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Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community

Introduction Self-care behaviour is fundamental in preventing hypertension in the general population. According to the Health Belief Model, health beliefs and perceptions influence the success in adopting disease prevention strategies. While factors influencing hypertension self-care behaviour have...

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Main Authors: Tan, Paulina Pei Suu, Sandhu, Ryand Singh, Mohd Zain, Shamsul, Hall, Deborah, Tan, Nglap Chuan, Lim, Hooi Min, Daud, Faiz, Pung, Yuh-Fen
Format: Article
Published: Public Library of Science 2022
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RA0421 Public health. Hygiene. Preventive Medicine
Online Access:http://eprints.um.edu.my/40253/
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spelling my.um.eprints.402532023-11-21T04:15:38Z http://eprints.um.edu.my/40253/ Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community Tan, Paulina Pei Suu Sandhu, Ryand Singh Mohd Zain, Shamsul Hall, Deborah Tan, Nglap Chuan Lim, Hooi Min Daud, Faiz Pung, Yuh-Fen RA0421 Public health. Hygiene. Preventive Medicine Introduction Self-care behaviour is fundamental in preventing hypertension in the general population. According to the Health Belief Model, health beliefs and perceptions influence the success in adopting disease prevention strategies. While factors influencing hypertension self-care behaviour have been examined previously in patient populations, they have not been assessed in the general community. Methods This was a cross-sectional study conducted between 12 June 2020 to 26 July 2021. An online survey was administered via email and social media to Malaysians in the Selangor and Kuala Lumpur communities. Respondents were over 18 years old, without a formal diagnosis of hypertension. The survey evaluated hypertension knowledge, Health Belief Model constructs, self-care behaviour frequency, and motivators and barriers to self-care behaviour. Multiple linear regression was performed to determine the main predictors of self-care behaviour, and descriptive statistics were used to characterise motivators and barriers of each self-care behaviour. Results Only health motivations (beta = 0.217, p < 0.001) and perceived barriers (beta = 0.571, p < 0.001) significantly influenced self-care behaviour. Maintaining a healthy diet, regular physical activity and blood pressure checks need to be improved in the community, particularly in reducing salt and calorie intake. Lack of time, limited choices and laziness are the biggest challenges that need to be tackled in adopting a healthy diet and an active lifestyle in the community. Many are ignorant towards their health status, therefore, do not prioritize blood pressure screenings, suggesting a need to enhance community blood pressure checks for early diagnosis of hypertension. Conclusion and implications Motivations and barriers were the main determinants of self-care behaviour in the Selangor and Kuala Lumpur community. Targeting these aspects of self-care behaviour should be considered when developing interventions and education programmes tailored to local cultural, environmental and personal factors, to more effectively reduce the hypertension prevalence and burden. Public Library of Science 2022-12-07 Article PeerReviewed Tan, Paulina Pei Suu and Sandhu, Ryand Singh and Mohd Zain, Shamsul and Hall, Deborah and Tan, Nglap Chuan and Lim, Hooi Min and Daud, Faiz and Pung, Yuh-Fen (2022) Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community. PLoS ONE, 17 (12). ISSN 1932-6203, DOI https://doi.org/10.1371/journal.pone.0278761 <https://doi.org/10.1371/journal.pone.0278761>. 10.1371/journal.pone.0278761
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle RA0421 Public health. Hygiene. Preventive Medicine
Tan, Paulina Pei Suu
Sandhu, Ryand Singh
Mohd Zain, Shamsul
Hall, Deborah
Tan, Nglap Chuan
Lim, Hooi Min
Daud, Faiz
Pung, Yuh-Fen
Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
description Introduction Self-care behaviour is fundamental in preventing hypertension in the general population. According to the Health Belief Model, health beliefs and perceptions influence the success in adopting disease prevention strategies. While factors influencing hypertension self-care behaviour have been examined previously in patient populations, they have not been assessed in the general community. Methods This was a cross-sectional study conducted between 12 June 2020 to 26 July 2021. An online survey was administered via email and social media to Malaysians in the Selangor and Kuala Lumpur communities. Respondents were over 18 years old, without a formal diagnosis of hypertension. The survey evaluated hypertension knowledge, Health Belief Model constructs, self-care behaviour frequency, and motivators and barriers to self-care behaviour. Multiple linear regression was performed to determine the main predictors of self-care behaviour, and descriptive statistics were used to characterise motivators and barriers of each self-care behaviour. Results Only health motivations (beta = 0.217, p < 0.001) and perceived barriers (beta = 0.571, p < 0.001) significantly influenced self-care behaviour. Maintaining a healthy diet, regular physical activity and blood pressure checks need to be improved in the community, particularly in reducing salt and calorie intake. Lack of time, limited choices and laziness are the biggest challenges that need to be tackled in adopting a healthy diet and an active lifestyle in the community. Many are ignorant towards their health status, therefore, do not prioritize blood pressure screenings, suggesting a need to enhance community blood pressure checks for early diagnosis of hypertension. Conclusion and implications Motivations and barriers were the main determinants of self-care behaviour in the Selangor and Kuala Lumpur community. Targeting these aspects of self-care behaviour should be considered when developing interventions and education programmes tailored to local cultural, environmental and personal factors, to more effectively reduce the hypertension prevalence and burden.
format Article
author Tan, Paulina Pei Suu
Sandhu, Ryand Singh
Mohd Zain, Shamsul
Hall, Deborah
Tan, Nglap Chuan
Lim, Hooi Min
Daud, Faiz
Pung, Yuh-Fen
author_facet Tan, Paulina Pei Suu
Sandhu, Ryand Singh
Mohd Zain, Shamsul
Hall, Deborah
Tan, Nglap Chuan
Lim, Hooi Min
Daud, Faiz
Pung, Yuh-Fen
author_sort Tan, Paulina Pei Suu
title Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
title_short Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
title_full Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
title_fullStr Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
title_full_unstemmed Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
title_sort health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a malaysian community
publisher Public Library of Science
publishDate 2022
url http://eprints.um.edu.my/40253/
_version_ 1783876694638067712
score 13.211869

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