Abstract
Despite an increasing popularity of home blood pressure monitoring (HBPM) over the last few decades, little is known about HBPM use among hypertensive patients in the rural areas. A cross-sectional survey including 318 hypertensive patients was conducted in a rural community in Beijing, China, in 2012. Participants were mainly recruited from a community health clinic and completed the questionnaires assessing HBPM usage. Binary logistic regression models were used for the analysis of medication adherence with age, gender, level of education marital status, perceived health status, duration of hypertension, HBPM use, and frequency of performing BP measurement. Among the total population, 78 (24.5%) reported currently use of HBPM. Only 5.1% of the HBPM users cited doctor’s advice as the reason for using HBPM. Analysis of the risk factors of poor medication adherence by multivariable modeling indicated significant associations between the duration of hypertension (adjusted OR, 3.31; 95% CI, 1.91-5.72; P 01), frequency of performing BP measurements (adjusted OR, 2.33; 95% CI, 1.42-3.83; P
Highlights
Hypertension is a major public health problem due to its high prevalence worldwide and concomitant risk for cardiovascular disease [1,2]
Considering that approximately 57% of the total population in China resides in the rural areas, the largest number of hypertensive patients reside in rural areas as well [5]
The adoption of home blood pressure monitoring (HBPM) has been recommended for people with hypertension in conjunction with their health care professionals in order to achieve a specific level of BP control and prevent cardiovascular events [6,18]
Summary
Hypertension is a major public health problem due to its high prevalence worldwide and concomitant risk for cardiovascular disease [1,2]. In China, the number of patients with cardiovascular diseases is estimated to be 230 million, of whom 200 million have hypertension [3]. Poor management of hypertension in rural areas has led to a heavy burden on public health in China. Little is known about how patients in rural areas use self-care strategies to manage BP at home. One form of self-care, home blood pressure monitoring (HBPM), is becoming increasingly popular among hypertensive patients [10,11,12]. The adoption of HBPM has been recommended for people with hypertension in conjunction with their health care professionals in order to achieve a specific level of BP control and prevent cardiovascular events [6,18]. The objectives of this study reported were to 1) explore how and why patients adopt HBPM, and 2) examine the association between HBPM and medication adherence
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
