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Psycho-behavioral predictors of uncontrolled blood pressure: A case-control study

Zeinab Javadivala1, Akbar Ranjbarkhah2, Asghar Mohammadpoorasl3

  • 1Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

Health Promotion Perspectives
|October 24, 2022
PubMed

Insights

Personality traits like extraversion, agreement, and conscientiousness significantly influence blood pressure control in hypertension patients. Lifestyle factors such as diet, obesity, and smoking also play a crucial role in managing hypertension.

Area of Science:

  • Cardiology
  • Psychology
  • Public Health

Background:

  • Hypertension (HTN) management requires understanding contributing factors.
  • Demographic, lifestyle, and personality traits are potential predictors of blood pressure (BP) control.
  • This study investigates these factors in West Azerbaijan, Iran.

Purpose of the Study:

  • To determine the role of demographic, lifestyle, and personality traits in predicting BP control among HTN patients.
  • To identify factors associated with both controlled and uncontrolled hypertension.
  • To inform the design of comprehensive HTN prevention programs.

Main Methods:

  • Case-control study involving 441 participants (221 cases, 220 controls) with diagnosed HTN.
  • Participants were recruited from primary health centers in Salmas city, Iran.
  • Data collected via demographic checklist, Ten-Item Personality Inventory (TIPI), and International Physical Activity Questionnaire (IPAQ).

Main Results:

  • Extraversion personality trait was associated with better BP control (OR: 0.85).
  • Uncontrolled BP linked to agreement and conscientiousness traits (OR 1.26, 1.21), rare fruit consumption (OR 5.95), obesity (OR 2.29, 7.11), and smoking (OR 3.27).
  • Multivariate analyses identified key predictors for HTN control.

Conclusions:

  • Personality traits (extraversion, agreement, conscientiousness) are predictive of HTN control.
  • Lifestyle factors including physical activity, fruit consumption, smoking cessation, and weight management are critical.
  • A multi-level causality approach is essential for designing effective HTN prevention strategies.

Keywords:
Blood pressureCase-ControlEpidemiologyHypertensionPrediction

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