The Influences of Social Determinants of Health on Health-Related Quality of Life in People with Hypertension: A Cross-Sectional Study.

Hypertension is a signif icant public health issue worldwide, including in Thailand, and its prevalence is expected to continue increasing. The inability to control blood pressure among people with hypertension has a negative impact on both physical and mental aspects, causing negative consequences...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 29; no. 4; pp. 924 - 939
Autores principales: Udomsap, Rudeewan, Phligbua, Warunee, Wattanakikrileart, Doungrut, Sriprasong, Sarinrut, Vorasettakarnkij, Yongkasem
Formato: research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Oct-Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2025
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      pub: Thailand Nursing & Midwifery Council
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        atl: The Influences of Social Determinants of Health on Health-Related Quality of Life in People with Hypertension: A Cross-Sectional Study.
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        au:
          Udomsap, Rudeewan
          Phligbua, Warunee
          Wattanakikrileart, Doungrut
          Sriprasong, Sarinrut
          Vorasettakarnkij, Yongkasem
        affil: RN, Graduate student, Master of Nursing Science Program in Adult and Gerontological Nursing, Faculty of Nursing, Mahidol University, Bangkok 10700, Thailand
      sug:
        subj:
          Social Determinants of Health Evaluation
          Health Status Evaluation
          Quality of Life Evaluation
          Hypertension Psychosocial Factors
          Human
          Male
          Female
          Middle Age
          Aged
          Thailand
          Mental Health
          Blood Pressure Determination
          Convenience Sample
          Tertiary Health Care
          Questionnaires
          Scales
          Multiple Regression
          Health Literacy
          Neighborhood Characteristics
          Conceptual Framework
          Schizophrenia Psychosocial Factors
          Cognition
          Pearson's Correlation Coefficient
          DASH Diet
          Food Habits
          Family Support
          Income
          Nutritional Status
          Antihypertensive Agents Therapeutic Use
          Hypertension Drug Therapy
          Educational Status
          Employment Status
          Disease Duration
          Treatment Duration
          Sex Factors
          Age Factors
          Marital Status
          Descriptive Research
          Cross Sectional Studies
          Smoking Complications
          Alcohol Abuse Complications
          Comorbidity
          Body Weight
          Body Height
          Body Mass Index
          Transportation
          Health Care Costs
          Descriptive Statistics
          Data Analysis Software
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Hypertension is a signif icant public health issue worldwide, including in Thailand, and its prevalence is expected to continue increasing. The inability to control blood pressure among people with hypertension has a negative impact on both physical and mental aspects, causing negative consequences on health-related quality of life. This cross-sectional study explored factors influencing the health-related quality of life among people living with hypertension, guided by the Social Determinants of Health framework. Convenience sampling was used to obtain 183 people with essential hypertension, who attended follow-up visits at the general medicine clinic, outpatient department in a super-tertiary hospital in Central Thailand. Data were collected using several instruments, including a Personal Information Questionnaire and Health records, the short form of the Spanish Hypertension Quality of Life Questionnaire, the short version of the European Health Literacy Survey, the Neighborhood Scales, the Adherence to the Dietary Approaches to Stop Hypertension Diet Consumption Questionnaire, the Family Support Questionnaire, and the Barriers to Receiving Care Questionnaire. The data were analyzed using descriptive statistics and stepwise multiple regression analysis. The f indings indicated that all participants (100%) had a good health-related quality of life. Health literacy, neighborhood resources, and barriers to receiving care together contributed to 22.1% of the variance explained in health-related quality of life in people with hypertension. Barriers to receiving care had the highest predictive power, followed by neighborhood resources, and health literacy. Thus, nurses should promote health literacy by encouraging people to obtain information from accurate and reliable sources, recognize the importance of using adequate resources in their neighborhood for their illness, and identify obstacles to accessing treatment to promote a healthy quality of life in people with hypertension.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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