Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

Background: Hypertension is a health problem. The purpose of the present study was to compare perceived self-efficacy, benefits, and barriers of hypertension control between male and female patients. Methods: This cross-sectional study was carried out on 400 patients referred to Rajaie Cardiovascular Medical and Research Center in Tehran from August 2020 through March 2021. The convenience sampling method was used. The data collection tools consisted of a digital sphygmomanometer, a demographic form, and a researcher-made questionnaire of perceived benefits, barriers, and self-efficacy of hypertension control, whose validity and reliability were obtained. Results: The mean age of the male and female patients was 54.02±12.93 years and 56.48±12.10 years, respectively. The mean score of perceived barriers in women was lower than that in men, and the mean perceived self-efficacy in women was higher than that in men (P<0.001). According to the regression test, history of smoking in men and family history of hypertension and age in women were predictors of perceived benefits. Further, occupation and history of smoking in men and education level, family history of hypertension, and history of smoking in women were predictors of perceived barriers. Additionally, marital status, education level, and disease duration in men and education level, family history of hypertension, history of smoking, and age in women were predictors of perceived self-efficacy (P<0.050). Conclusion: In men, the mean score of perceived barriers was higher and the mean score of perceived self-efficacy was lower. Additionally, the predictors of each of these perceptions were determined.

[1]  M. P. Matud,et al.  Gender, Stress, and Well-Being in Adulthood , 2022, Journal of clinical medicine.

[2]  J. Wiley,et al.  Biological and sociocultural determinants of increased blood pressure among women with a history of gestational diabetes mellitus in rural China: a retrospective cohort study , 2022, BMJ Open.

[3]  S. Zyoud,et al.  Factors associated with self-efficacy in patients with hypertension: a cross-sectional study from Palestine , 2021, Journal of Health, Population and Nutrition.

[4]  M. Karimy,et al.  High blood pressure self-care among hypertensive patients in Iran: a theory-driven study , 2020, Journal of Human Hypertension.

[5]  Muktar Abadiga,et al.  Perceived Self-Efficacy and Associated Factors Among Adult Patients with Type 2 Diabetes Mellitus at Public Hospitals of Western Ethiopia, 2020 , 2020, Patient preference and adherence.

[6]  P. Jeemon,et al.  Role of family support and self-care practices in blood pressure control in individuals with hypertension: results from a cross-sectional study in Kollam District, Kerala , 2020, Wellcome open research.

[7]  Nina S. Parikh,et al.  Positive Health Beliefs and Blood Pressure Reduction in the DESERVE Study , 2020, Journal of the American Heart Association.

[8]  M. Hall National Heart, Lung, and Blood Institute , 2020, The Grants Register 2021.

[9]  H. Doosti,et al.  Impact of Self-Efficacy Strategies Education on Self-Care Behaviors among Heart Failure Patients , 2020, The journal of Tehran Heart Center.

[10]  Jiao Zhang,et al.  Gender Difference in General Self-Efficacy among Young-Old Elderly Aged 60–74 in Rural Shandong China: A Cross-Sectional Survey , 2019, International journal of environmental research and public health.

[11]  Jenna R. Krall,et al.  Mediating role of self-efficacy in the relationship between family social support and hypertension self-care behaviours: A cross-sectional study of Saudi men with hypertension. , 2019, International journal of nursing practice.

[12]  Reza Ghanei Gheshlagh,et al.  Prevalence of HTN in Iran: Meta-analysis of Published Studies in 2004-2018 , 2019, Current hypertension reviews.

[13]  M. Mirzaei,et al.  Prevalence of hypertension and related risk factors in central Iran: Results from Yazd Health Study , 2019, ARYA atherosclerosis.

[14]  K. Berhe,et al.  Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018 , 2019, BMC Cardiovascular Disorders.

[15]  M. Quinn,et al.  Patient expectations of hypertension and diabetes medication: Excessive focus on short-term benefits , 2018, SAGE open medicine.

[16]  Mei-Yen Chen,et al.  The association between smoking and cardiometabolic risk among male adults with disabilities in Taiwan , 2018, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[17]  Ashley Sobel Leonard,et al.  High prevalence of hypertension in an agricultural village in Madagascar , 2018, PloS one.

[18]  H. Nia,et al.  Self-efficacy and Prediction of Associated Factors in Patients with Chronic Diseases , 2018 .

[19]  M. Akbari,et al.  Prevalence, Awareness, Treatment, and Control of Hypertension in an Isfahan State Institution Sample , 2018, The journal of Tehran Heart Center.

[20]  Chunhua Ma An investigation of factors influencing self‐care behaviors in young and middle‐aged adults with hypertension based on a health belief model , 2018, Heart & lung : the journal of critical care.

[21]  Eun-Ju Lee,et al.  Self-care behavior and related factors in older patients with uncontrolled hypertension , 2017, Contemporary nurse.

[22]  S. Parvizy,et al.  Males’ perspectives on health in Iran: A grounded theory study , 2017, Medical journal of the Islamic Republic of Iran.

[23]  J. Narula,et al.  “All hands on deck”: An imperative for tackling hypertension in South Asia , 2017, Indian heart journal.

[24]  N. Sumi,et al.  Health Behavior Regarding Cardiovascular Diseases Among Nepali Adults , 2017, Journal of Community Health.

[25]  Stéphanie Bernard,et al.  Knowledge, attitudes, and beliefs related to hypertension and hyperlipidemia self-management among African-American men living in the southeastern United States. , 2017, Patient education and counseling.

[26]  F. Yousefi,et al.  Predictors of Smoking among the Secondary High School Boy Students Based on the Health Belief Model , 2017, International journal of preventive medicine.

[27]  V. Musil,et al.  Differences in Health-Promoting Lifestyle Profile Among Croatian Medical Students According to Gender and Year of Study , 2017, Acta clinica Croatica.

[28]  M. Khorsandi,et al.  Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly , 2017, Clinical interventions in aging.

[29]  Hynek Pikhart,et al.  Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants , 2017, The Lancet.

[30]  M. Darawad,et al.  Perceived Exercise Self‐Efficacy, Benefits and Barriers, and Commitment to a Plan for Exercise among Jordanians with Chronic Illnesses , 2016, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[31]  M. Mohammadi,et al.  Prevalence of Hypertension in Iran 1980–2012: A Systematic Review , 2016, The journal of Tehran Heart Center.

[32]  S. Gessani,et al.  Gender-related differences in lifestyle may affect health status. , 2016, Annali dell'Istituto superiore di sanita.

[33]  Xiuzhen Fan,et al.  Psychosocial factors associated with self-efficacy for managing chronic disease in patients with chronic heart failure , 2016, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[34]  M. Taher,et al.  Determinants of adherence to self-care behavior among women with type 2 diabetes: an explanation based on health belief model , 2016, Medical journal of the Islamic Republic of Iran.

[35]  D. Anderson,et al.  Factors predicting barriers to exercise in midlife Australian women. , 2016, Maturitas.

[36]  J. Nazroo,et al.  Comparison of hypertension healthcare outcomes among older people in the USA and England , 2015, Journal of Epidemiology & Community Health.

[37]  Michelle Edwards Beliefs about Hypertension Among People with Uncontrolled Hypertension , 2015 .

[38]  F. Mostafavi,et al.  The impact of self-efficacy education on self-care behaviours of low salt and weight setting diets in hypertensive women covered by health-care centers of Dehaghan in 2013. , 2015, JPMA. The Journal of the Pakistan Medical Association.

[39]  K. Kario,et al.  Systolic hypertension: an increasing clinical challenge in Asia , 2014, Hypertension Research.

[40]  C. De Pasquale,et al.  Role of "self-efficacy" in the process of long-term care in kidney transplant recipients. , 2014, Transplantation proceedings.

[41]  M. Hernandez-Tejada,et al.  Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. , 2014, Ethnicity & disease.

[42]  F. Bawany,et al.  Frequency and Predictors of Non-compliance to Dietary Recommendations Among Hypertensive Patients , 2014, Journal of Community Health.

[43]  R. Asmar,et al.  Validation of four devices: Omron M6 Comfort, Omron HEM-7420, Withings BP-800, and Polygreen KP-7670 for home blood pressure measurement according to the European Society of Hypertension International Protocol , 2014, Vascular health and risk management.

[44]  Leslie C. Moore,et al.  Smoking Cessation in Women at the Time of an Invasive Cardiovascular Procedure and 3 Months Later , 2013, The Journal of cardiovascular nursing.

[45]  Renée D. Endicott Knowledge, Health Beliefs, and Self-Efficacy regarding Osteoporosis in Perimenopausal Women , 2013, Journal of osteoporosis.

[46]  Jochen Gensichen,et al.  Evaluating self-efficacy for managing chronic disease: psychometric properties of the six-item Self-Efficacy Scale in Germany. , 2013, Journal of evaluation in clinical practice.

[47]  S. Gözüm,et al.  The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. , 2011, Journal of clinical nursing.

[48]  H. Teede,et al.  The effects of gender and age on health related behaviors , 2009, BMC public health.

[49]  A Gray,et al.  Blood glucose self-monitoring in type 2 diabetes: a randomised controlled trial. , 2009, Health technology assessment.

[50]  C. Tufanaru,et al.  Health Belief Model , 2009 .

[51]  A. Haghdoost,et al.  Epidemiology and heterogeneity of hypertension in Iran: a systematic review. , 2008, Archives of Iranian medicine.

[52]  N. Canbulat,et al.  Health beliefs and breast cancer screening behaviors among female health workers in Turkey. , 2008, European journal of oncology nursing : the official journal of European Oncology Nursing Society.

[53]  C. Vlassoff Gender Differences in Determinants and Consequences of Health and Illness , 2007, Journal of health, population, and nutrition.

[54]  Timothy A. Delicath,et al.  Predictors of health promotion behavior in women without prior history of coronary heart disease. , 2006, Applied nursing research : ANR.

[55]  Michael Proschan,et al.  Effects of Comprehensive Lifestyle Modification on Diet, Weight, Physical Fitness, and Blood Pressure Control: 18-Month Results of a Randomized Trial , 2006, Annals of Internal Medicine.

[56]  Daniel W. Jones,et al.  The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. , 2003, JAMA.

[57]  J. Neutel,et al.  Improving Patient Compliance: A Major Goal in the Management of Hypertension , 2003, Journal of clinical hypertension.

[58]  D. McCreary,et al.  Gender and Ethnic Differences in Health Beliefs and Behaviors , 2002, Journal of health psychology.

[59]  Matthew R. Weir,et al.  In the clinic: hypertension. , 2014, Annals of internal medicine.

[60]  M. Askarshahi,et al.  Application of the health belief model in promotion of self-care in heart failure patients. , 2013, Acta medica Iranica.

[61]  Kari Arneson Mularcik Self-Efficacy Toward Health Behaviors to Improve Blood Pressure in Patients Who Receive Care in a Primary Care Network , 2010 .

[62]  M. J. Kim,et al.  Perceptions of hypertension and contributing personal and environmental factors among rural Southern African American women. , 2009, Ethnicity & disease.

[63]  Nicole Weston IDENTIFYING PERCEPTIONS OF HEALTH PROMOTION BARRIERS AND BENEFITS IN INDIVIDUALS AT RISK FOR CORONARY HEART DISEASE , 2008 .

[64]  D. Gould Cardiac nursing. , 1989, Nursing.