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ORIGINAL ARTICLE
Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 58

Iranian study on social determinants of self-management in patients with hypertension referring to tabriz health care centers in 2017-2018


1 Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, IR, Iran
2 Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
3 Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Health, Maragheh University of Medical Sciences, Maragheh, Iran

Correspondence Address:
Fatemeh Keyghobadi Khajeh
No. 31, Mehr Building, Vilashar, El-Goli, Tabriz
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpvm.IJPVM_199_19

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Aim: The present study aims to evaluate self-management status in Iranian patients with hypertension and its relationship with social determinants. Setting and Design: This study was carried out in 2017-2018 in health care centers affiliated with Tabriz University of Medical Sciences in Iran. Methods: A total of 240 patients with hypertension, who referred to health care centers of Tabriz, were invited to fill out the self-management (researcher made) and social determinants of health questionnaires. Statistical Analysis: Spearman correlation was used to determine the relationship between self-management score and its items with items of social determinants of health questionnaire. Also, Pearson correlation Student t-test was used. Results: In this research 197 patients were studied. Mean age of the participants was 56.6 ± 10.1 years. The mean ± SD (standard deviation) of self-management score was 81.51 ± 13.16. The correlation coefficient of self -management with financial ability of securing the education expenses, nutrition and fruits, and health care expenses were 0.228 (P = 0.001), 0.149 (P value <0.05), and 0.28 (P < 0.001) respectively. Also, the correlation coefficient of age with self-management was − 0.206 (P value = 0.004). Item level analysis showed strong significant associations between social determinants and three items related to lifestyle and two items related to monitoring of blood pressure (BP) at home. Conclusion: Overall self -management status of the patients was very good. Health centers that plan self -management support programs for patients should consider the social determinants of life style modification and monitoring of BP at home by hypertensive patients.


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