Biopsychosocial Determinants of Self-Management in Culturally Diverse South African Patients with Essential Hypertension

Associations between self-management and biopsychosocial variables in a group of Afrikaans- (n= 102) and Sotho-speaking (n= 94) patients with essential hypertension (EH) were investigated. Self-management in terms of predetermined criteria for medical and lifestyle prescriptions was achieved by only...

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Bibliographic Details
Published inJournal of health psychology Vol. 7; no. 5; pp. 519 - 531
Main Authors Botha, Karel F. H., Du Plessis, Wynand F., Van Rooyen, Johannes M., Wissing, Marié P.
Format Journal Article
LanguageEnglish
Published Thousand Oaks, CA Sage Publications 01.09.2002
Sage
Subjects
Biological and medical sciences
Biopsychosocial aspects
Cultural differences
General populations
Hypertension
Medical sciences
Patients
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Selfmanagement
South Africa
South Africa
Africa
essential hypertension
sense of coherence
self-management
culture
biopsychosocial
Belief
Social environment
Human
Hypertension
Attitude
Health
Cardiovascular disease
Health service
Psychosocial factor
Physician patient relation
Cultural environment
Service quality
Public health
Psychological well being
Judgment
Life style
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Summary:Associations between self-management and biopsychosocial variables in a group of Afrikaans- (n= 102) and Sotho-speaking (n= 94) patients with essential hypertension (EH) were investigated. Self-management in terms of predetermined criteria for medical and lifestyle prescriptions was achieved by only 30.6 per cent of the participants. Significant differences were found between self-managing and non self-managing participants regarding language and culture, doctor-patient fit, complexity of prescriptions, medication side-effects, aspects of health beliefs, illness behaviour and health locus of control. In addition, a first empirical indication was found that self-management is also linked with psychological wellbeing, as manifested in a sense of coherence. The significantly accurate prediction of self-management by various biopsychosocial variables endorses the relevance of a biopsychosocial perspective in the treatment of patients with EH.
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ISSN:1359-1053
1461-7277
DOI:10.1177/1359105302007005672