Beyond Intention: Barriers to Undergoing a Blood Pressure Check in the South-West Shewa Zone, Ethiopia.

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Healthcare Pub Date : 2024-12-02 DOI:10.3390/healthcare12232417
Bezawit Ketema, Mirgissa Kaba, Mosisa Bekele, Eva Johanna Kantelhardt, Eric Sven Kroeber, Adamu Addissie
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Abstract

Background/objectives: Hypertension is often asymptomatic, progresses slowly, and leads to multiple secondary diseases. Thus, a regular blood pressure check is recommended. The objective of this study is to assess the intention to undergo a blood pressure check and its associated factors among adults in Southwest Shewa Zone, Ethiopia.

Methods: A healthcare-facility-based cross-sectional design was utilized. A standardized questionnaire, adapted from previous research, was administered by trained interviewers. Binary logistic regression analysis was used to determine the factors the intention to undergo blood pressure checks is associated with, utilizing SPSS version 27.

Results: Four hundred twenty-one participants provided a complete response, yielding a 99.7% response rate. Of these participants, 153 (36%) had had their blood pressure checked at some point. The vast majority of the study participants (387, 91.9%) did not know the normal blood pressure range. The median score for intention to undergo blood pressure check was 11 (interquartile range 10-13). Female participants were 59% less likely (adjusted odds ratio [AOR] 0.408, 95% confidence interval 0.208-0.801) to intend to undergo a blood pressure check than male participants. Participants in the poorest wealth quintile were 82% less likely (AOR 0.183, 95% CI = 0.063-0.533) to intend to undergo a blood pressure check than those in the richest quintile. Participants who intended to undergo a blood pressure check had a significantly favorable attitude (t = 10.801, p < 0.001) and lower perceived behavioral control (t = -2.865, p < 0.001) compared with those who had no intention of checking.

Conclusion: A high intent to undergo a blood pressure check should prompt healthcare facilities to offer regular blood pressure check-up services. Behavioral change communication interventions should address the attitude and perceived behavioral controls of individuals associated with the intention to undergo a blood pressure check. In doing so, special attention should be given to female and economically disadvantaged populations.

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超越意图:埃塞俄比亚西南谢瓦区接受血压检查的障碍。
背景/目的:高血压通常没有症状,病情发展缓慢,并导致多种继发性疾病。因此,建议定期进行血压检查。本研究旨在评估埃塞俄比亚西南谢瓦区成年人进行血压检查的意向及其相关因素:方法:采用基于医疗机构的横断面设计。由训练有素的访问员发放根据以往研究改编的标准化问卷。使用 SPSS 27 版进行二元逻辑回归分析,以确定是否有意接受血压检查与哪些因素有关:421 名参与者提供了完整的回复,回复率为 99.7%。在这些参与者中,有 153 人(36%)曾在某个时间进行过血压检查。绝大多数参与者(387 人,91.9%)不知道正常血压范围。接受血压检查意向的中位数为 11(四分位距为 10-13)。与男性参与者相比,女性参与者接受血压检查的意愿要低 59%(调整后的几率比 [AOR] 0.408,95% 置信区间 0.208-0.801)。与最富有的五分之一人口相比,最贫穷的五分之一人口打算接受血压检查的可能性要低 82%(调整赔率比为 0.183,95% 置信区间为 0.063-0.533)。与不打算进行血压检查的人相比,打算进行血压检查的人的态度明显较好(t = 10.801,p < 0.001),行为控制感知较低(t = -2.865,p < 0.001):结论:高血压检查意愿应促使医疗机构提供定期血压检查服务。行为改变沟通干预措施应针对与血压检查意向相关的个人态度和感知行为控制。在此过程中,应特别关注女性和经济弱势人群。
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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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