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KMID : 1138720230490010057
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Korean Public Health Research
2023 Volume.49 No. 1 p.57 ~ p.75
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Effectiveness of a Community-based Intervention for Hypertension Management in a Low-income Urban Area in Peru
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Jo Hye-Yeon
Nam Eun-Woo
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Abstract
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Objectives: This study aims to assess the effectiveness of a community-based intervention for controlling hypertension in low-income urban areas in Peru.
Method: A non-equivalent control group pretest-posttest design was used. Experimental group (n=340) received a 12-week intervention program, while control group (n=317) were only participated in pre- and post- need assessment. A difference-in-differences regression analysis was conducted on the level of health knowledge, practicing healthy lifestyle, body mass index, waist circumference, systolic and diastolic blood pressure(BP) and the rate of BP control in the experimental group. Logistic regression analysis was performed to analyze factors affecting the BP control.
Results: There were significant increases in the level of health knowledge, practicing healthy behavior related to eating habits, stress management and medication compliance in the experimental group compared to the control group. Systolic BP and waist circumference were decreased, and the rate of BP control improved in the experimental group over the control group. Before intervention, factors affecting BP control of the experimental group were age and the use of anti-hypertensive medication before intervention (p<.05). Eating habits became significant after the intervention.
Conclusion: Community-based intervention for controlling hypertension has positive effects on improving health knowledge level, practice of healthy lifestyle and decreasing systolic BP and waist circumference among adults living in low-income urban area in Peru.
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KEYWORD
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Hypertension, Community-Based Intervention, Health Promotion, Healthy Lifestyle, Peru
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