Volume 13, Issue 3 (2025)                   Health Educ Health Promot 2025, 13(3): 413-419 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Karimi M, Motori P, Mohammadi A, Etebari M. Relationship Between Predictors of Hypertension Self-Care Behaviors Based on Protection Motivation Theory and Demographic Factors. Health Educ Health Promot 2025; 13 (3) :413-419
URL: http://hehp2.modares.ac.ir/article-5-82094-en.html
1- Department of Health Promotion, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2- Department of Community Education in the Health System, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
3- “Student Research Committee” and “Department of Health Promotion, School of Health”, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (709 Views)
Aims: This study aimed to investigate the relationship between demographic factors and self-care behaviors and their predictors based on protection motivation theory in hypertensive patients.
Instrument & Methods: This cross-sectional study was conducted on 397 patients with hypertension in Omidieh, Khuzestan Province, southern Iran, in 2022. Data were collected using a demographic information form and a protection motivation theory-based researcher-made questionnaire and analyzed using SPSS 27. Independent t-tests and ANOVA were employed to compare parameters.
Findings: Self-care behavior was statistically significant among individuals with excellent economic status, while no statistically significant differences were observed across other demographic parameters, such as gender, marital status, occupation, and education level. A higher level of education was associated with higher mean scores in self-care and self-efficacy (p<0.05). Men exhibited a higher perceived threat (p=0.015) and perceived rewards (p<0.001) than women. Marital status had no significant impact on the examined parameters. Additionally, part-time employees reported significantly higher perceived rewards compared to other occupational groups (p=0.006). Economic status also significantly influenced self-care and self-efficacy, with individuals in better financial conditions having higher mean scores in these parameters (p<0.05).
Conclusion: Educational level, sex, economic status, and job status influence self-care behaviors in patients with hypertension.
Full-Text [PDF 618 kb]   (378 Downloads) |   |   Full-Text (HTML)  (33 Views)  
Article Type: Descriptive & Survey | Subject: Social Determinants of Health
Received: 2025/07/1 | Accepted: 2025/08/15 | Published: 2025/08/19
* Corresponding Author Address: Department of Health Promotion, Faculty of Health, Shiraz University of Medical Sciences, Razi Boulevard, Shiraz, Iran. Postal Code: 7153675541 (karimeim@sums.ac.ir)

References
1. Darabi Z, Araban M, Azizi A, Ahmadi Angali K, Borazjani F. The effectiveness of a mobile phone education method based on self-efficacy and DASH diet among patients with high blood pressure: A randomized controlled trial. Jundishapur J Chronic Dis Care. 2023;13(1):e138325. [Link] [DOI:10.5812/jjcdc-138325]
2. Mirzaei M, Mirzaei M, Gholami S, Abolhosseini H. Prevalence of hypertension and related risk factors in central Iran: Results from Yazd health study. ARYA Atheroscler. 2021;17(1):1-9. [Link]
3. WHO. Hypertension [Internet]. Geneva: World Health Organization; 2023 [cited 2025 Sep 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension. [Link]
4. Rezaianzadeh A, Johari MG, Baeradeh N, Seif M, Hosseini SV. Sex differences in hypertension incidence and risk factors: A population-based cohort study in Southern Iran. BMC Public Health. 2024;24(1):3575. [Link] [DOI:10.1186/s12889-024-21082-8]
5. Mohammadi S, Hassanipour S, Delam H, Nikbakht HA, Ghaem Far Z, Firoozi D, et al. Prevalence of hypertension in Iran: An updated systematic review and meta-analysis of community-based studies. Caspian J Intern Med. 2023;14(4):607-17. [Link]
6. Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. Facilitators and barriers to hypertension self-management in urban African Americans: Perspectives of patients and family members. Patient Prefer Adherence. 2013;7:741-9. [Link] [DOI:10.2147/PPA.S46517]
7. Zareban I, Araban M, Rohani MR, Karimy M, Zamani-Alavijeh F, Babanejad M, et al. High blood pressure self-care among hypertensive patients in Iran: A theory-driven study. J Hum Hypertens. 2022;36(5):445-52. [Link] [DOI:10.1038/s41371-020-00429-9]
8. Karimi M, Ghahremani L, Rakhshani T, Asadollahi A, Mohammadi A. Predictors of self-care behaviors in hypertensive patients based on the protection motivation theory. BMC Public Health. 2024;24(1):2974. [Link] [DOI:10.1186/s12889-024-20261-x]
9. Andreevna YI, Jasem AY, Thammer MR, Salman FC, Mohammed AJ, Najeeb MA, et al. The impact of protection motivation theory on the self-care of patients with myocardial infarction. Int J Body Mind Cult. 2024;11. [Link]
10. Eslamimehr F, Hosseini Z, Aghamolaei T, Nikparvar M, Ghanbarnejad A. Predictors of self-care behaviors in patients with hypertension: The integrated model of theories of "planned behavior" and "protection motivation". J Educ Health Promot. 2024;13(1):213. [Link] [DOI:10.4103/jehp.jehp_592_23]
11. Fuladvandi M, Safarpour H, Malekyan L, Moayedi S, Mahani MA, Salimi E. The survey of self-regulation behaviors and related factors in elderly with hypertension in south-east of Iran. Health. 2017;9(4):592. [Link] [DOI:10.4236/health.2017.94042]
12. Poormuhamad S, Jalili Z. Related factors to self-care behaviors in elderly with hypertension based on the Health Belief Model in Uremia County. J Gerontol. 2017;2(2):41-50. [Persian] [Link] [DOI:10.29252/joge.2.1.41]
13. Barati F, Sajjadi M, Farhadi A, Amiri M, Sadeghmoghadam L. Self-care behavior and related factors in older adults with hypertension in Ahvaz City. J Gerontol. 2018;3(2):56-62. [Persian] [Link] [DOI:10.29252/joge.3.1.56]
14. Douglas BM, Howard EP. Predictors of self‐management behaviors in older adults with hypertension. Adv Prev Med. 2015;2015(1):960263. [Link] [DOI:10.1155/2015/960263]
15. Ghanei Gheshlagh R, Parizad N, Ghalenoee M, Dalvand S, Farajzadeh M, Ebadi A. Psychometric properties of Persian version of hypertension self-care profile in patients with high blood pressure. KOOMESH. 2019;21(1):e153033. [Persian] [Link]
16. Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563-75. [Link] [DOI:10.1111/j.1744-6570.1975.tb01393.x]
17. Waltz CF, Strickland S, Lenz ER. Measurement in nursing and health research. New York: Springer Publishing Company; 2010. [Link]
18. Han HR, Lee H, Commodore-Mensah Y, Kim M. Development and validation of the hypertension self-care profile: A practical tool to measure hypertension self-care. J Cardiovasc Nurs. 2014;29(3):E11-20. [Link] [DOI:10.1097/JCN.0b013e3182a3fd46]
19. Bağ E, Mollaoğlu M. The evaluation of self‐care and self‐efficacy in patients undergoing hemodialysis. J Eval Clin Pract. 2010;16(3):605-10. [Link] [DOI:10.1111/j.1365-2753.2009.01214.x]
20. Rahaei Z, Ghofranipour F, Morowatisharifabad MA, Mohammadi E. Determinants of cancer early detection behaviors: Application of protection motivation theory. Health Promot Perspect. 2015;5(2):138-46. [Link] [DOI:10.15171/hpp.2015.016]
21. Simbar M, Nazarpour S, KhodaKarami N, Nasiri Z, Rashidi Fakari F, Kiani Z, et al. A situation analysis on postmenopausal women's self-care needs and priorities in Tehran: A population-based study. BMC Public Health. 2023;23(1):104. [Link] [DOI:10.1186/s12889-023-15040-z]
22. Keshavarz A, Nazari M, Dastmanesh S. Knowledge, attitude, and intention of rural elderly about influenza preventive behaviors, Fasa, Iran, 2019. Arch Hyg Sci. 2023;12(1):43-9. [Link] [DOI:10.34172/AHS.12.1.1.374]
23. Qian H, Yuan C. Factors associated with self-care self-efficacy among gastric and colorectal cancer patients. Cancer Nurs. 2012;35(3):E22-31. [Link] [DOI:10.1097/NCC.0b013e31822d7537]
24. Yan Y, Jacques-Tiura AJ, Chen X, Xie N, Chen J, Yang N, et al. Application of the protection motivation theory in predicting cigarette smoking among adolescents in China. Addict Behav. 2014;39(1):181-8. [Link] [DOI:10.1016/j.addbeh.2013.09.027]
25. Hu H, Li G, Arao T. Prevalence rates of self‐care behaviors and related factors in a rural hypertension population: A questionnaire survey. Int J Hypertens. 2013;2013(1):526949. [Link] [DOI:10.1155/2013/526949]
26. Zare Sakhvidi MJ, Zare M, Mostaghaci M, Mehrparvar AH, Morowatisharifabad MA, Naghshineh E. Psychosocial predictors for cancer prevention behaviors in workplace using protection motivation theory. Adv Prev Med. 2015;2015:467498. [Link] [DOI:10.1155/2015/467498]
27. Afshar M, Ghahramani L, Asadollahi A, Karimi M, Mobasheri N. Predictors of health behavior compliance for the prevention of Covid-19 based on the extended parallel process model in pregnant women in Iran. Health Care Women Int. 2023;44(7-8):1019-35. [Link] [DOI:10.1080/07399332.2023.2181349]
28. Silva S, Csőke E, Ng C, Taylor S, Singh P, Sabharwal M, et al. Impact of socioeconomic determinants on outcomes of eight select conditions for which self-care is a modality for prevention and treatment: A scoping review. Curr Med Res Opin. 2024;40(11):1921-33. [Link] [DOI:10.1080/03007995.2024.2417752]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.