi-group path analysis. Open Public Health J. 2019;12:1.
Yang SC, Luo YF, Chiang CH. The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. J Med Internet Res. 2017;19(1):e15.
Kudo N, Yokokawa H, Fukuda H, Hisaoka T, Isonuma H, Naito T. Analysis of associations between health literacy and healthy lifestyle characteristics among Japanese outpatients with lifestyle-related disorders. J Gen Fam Med. 2016;17(4):299–306.
Walters R, Leslie SJ, Polson R, Cusack T, Gorely T. Establishing the efficacy of interventions to improve health literacy and health behaviors: a systematic review. BMC Public Health. 2020;20(1):1040.
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