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Liu Y, Jiang F, Zhang M, Niu H, Cao J, Du S, Chen H, Wang H, Gong L, Rao F, Wu H. Health literacy and self-management among middle-aged and young hypertensive patients: a parallel mediation effect of illness perception and self-efficacy. Front Psychol 2024; 15:1349451. [PMID: 38765827 PMCID: PMC11099212 DOI: 10.3389/fpsyg.2024.1349451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 04/19/2024] [Indexed: 05/22/2024] Open
Abstract
Background Hypertension is increasingly prevalent among young and middle-aged populations in rural China, accompanied by suboptimal self-management. Given that this population forms the backbone of the labor force, enhancing their self-management capabilities is crucial for improving overall population health. Studies indicate that individuals with good health literacy are more likely to effectively manage their health. Methods Grounded in the health literacy skills framework, a model was constructed in this study to examine the impact of health literacy on self-management among young and middle-aged hypertensive patients in rural China. Meanwhile, the mediating roles of illness perception and self-efficacy were also verified. Using a multi-stage stratified random sampling method, 338 patients were recruited to participate in the study. Structural equation modeling was utilized to establish the relationship model, and bootstrap tests were carried out to examine the mediating effects. Results The average self-management score was 70.45 ± 11.36. Health literacy exhibited a positive correlation with self-management (standardized β = 0.372, p < 0.001). The mediating effects through illness perception and self-efficacy were 0.040 and 0.236, constituting 6.68 and 39.31% of the total effect, respectively. Conclusion Illness perception and self-efficacy serve as parallel mediators amid the association between health literacy and self-management. Implementing psychological counseling and health education is imperative for augmenting self-management competence and cultivating an adaptive coping mentality.
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Affiliation(s)
| | - Feng Jiang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Duan L, Zhang L, Zhang X, Lu S. Trends in output of hypertension management and associated factors in primary care facilities: a latent trajectory analysis in China from 2009 to 2017. BMC PRIMARY CARE 2023; 24:178. [PMID: 37674136 PMCID: PMC10483735 DOI: 10.1186/s12875-023-02139-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 08/24/2023] [Indexed: 09/08/2023]
Abstract
BACKGROUND The prevalence of hypertension is high (25.2% in 2012) and there were a large number of patients with hypertension (more than 200 million) in China. Township health centres in rural areas and community health centres in urban areas are responsible for hypertension management. This study aims to identify trends in hypertension management output and related facility-level, geographical and economic factors in primary care facilities and to assess the effect of the national project of basic public health services in China from 2009 to 2017. METHODS A cross-sectional survey (2018) was combined with retrospective data collection (2009-2017) from 685 primary care facilities in six provinces in China. The hypertension management output was indicated by the number of patients with hypertension under management per 10,000 population. Latent class growth analysis and group-based trajectory models were applied to classify trajectories and determine associations with facility-level, geographic and economic characteristics. RESULTS The trend in the output increased rapidly from 2009 to 2012 with an average growth rate of 54.58% and slowed down from 2012 to 2017 (growth rate of 5.94%). Five trajectories of the output were identified and labelled according to baseline status and increase rates: low-gradually increasing (16.9%), middle-slightly increasing (16.2%), low-sharply increasing (7.9%), middle-sharply increasing (34.2%) and persistently high (24.9%). The time-stable characteristics, including region (eastern, central or western), district (urban or rural), landform, were associated with hypertension management output of the facilities. Number of public health physicians was a significant time-dependent characteristic influencing management output. CONCLUSIONS Five latent trajectories of hypertension management output were identified. The output was still at a low level compared with the prevalence of hypertension. Hypertension screening in young people need to be emphasized. Facilities are recommended to establish good relationships with residents for better hypertension management outcomes especially in urban areas.
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Affiliation(s)
- Lei Duan
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, 430030, China
| | - Liang Zhang
- School of Political Science and Public Administration, Wuhan University, Wuhan, 430072, China
| | - Xiang Zhang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Shan Lu
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, 430030, China.
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Xing F, Guo Y, Xia N, Zhang S, Yin J, Qin L, Zhu C, Gao Q, Jia J, Zhao Y, Qi Y, Li W. Mobile APP-assisted family physician program for improving blood pressure outcome in hypertensive patients. BMC PRIMARY CARE 2023; 24:8. [PMID: 36627556 PMCID: PMC9832760 DOI: 10.1186/s12875-023-01965-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Accepted: 01/02/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND This study was aimed to examine the effectiveness of App-assisted self-care in a Beijing community based on intelligent family physician-optimised collaborative model (IFOCM) program. METHODS: We conducted a survey of 12,050 hypertensive patients between Jan 2014 and Dec 2021. Generalized linear model was used to analyze the covariates that associated with blood pressure (BP) control. Decision tree and random forest algorithm was used to extract the important factors of BP outcome. RESULTS The study included 5937 patients, mean age 66.2 ± 10.8, with hypertension in the baseline; 3108(52.4) were female. The community management resulted in mean systolic BP and diastolic BP reductions of 4.6 mmHg and 3.8 mmHg at follow-up. There were 3661 (61.6%) hypertension patients with BP control, increasing from 55.0% in 2014 to 75.0% in 2021. After adjusted for covariates, antihypertensive medication adherence, diabetes, and APP-assisted self-care were common predictors associated with BP control in GLM model and machine learning algorithm. CONCLUSION Community management based on IFOCM program significantly improved BP control in hypertensive patients. APP-assisted self-care would be beneficial for the management of chronic disease.
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Affiliation(s)
- Fang Xing
- Heyi Community Health Service Center, Fengtai District, No. 6, 2Nd Quarter, Heyidongli, Beijing, 100076, China
| | - Yijia Guo
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
| | - Nan Xia
- Heyi Community Health Service Center, Fengtai District, No. 6, 2Nd Quarter, Heyidongli, Beijing, 100076, China
| | - Suolei Zhang
- Beijing Center for Disease Prevention and Control, Beijing, China
| | - Jinfeng Yin
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
| | - Liyi Qin
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
| | - Chendi Zhu
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
| | - Qing Gao
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
- Graduate School of Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
| | - Junnan Jia
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China
| | - Yuesong Zhao
- Heyi Community Health Service Center, Fengtai District, No. 6, 2Nd Quarter, Heyidongli, Beijing, 100076, China
| | - Yousheng Qi
- Heyi Community Health Service Center, Fengtai District, No. 6, 2Nd Quarter, Heyidongli, Beijing, 100076, China.
| | - Weimin Li
- Beijing Chest Hospital, Capital Medical University, No. 9, Beiguan Street, Tongzhou District, Beijing, 101149, China.
- Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China.
- National Tuberculosis Clinical Lab of China, Beijing Tuberculosis and Thoracic Tumour Research Institute and Beijing Key Laboratory in Drug Resistance Tuberculosis Research, Beijing, China.
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Lu J, Sun S, Gu Y, Li H, Fang L, Zhu X, Xu H. Health literacy and health outcomes among older patients suffering from chronic diseases: A moderated mediation model. Front Public Health 2023; 10:1069174. [PMID: 36703841 PMCID: PMC9873261 DOI: 10.3389/fpubh.2022.1069174] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 12/21/2022] [Indexed: 01/12/2023] Open
Abstract
Introduction Aging brings with an increased risk of chronic diseases among older adults, which could affect health outcomes. Evidence has showed that health literacy is associated with health outcomes. However, limited studies explore the underlying mechanism between health literacy and health outcomes. Hence, this study aimed to determine whether self-efficacy for managing chronic disease mediates the relationship between health literacy and health outcomes among older patients with chronic diseases, and to explore whether disease duration moderates the relationship between health literacy, self-efficacy for managing chronic disease, and health outcomes. Methods Participants were recruited from tertiary hospitals in Zhejiang Province, China from May 2019 to June 2020 using a convenience sampling method. A total of 471 older patients with chronic diseases completed questionnaires measuring demographics, disease-related information, health literacy, self-efficacy for managing chronic disease, and health outcomes. The mediation effect was examined using the structural equation model method, based on the bias-corrected bootstrapping method. The moderation effect was tested by the multiple-group analysis. Results A good fit model suggested that self-efficacy for managing chronic disease partially mediated the relationships between health literacy and health outcomes. In addition, disease duration moderated the relationships between health literacy, self-efficacy for managing chronic disease, and health outcomes. Discussion The findings highlight that adequate health literacy improved health outcomes among older patients with chronic diseases, which was further promoted by self-efficacy for managing chronic diseases. Moreover, a long disease duration could enhance the effect.
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Affiliation(s)
- Jinjin Lu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Shuting Sun
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yechun Gu
- General Surgery Department, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang, China
| | - Huihui Li
- School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Liangyu Fang
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xiaoling Zhu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China,*Correspondence: Xiaoling Zhu ✉
| | - Hongbo Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China,Hongbo Xu ✉
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Chantakeeree C, Sormunen M, Jullamate P, Turunen H. Understanding perspectives on health-promoting behaviours among older adults with hypertension. Int J Qual Stud Health Well-being 2022; 17:2103943. [PMID: 35912497 PMCID: PMC9347462 DOI: 10.1080/17482631.2022.2103943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Purpose Health-promoting behaviours (HPBs) are considered the key to determining health among older adults with hypertension. Increasing our understanding of older adults’ views on HPBs could facilitate the development of interventions aimed at improving their quality of life. This study aims to describe the perceptions of older adults with high blood pressure concerning their HPBs and associated factors. Methods Semi-structured interviews with 40 individuals in Thailand were used to collect the data, which were analysed using thematic analysis. Results The results were categorized into five main themes related to personal, social, and environmental factors. Older adults explained that their experiences with HPBs involve taking responsibility for controlling blood pressure by following a doctor’s prescription, modifying their lifestyles to be healthier, sustaining social relationships, and experiencing spiritual growth through religious practices for inner peace. Older adults also identified environmental factors that influenced their engagement in HPBs depending on their residential areas. Conclusions The findings of this study highlight the importance of practices in which professionals support and encourage older adults to perform HPBs to maintain health and improve their well-being.
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Affiliation(s)
- Chonticha Chantakeeree
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
- Gerontological Nursing Division, Faculty of Nursing, Burapha University, Chon Buri, Thailand
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, Department of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Pornchai Jullamate
- Gerontological Nursing Division, Faculty of Nursing, Burapha University, Chon Buri, Thailand
| | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
- Centre of clinical nursing development, education and research, Kuopio University Hospital, Kuopio, Finland
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Proportion and risk factors of diabetic retinopathy by stage in less-developed rural areas of Hunan province of China: A multi-site cross-sectional study. BMC Public Health 2022; 22:1871. [PMID: 36207704 PMCID: PMC9541011 DOI: 10.1186/s12889-022-14232-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 08/17/2022] [Accepted: 09/20/2022] [Indexed: 11/20/2022] Open
Abstract
Aims To investigate the proportion and risk factors of diabetic retinopathy (DR) by stages in less-developed rural areas in Hunan Province of China. Background DR is common among people with diabetes but not well recognized in less-developed rural areas. There is insufficient evidence on the risk factors of DR by stages, making it challenging to develop targeted prevention and intervention programs for DR in primary care settings. Methods A multi-site cross-sectional survey was conducted among people with type 2 diabetes mellitus (T2DM) from four less-developed counties in Hunan Province of China. All participants underwent the screening of DR via digital fundus photography and completed self-reported questionnaires on their socio-demographic and clinical characteristics, diabetes self-efficacy, diabetes self-care behaviors, social support, family function, and health service accessibility. The multinomial logistic regression models were employed to explore the risk factors of DR by stage, which were selected based on the socio-ecological model, literature, and clinical experience. Results A total of 196 participants were included in this study with an average age of 57.43 ± 10.26. 59.6% (117/196) of the participants were identified as DR, including 37.2% (73/196) non-proliferative DR and 22.4% (44/196) proliferative DR. Compared to the non-DR group, the risk factors of non-proliferative DR and proliferative DR were diabetes duration (OR: 1.10, 95 CI%: 1.04–1.17; OR: 1.14, 95 CI% 1.06–1.22) and self-monitoring of blood glucose (OR: 1.09, 95 CI% 1.01–1.17; OR: 1.11, 95 CI%: 1.02–1.20); the protective factors of non-proliferative DR was accessible complication prevention and management education (OR: 0.37, 95 CI% 0.14–0.94) while the protective factors of proliferative DR were physical activities (OR: 0.89, 95 CI%: 0.80–0.98). Compared to the non-proliferative DR group, the protective factors of proliferative DR were physical activities (OR: 0.89, 95 CI% 0.02–0.89) and family function (OR: 0.84, 95 CI%: 0.04–0.84). Conclusion DR was prevalent among people with T2DM in less-developed rural areas, indicating the need of strengthening DR screening. Risk factors of DR varied by stage while sharing some common factors. Future DR prevention and intervention programs may benefit from improving these factors to reduce the risk of DR by stage.
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Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis. Int J Hypertens 2022; 2022:5962571. [PMID: 35879985 PMCID: PMC9308551 DOI: 10.1155/2022/5962571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 03/01/2022] [Accepted: 06/27/2022] [Indexed: 11/17/2022] Open
Abstract
Background Self-care adherence for hypertensive patients is a cornerstone for the control of it and prevention of its complications. However, there are inconsistent findings for self-care adherence of hypertensive patients in Ethiopia. Thus, this systematic review and meta-analysis was done to determine the pooled estimate self-care adherence. Methods This systematic review and meta-analysis was reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. An intensive search of online databases such as PubMed (MEDLINE), CINHAL, Google Scholar, and advanced Google search was made to access both published and unpublished articles that report self-care adherence among hypertensive patients in Ethiopia. The pooled estimate was done with STATA version 11 metan commands in a 95% confidence interval. The presence of heterogeneity and publication bias were detected by I2 and Egger's test, respectively. A random-effect model was obtained, and subgroup analysis was done for the management of heterogeneity. Result A total of 24 articles with a total of 7224 participants were included in the final systematic review and meta-analysis. The pooled estimate of overall self-care adherence among hypertensive patients was 36.98% (95% CI: 27.13–46.83). In subgroup analysis, the highest overall self-care adherence was observed in the Amhara region at 53% (95% CI: 46.54, 59.47). The pooled estimate of self-care dimensions such as medication adherence, low-salt diet, physical activity, smoking abstinence, alcohol abstinence, and weight management was 62.71%, 65.96%, 47.28%, 92.53%, 67.59%, and 52.54%, respectively. Conclusion The pooled estimate of good self-care adherence among hypertensive patients was low. From the dimensions of self-care, the lowest level was in physical activity and the highest level was in smoking abstinence. Comparing all regions, the lowest level of overall self-care adherence was observed in Addis Ababa, Tigray region, and South Nations and Nationalities of Ethiopia. Screening of adherence to self-care and health education should be provided to every patient during every visit.
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Jiang Y, Jiang S, Long Q, Yang J, Chen JL, Guo J. Factors Associated with Hemoglobin A1c Level Among Women Without Prior Diabetes Diagnosis in Rural Areas of Central South China: A Cross-Sectional Study. Int J Womens Health 2022; 14:741-755. [PMID: 35698488 PMCID: PMC9188317 DOI: 10.2147/ijwh.s362143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 05/24/2022] [Indexed: 11/24/2022] Open
Abstract
Background Women in rural areas of China face the unique risk of developing diabetes, but data on the glycemic status among women without prior diabetes diagnosis in rural areas are lacking which may limit the decision-making for diabetes screening or prevention. This study was aimed to describe the glycemic status of women determined by hemoglobin A1c (HbA1c) and explore its associating factors. Methods A cross-sectional survey was conducted among women without prior diabetes diagnosis from two counties of rural areas in Central South China from July to October 2018. On the basis of the life course framework, data on socio-demographic, environmental health, genetic, biological (blood pressure, weight and height, lipids), psychosocial, and healthy behavioral factors were collected on site either through questionnaires or field measurements. The questionnaires included social-demographic sheet, Perceived Stress Scale, Self-efficacy scales for health-related diet and exercise behaviors, and Chinese Diabetes Risk Questionnaire. Generalized linear model analysis was performed to determine the associating factors of glycemic status, which was measured by HbA1c level. Results A total of 647 women were included in the study. The median age of women was 51.00 years (range 35–65 years). The median HbA1c level was 5.1% (interquartile range 4.6%-5.5%, range 4–13.6%), and 8.7% (n=56) of women were identified as elevated glycemic status (HbA1c>6%). Environmental health factors (eg, living in less-developed county [β=0.206, p=0.027]), biological factors (eg, higher body mass index [β=0.201, p=0.036], higher total cholesterol [β=0.097, p=0.040], history of gestational diabetes mellitus [β=0.722, p<0.001]), and psychosocial factors (eg, higher perceived stress [β=0.247, p=0.002]) were associated with higher HbA1c level. Conclusion This study reported 8.7% of elevated glycemic status among women without prior diabetes diagnosis in rural Hunan Province, China. After a comprehensive investigation based on a theoretical framework, living in a less-developed county of rural areas, having larger body mass index, higher total cholesterol, higher perceived stress, and a gestational diabetes mellitus history were identified as associating factors of higher HbA1c level. Professional support regarding weight control, blood lipid control, stress management, and the prevention of gestational diabetes mellitus should be recommended among this population, especially for women from less-developed counties.
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Affiliation(s)
- Yuanyuan Jiang
- Xiangya School of Nursing, Central South University, Changsha, Hunan Province, People's Republic of China
| | - Shan Jiang
- Xiangya School of Nursing, Central South University, Changsha, Hunan Province, People's Republic of China.,Zhongda Hospital Affiliated to Southeast University, Nanjing, Jiangsu, People's Republic of China
| | - Qing Long
- Xiangya School of Nursing, Central South University, Changsha, Hunan Province, People's Republic of China
| | - Jundi Yang
- Xiangya School of Nursing, Central South University, Changsha, Hunan Province, People's Republic of China.,School of Nursing, The University of Hong Kong, Hong Kong, People's Republic of China
| | - Jyu-Lin Chen
- School of Nursing, University of California San Francisco, San Francisco, CA, USA
| | - Jia Guo
- Xiangya School of Nursing, Central South University, Changsha, Hunan Province, People's Republic of China
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Zhang Z, Zhang L, Sun L, Wang B, Yuan Y, Gao H, Fu L. Relative children's lipid accumulation with hypertension in Chinese children and adolescents. BMC Public Health 2021; 21:1884. [PMID: 34663277 PMCID: PMC8524786 DOI: 10.1186/s12889-021-11868-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 09/24/2021] [Indexed: 11/24/2022] Open
Abstract
Background This study aimed to develop a novel indicator associated with hypertension in Chinese children and adolescents, the relative children’s lipid accumulation product (RCLAP). Methods A cross-sectional study was conducted in 2018. A total of 683 students aged 8–15 years were recruited via a stratified cluster sampling Methods. Anthropometric indexes (waist circumference (WC), Body mass index (BMI), Waist-height ratio (WHtR), logarithm children LAP (LnCLAP), RCLAP per height (RCLAP-H)) were standardized using a z-score method (standardized variables: SWC, SBMI, SWHtR, SLnCLAP, SRCLAP-H). A logistic regression model was performed to evaluate the association of the above indicators with the outcome of hypertension. Results The overall prevalence of hypertension was 5.7% (5.5% in boys, 6.0% in girls). SWC ≥ P75, SBMI ≥ P75, SWHtR ≥ P75, SlnCLAP ≥ P75 and SRCLAP-H ≥ P75 significantly increased risk of hypertension, with odds ratios (OR) of 2.21 (95% confidence interval (CI): 1.13, 4.30), 2.30 (1.18, 4.49), 2.64 (1.35, 5.14), 4.43 (2.28, 8.61), and 4.49 (2.31, 8.71), respectively. Conclusion RCLAP is a novel indicator associated with hypertension in Chinese children and adolescents, and it performs better than WC, BMI, WHtR and children LAP.
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Affiliation(s)
- Zizhe Zhang
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China
| | - Li Zhang
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China
| | - Lili Sun
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China
| | - Bangxuan Wang
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China
| | - Yongting Yuan
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China
| | - Huaiquan Gao
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China.
| | - Lianguo Fu
- Department of child and adolescent health, School of public health, Bengbu Medical College, No. 2600 east sea avenue, Room 207, Bengbu, 233030, Anhui, China.
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Xiao S, Zhao C, Sun J, Dou Y, Teng M. Effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension. Am J Transl Res 2021; 13:3710-3716. [PMID: 34017555 PMCID: PMC8129218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 12/08/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE This study was designed to determine the effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension. METHODS In this prospective research, 89 hypertensive elderly patients were divided via random number table method, into a control group (n=44) with routine basic nursing and a research group (n=45) with high-quality nursing. The two groups were compared with respect to psychological status, quality of life, self-management ability and blood pressure control, as well as medication compliance and complications, before and after intervention. RESULTS Scores of Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) decreased in both groups after intervention, and the reduction was more significant in the research group (both P<0.05). After intervention, scores of various dimensions of generic quality of life inventory-74 (GQOLI-74), self-management ability and Morisky medication compliance scale (MMAS) increased in both groups, and the increase was more evident in the research group (all P<0.05). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased in both groups after intervention, with lower parameters in the research group (both P<0.05). The total incidence of complications in the research group was lower than that in the control group (P<0.05). CONCLUSION High-quality nursing for elderly hypertensive patients can significantly relieve their negative emotions and improve their quality of life, with a low incidence of complications.
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Affiliation(s)
- Shujun Xiao
- Department of General Practice, Hospital Affiliated 5 to Nantong University (Taizhou People’s Hospital)Taizhou, Jiangsu Province, China
| | - Chunzhi Zhao
- Department of General Practice, Hospital Affiliated 5 to Nantong University (Taizhou People’s Hospital)Taizhou, Jiangsu Province, China
| | - Jing Sun
- Department of Gastroenterology, Hospital Affiliated 5 to Nantong University (Taizhou People’s Hospital)Taizhou, Jiangsu Province, China
| | - Yangfeng Dou
- Department of General Practice, Hospital Affiliated 5 to Nantong University (Taizhou People’s Hospital)Taizhou, Jiangsu Province, China
| | - Maorong Teng
- Department of General Practice, Hospital Affiliated 5 to Nantong University (Taizhou People’s Hospital)Taizhou, Jiangsu Province, China
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Shao T, Li X, Zhou C, Zang X, Malone DC, Zhang L, Zhou J, Tang W. Effectiveness and Efficiency of Non-drug Therapy Among Community-Dwelling Adults With Hypertension in China: A Protocol for Network Meta-Analysis and Cost-Effectiveness Analysis. Front Med (Lausanne) 2021; 8:651559. [PMID: 33718415 PMCID: PMC7947298 DOI: 10.3389/fmed.2021.651559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Accepted: 02/08/2021] [Indexed: 12/03/2022] Open
Abstract
Introduction: The Chinese government has established a nationwide community-based chronic disease management program since 2009 with hypertension a vital part of it. Though drugs have been proven effective with hypertensive patients, they bring economic burden as well, especially for those who with elevated blood pressure and are potentially eligible for national programs. When the effectiveness of pharmacotherapy-only interventions remains uncertain on these patients, non-pharmacological interventions have demonstrated non-inferior effectiveness and may have economic advantages. To date, there rarely are evidences on the effectiveness and cost-effectiveness of non-pharmacological treatment in comparison with pharmacological interventions for patients with varying severity of blood pressure. This study aims to propose a study for a network meta-analysis and cost-effectiveness analysis to explore what kind of intervention is potentially effective and cost-effective to four specific patient groups, stage I-III hypertensive patients and patients with elevated blood pressure, and to provide recommendations for hypertensive management to Chinese decision makers. Methods: We will systematically search databases (MEDLINE, PubMed, Cochrane Library, etc.,) for randomized controlled trials and observational studies with qualified study design in recent decade that assess the effectiveness of non-pharmacological, pharmacological, or combined intervention aimed at adult populations who are diagnosed with the above four types of hypertension in China. The effectiveness outcomes will include changes in SBP/DBP, rate of comorbidities, mortality, and health related quality of life. We will use network meta-analysis to compare and rank effectiveness of different interventions. Subgroup analyses and meta-regression analyses will be performed to analyze and explain heterogeneity. The economic outcome will include cost-effectiveness based on simulation results from Markov models. Under study perspective of Chinese health system, life-time direct cost will be included. Discussion: This study aims to compare and rank the effectiveness and cost-effectiveness of pharmacological, non-pharmacological and combined interventions for stage I–III hypertensive patients and those who with elevated blood pressure. Compared to existing studies, this comprehensive synthesis of relevant evidences will influence future practice with better efficiency and generalizability for community-based hypertensive management programs in China. The study might also be valuable for other low- and middle-income countries to find their own solutions. PROSPERO registration number: CRD42020151518
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Affiliation(s)
- Taihang Shao
- Department of Pharmacoeconomics, School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.,Center for Pharmacoeconomics and Outcomes Research, China Pharmaceutical University, Nanjing, China
| | - Xia Li
- Department of Pharmacoeconomics, School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.,Center for Pharmacoeconomics and Outcomes Research, China Pharmaceutical University, Nanjing, China
| | - Chengchao Zhou
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Xiao Zang
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI, United States
| | - Daniel C Malone
- Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States
| | - Liang Zhang
- School of Medical and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Jifang Zhou
- Center for Pharmacoeconomics and Outcomes Research, China Pharmaceutical University, Nanjing, China.,Department of Public Affairs Management, School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China
| | - Wenxi Tang
- Center for Pharmacoeconomics and Outcomes Research, China Pharmaceutical University, Nanjing, China.,Department of Public Affairs Management, School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China
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Parra DI, Trapero Gimeno I, Sánchez Rodríguez JM, Rodríguez Corredor LC, Hernández Vargas JA, López Romero LA, García López FJ, Escudero-Gómez C, Trujillo-Cáceres SJ, Serrano-Gallardo P, Vera-Cala LM. Individual interventions to improve adherence to pharmaceutical treatment, diet and physical activity among adults with primary hypertension. A systematic review protocol. BMJ Open 2020; 10:e037920. [PMID: 33371014 PMCID: PMC7757507 DOI: 10.1136/bmjopen-2020-037920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 11/14/2020] [Accepted: 11/17/2020] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Hypertension is a chronic disease with 31% worldwide prevalence in adults. It has been associated with non-adherence to therapeutic regime with a negative impact on the prognosis of the disease and healthcare-associated costs. So, it is necessary to identify effective interventions to improve adherence among the afflicted population. The objective of this protocol is to describe the methods for a systematic review that will evaluate the effect of individual interventions so as to improve adherence to the prescribed pharmacological treatment, as well as to prescribed diet and physical activity in adults with primary hypertension. METHODS AND ANALYSIS A systematic search of studies will be conducted in PubMed/MEDLINE, BVS, CINAHL, Embase, Cochrane and Scopus databases. Randomised and non-randomised clinical studies conducted in human beings, published from 1 January 2009 to 13 December 2019, are to be included, in any language. Adherence to pharmacological treatment, diet and physical activity, measured by direct and indirect methods, will be the primary outcome. Two independent reviewers will select relevant studies and will extract the data following the Cochrane's Handbook for Systematic Reviews of Approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. Methodological quality will be evaluated using the risk-of-bias (RoB) 2 and Risk of Bias in Non-randomised Studies - of Interventions (ROBINS-I) tools. Risk of bias will also be evaluated, and if the criteria are met, a meta-analysis will be finally performed. ETHICS AND DISSEMINATION Information to be analysed is of a grouped nature, and given that its sources are published studies, no ethics committee approval is required. Results will be published in scientific journals, and in conferences, seminars and symposiums. Copyrights will be addressed by giving due credit through bibliographic references. PROSPERO REGISTRATION NUMBER CRD42020147655.
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Affiliation(s)
- Dora Inés Parra
- Nursing School, Universidad Industrial de Santander, Bucaramanga, Colombia
- Clinical and Community Nursing Doctoral student, Universitat de València, Valencia, Spain
| | | | | | - Lizeth Catherine Rodríguez Corredor
- Research Division, Instituto Neumológico del Oriente, Bucaramanga, Colombia
- Public Health Department, Universidad Industrial de Santander, Bucaramanga, Colombia
| | | | | | | | | | | | - Pilar Serrano-Gallardo
- Department of Nursing, School of Medicine, Universidad Autónoma de Madrid/IDIPHIM / INAECU, Madrid, Spain
| | - Lina M Vera-Cala
- Public Health Department, Universidad Industrial de Santander, Bucaramanga, Colombia
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13
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Wang Y, Liu W, Sun L, Zhang Y, Wang B, Yuan Y, Li T, Yao R, Han H, Qian Q, Fu L. A novel indicator, childhood lipid accumulation product, is associated with hypertension in Chinese children and adolescents. Hypertens Res 2019; 43:305-312. [PMID: 31819153 DOI: 10.1038/s41440-019-0366-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 10/24/2019] [Accepted: 11/06/2019] [Indexed: 11/10/2022]
Abstract
Childhood hypertension has become an important public health issue. This study explored a novel indicator, namely, childhood lipid accumulation product (CLAP), which is associated with hypertension among children and adolescents. A total of 683 children and adolescents aged 8-15 years were measured for body weight, height, waist circumference (WC), abdominal skinfold thickness (AST), triacylglycerol (TG), blood pressure, dietary behaviors, and physical activity time. The novel childhood lipid accumulation product (CLAP) was the product of WC, AST, and TG (CLAP = WC (cm) × AST (mm) × TG (mmol/L)). The logarithmic CLAP (LnCLAP), height, weight, WC, WHtR, BMI, AST, and TG were standardized for sex and age using the z-score method (standardized variables: SLnCLAP, Sheight, Sweight, SWC, SWHtR, SBMI, SAST, and STG). The results showed that the overall prevalence of hypertension was 11.6% (13.1% in boys and 9.7% in girls). SLnCLAP ≥ 1, Sweight ≥ 1, SWC ≥ 1, SWHtR ≥ 1, SBMI ≥ 1, SAST ≥ 1, and STG ≥ 1 increased the statistical risk of childhood hypertension (odds ratio values (95% CI) were 3.70 (2.22-6.16), 2.58 (1.50-4.43), 3.08 (1.84-5.15), 2.33 (1.38-3.93), 2.96 (1.72-5.29), 2.38 (1.41-4.70), and 2.40 (1.38-4.19), respectively). The area under the ROC curve (AUC) for CLAP was higher than that for weight, WC, WHtR, BMI, AST, and TG in the prediction of hypertension. In conclusion, this study showed that CLAP is a novel indicator associated with hypertension in children and adolescents and can more effectively predict childhood hypertension than weight, WC, WHtR, BMI, AST, and TG can.
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Affiliation(s)
- Yuan Wang
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Wenmin Liu
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Lili Sun
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Yifei Zhang
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Bangxuan Wang
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Yongting Yuan
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Ting Li
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Rongying Yao
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Hui Han
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China
| | - Qingwen Qian
- Bengbu Centers for Disease Control and Prevention, Bengbu, 233000, Anhui, PR China
| | - Lianguo Fu
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, 233000, Anhui, PR China.
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