Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching
BackgroundThis study aimed to examine the causal effect between perceived social support and self-management in rural patients with hypertension and to provide a basis for improving self-management.MethodsA cross-sectional study of 1,091 rural hypertensive patients in Shanxi Province was conducted f...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445946/full |
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| author | Jiantao Li Jingru Zhang Yuxiao Wang Hanwen Zhang Yangyang Ma |
| author_facet | Jiantao Li Jingru Zhang Yuxiao Wang Hanwen Zhang Yangyang Ma |
| author_sort | Jiantao Li |
| collection | DOAJ |
| description | BackgroundThis study aimed to examine the causal effect between perceived social support and self-management in rural patients with hypertension and to provide a basis for improving self-management.MethodsA cross-sectional study of 1,091 rural hypertensive patients in Shanxi Province was conducted from March through June 2022 to analyze the factors influencing social support as well as the causal effects of social support and self-management using generalized propensity score matching.ResultsRural hypertensive patients had a low level of social support (social support score = 0.632 ± 0.178). Social support had a significant and inverted U-shaped relationship with self-management; with increasing social support levels, the levels of self-management first rose and then declined, with an inflexion point of 0.774. Social support had significant negative correlations with sex, age, number of child, living status (i.e., living alone or living with others), disease duration, family economic status, and decision-making power, and positive correlations with having a spouse and having medical insurance.ConclusionGreater emphasis should be placed on the older adult, individuals living alone, those without spouses, only children, economically disadvantaged populations, and uninsured individuals to enhance the social support they received and ultimately improve their self-management of hypertension. Furthermore, establishing social support systems that are congruent with rural relational networks is crucial for promoting effective hypertension self-management. |
| format | Article |
| id | doaj-art-e8e89a0d0a344e0fbec00bfe2ffa4f0b |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-e8e89a0d0a344e0fbec00bfe2ffa4f0b2025-01-07T05:24:10ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14459461445946Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matchingJiantao Li0Jingru Zhang1Yuxiao Wang2Hanwen Zhang3Yangyang Ma4Department of Health Economics, School of Management, Shanxi Medical University, Taiyuan, ChinaDepartment of Health Economics, School of Management, Shanxi Medical University, Taiyuan, ChinaDepartment of Health Economics, School of Management, Shanxi Medical University, Taiyuan, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, ChinaDepartment of Health Economics, School of Management, Shanxi Medical University, Taiyuan, ChinaBackgroundThis study aimed to examine the causal effect between perceived social support and self-management in rural patients with hypertension and to provide a basis for improving self-management.MethodsA cross-sectional study of 1,091 rural hypertensive patients in Shanxi Province was conducted from March through June 2022 to analyze the factors influencing social support as well as the causal effects of social support and self-management using generalized propensity score matching.ResultsRural hypertensive patients had a low level of social support (social support score = 0.632 ± 0.178). Social support had a significant and inverted U-shaped relationship with self-management; with increasing social support levels, the levels of self-management first rose and then declined, with an inflexion point of 0.774. Social support had significant negative correlations with sex, age, number of child, living status (i.e., living alone or living with others), disease duration, family economic status, and decision-making power, and positive correlations with having a spouse and having medical insurance.ConclusionGreater emphasis should be placed on the older adult, individuals living alone, those without spouses, only children, economically disadvantaged populations, and uninsured individuals to enhance the social support they received and ultimately improve their self-management of hypertension. Furthermore, establishing social support systems that are congruent with rural relational networks is crucial for promoting effective hypertension self-management.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445946/fullhypertensionsocial supportself-managementgeneralized propensity score matchingcausal effect |
| spellingShingle | Jiantao Li Jingru Zhang Yuxiao Wang Hanwen Zhang Yangyang Ma Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching Frontiers in Public Health hypertension social support self-management generalized propensity score matching causal effect |
| title | Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching |
| title_full | Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching |
| title_fullStr | Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching |
| title_full_unstemmed | Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching |
| title_short | Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching |
| title_sort | does social support improve self management among rural hypertensive patients an empirical analysis based on generalized propensity score matching |
| topic | hypertension social support self-management generalized propensity score matching causal effect |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445946/full |
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