Mizutani Mayumi, Oktaviani Sofi, Bando Harumi, Sugiarto Heri, Nishide Ritsuko, Tanimura Susumu
Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan.
Department of Public Health Nursing, Mie University Graduate School of Medicine, Mie, Japan.
Trop Med Health. 2025 Jul 1;53(1):90. doi: 10.1186/s41182-025-00765-x.
Community-based blood pressure monitoring is essential for effective hypertension management, especially in low- and middle-income countries like Indonesia, where community health volunteers (CHVs) are vital. However, there is a lack of strong evidence regarding which aspects of CHV support are most effective at encouraging regular blood pressure monitoring. This study examined the spatially adjusted relationship between the prevalence of regular blood pressure monitoring and the specific traits of Indonesian CHV support.
The researchers conducted an ecological study utilizing sub-district level data from the fifth wave of the Indonesian Family Life Survey. The analysis included data on 25,829 individuals across 1774 sub-districts, with a focus on 612 CHVs in 259 sub-districts. To explore the spatially adjusted relationships between regular blood pressure monitoring and 16 CHV traits, ordinary regression and spatial regression models were employed. Additionally, geographically weighted regression (GWR) was implemented to examine geographical variations in the strength of these associations.
The overall prevalence of regular blood pressure monitoring across the 1774 sub-districts was 17.5%. Regression models revealed positive associations between this prevalence and CHVs being described as "considerate and kind" (B = [3.85, 4.24], p = 0.038-0.048) and "helpful" (B = [4.60, 4.82], p = 0.038-0.041). The GWR analysis showed notable variations in regression coefficients, with "considerate and kind" yielding B = [3.79, 4.07] and "helpful" yielding B = [4.42, 4.79], both demonstrating stronger associations in the western and northern region of Sumatra Island. Meanwhile, "values artistic/aesthetic experiences" showed a negative association, significant only in spatial regression models (B = [- 2.47, - 2.44], p = 0.046-0.048).
This study emphasized the crucial role that CHVs play in promoting regular blood pressure monitoring in Indonesia. Compassion, kindness, and helpfulness were especially vital for improving community-based blood pressure monitoring, which leads to the better management of hypertension.
基于社区的血压监测对于有效管理高血压至关重要，特别是在印度尼西亚等低收入和中等收入国家，社区卫生志愿者（CHV）起着至关重要的作用。然而，关于CHV支持的哪些方面在鼓励定期血压监测方面最有效，缺乏有力的证据。本研究调查了定期血压监测患病率与印度尼西亚CHV支持的特定特征之间的空间调整关系。
研究人员利用印度尼西亚家庭生活调查第五波的分区层面数据进行了一项生态研究。分析包括1774个分区中25829人的数据，重点是259个分区中的612名CHV。为了探索定期血压监测与16个CHV特征之间的空间调整关系，采用了普通回归和空间回归模型。此外，还实施了地理加权回归（GWR）来检验这些关联强度的地理差异。
1774个分区中定期血压监测的总体患病率为17.5%。回归模型显示，这种患病率与被描述为“体贴善良”（B = [3.85, 4.24]，p = 0.038 - 0.048）和“乐于助人”（B = [4.60, 4.82]，p = 0.038 - 0.041）的CHV之间存在正相关。GWR分析显示回归系数存在显著差异，“体贴善良”的B = [3.79, 4.07]，“乐于助人”的B = [4.42, 4.79]，两者在苏门答腊岛西部和北部地区的关联更强。同时，“重视艺术/审美体验”显示出负相关，仅在空间回归模型中显著（B = [-2.47, -2.44]，p = 0.046 - 0.048）。
本研究强调了CHV在促进印度尼西亚定期血压监测方面所起的关键作用。同情心、善良和乐于助人对于改善基于社区的血压监测尤其重要，这有助于更好地管理高血压。
Zotero 插件