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Illness Risk Perceptions and Trust: The Association With Blood Pressure Self-measurement

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Objective : To determine the prevalence of blood pressure selfmeasurement among those with hypertension and examine how this behavior may be associated with illness perceptions, risk perceptions, and attitudes about care.

Methods : Cross-sectional data from a population-based study of cardiovascular disease (n = 656).

Results : The prevalence of self-measurement was 26.2. Both above- and below-average perceived risks of stroke were associated with a decreased likelihood of self-monitoring (OR = 0.36, 95 CI = 0.14-0.91; and OR = 0.16, 95 CI = 0.05-0.75 respectively). Completely trusting the medical system was associated with a decreased likelihood of self-monitoring (OR=0.47, 95 CI=0.22-0.99).

Conclusion : Selfmonitoring can be influenced by illness risk perception and patient-physician trust.

Keywords: home blood pressure monitoring; hypertension; illness perceptions

Document Type: Research Article


Affiliations: 1 University of Texas, School of Public Health, Division of Health Promotion and Behavioral Sciences, Dallas Regional Campus, Dallas, TX.

Publication date: January 1, 2011

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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