Role of health literacy and primary health-care access in self-care management of hypertension.

BACKGROUND

Globally, hypertension is the leading risk factor for men and women and the largest contributor to premature deaths and diseases in India. Health literacy (HL) and health-care access are important determinants for self-care management of hypertension.

OBJECTIVES

The purpose of this study was to estimate the prevalence of HL, health-care access, and their importance in the self-care management of hypertension.

METHODS

A community-based cross-sectional study was conducted among 104 known hypertensive patients for 2 months from May to June 2022. Data were collected by face-to-face interviews using a pretested, preformed, and validated questionnaire, and tabulated and analyzed using Microsoft Excel and SPSS version 20 software.

RESULTS

Most of the participants (80, 76.9%) have low levels of HL. However, more than half of the (62, 59.6%) participants were satisfied with their access to primary health care. The age of the participants ranged from 38 to 80 years, and half of them (54, 51.9%) were middle-aged adults. The majority (66, 63.5%) of the patients belonged to lower-middle socioeconomic status, and 15.4% (16) were living alone. We found poor HL, and primary health-care access is statistically significantly associated with poor self-care management.

CONCLUSION

Our findings confirm that HL and access to primary health care are crucial factors in the self-care management of hypertension in hypertensive patients.