Investigating the ralationship between social determinants and self-management in patients with hypertension

Abstract

Aim: To assess the relationship between social determinants and self-management in hypertensive patients, we designed and impleminated this study for use in training of self-management to hypertensive patients and integration with health system. Methods and Materials: This is a cross-sectional analytical study. At first we modified the diabetes self-management questionnaire and evaluated psychometric properties that had good reliablety and validity. Also we used the Dr. Bazargan modified version of social determinants of health. We used Descriptive statistics to calculate mean scores of self-management. Spearman correlation test was used to determine the relationship between self-management and social determinants of helth. Also, Pearson correlation test was used to determine the relationship between self-management and age of patients. Student t-test was used to study gender and self-management relationship. Results: Finally, 197 patients completed the questionnaire. The mean self-management score was 81.51 (SD = 13/16). The correlation coefficient of financial power and Health care affordability with self-management score were (0.228) (significance level = 0.001) and (0.28) (significance level less than 0.001) respectively. Also, the correlation coefficient of age with self-management was - 0.206 (significant level = 0.004). However, there was no relationship between self-management and gender, occupation, educational level, income, the clothing affordability, the food and fruit supply affordability, the financial value of house, financial value of car and the proportion of health costs to all costs.