What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=107). Intervention: Socioeconomic, behavioural, and health system factors. Primary outcome: Clinic attendance, dietary adherence, lifestyle practices, and self-management.

What does this research mean for the field?

Despite high awareness of hypertension, a significant knowledge-practice gap exists among adults in disadvantaged rural communities, with less than half of patients adhering to recommended lifestyle changes such as a hypertension-specific diet. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify socioeconomic, behavioral, and health system factors driving hypertension management and explore community-engaged education to support primary care.

September 8, 2026International Journal of Environmental Research and Public HealthOpen Access

Hypertension assessment reveals a knowledge-practice gap with only ~46% following a hypertension-specific diet.

View Full Paper

Ask AI

Bookmark

Population

107 adults with hypertension attending public primary health care facilities in a disadvantaged rural…

Design

Cross-sectional

Key result

Assessment of socioeconomic and behavioral factors in adults with hypertension revealed a knowledge-practice gap, with 86.9% awareness but only 45.8% following a hypertension-specific diet.

Authors

AYAphiwe Khaya YekaniWalter Sisulu University LFLindiwe FayeWalter Sisulu University NSNcomeka SinekeWalter Sisulu University

Discussion

Member takes

Overview

May guide targeted strategies in disadvantaged communities; leaves open causal effects of education on hypertension control.

Key Points

To identify socioeconomic, behavioral, and health system factors driving hypertension management and explore community-engaged education to support primary care.
Conducted a cross-sectional descriptive survey among N=107 hypertensive adults attending public primary health care clinics.
Assessed socioeconomic status, healthcare access, medication adherence, lifestyle behaviors, and hypertension knowledge.
Identified determinants of clinic attendance, dietary adherence, and self-management using chi-square tests and multivariable logistic regression.
Disease awareness was 86.9% and trust in clinic care reached 91.6% among participants.
A marked knowledge–practice gap was present: 79.4% acknowledged the necessity of lifestyle modification, yet only 45.8% adhered to a hypertension-specific diet.
Structural barriers compromised self-management, with 39.3% of participants reporting low income.

Study Design

Type

Cross-Sectional (n=107)

Structured PICO

Population

107 adults with hypertension attending public primary health care facilities in a disadvantaged rural community.

Outcome

Socioeconomic, behavioural, and health system factors associated with hypertension managementpatient reported

Despite high awareness of hypertension and trust in healthcare, significant knowledge-practice gaps and structural barriers such as low income hinder effective lifestyle modifications in disadvantaged rural communities.

Cite This Study

Yekani et al. (2026) conducted a cross-sectional in Hypertension (n=107). Socioeconomic, behavioural, and health system factors was evaluated on Clinic attendance, dietary adherence, lifestyle practices, and self-management. Assessment of socioeconomic and behavioral factors in adults with hypertension revealed a knowledge-practice gap, with 86.9% awareness but only 45.8% following a hypertension-specific diet.

synapsesocial.com/papers/6aa0091858e84d0ff5b47c0f https://doi.org/10.3390/ijerph23091165

View Full Paper

Ask AI

Bookmark

September 8, 2026International Journal of Environmental Research and Public HealthOpen Access

Hypertension assessment reveals a knowledge-practice gap with only ~46% following a hypertension-specific diet.

View Full Paper

Ask AI

Bookmark

Population

107 adults with hypertension attending public primary health care facilities in a disadvantaged rural…

Design

Cross-sectional

Key result

Assessment of socioeconomic and behavioral factors in adults with hypertension revealed a knowledge-practice gap, with 86.9% awareness but only 45.8% following a hypertension-specific diet.

Authors

AYAphiwe Khaya YekaniWalter Sisulu University LFLindiwe FayeWalter Sisulu University NSNcomeka SinekeWalter Sisulu University

Discussion

Member takes

Overview

May guide targeted strategies in disadvantaged communities; leaves open causal effects of education on hypertension control.

Key Points

To identify socioeconomic, behavioral, and health system factors driving hypertension management and explore community-engaged education to support primary care.
Conducted a cross-sectional descriptive survey among N=107 hypertensive adults attending public primary health care clinics.
Assessed socioeconomic status, healthcare access, medication adherence, lifestyle behaviors, and hypertension knowledge.
Identified determinants of clinic attendance, dietary adherence, and self-management using chi-square tests and multivariable logistic regression.
Disease awareness was 86.9% and trust in clinic care reached 91.6% among participants.
A marked knowledge–practice gap was present: 79.4% acknowledged the necessity of lifestyle modification, yet only 45.8% adhered to a hypertension-specific diet.
Structural barriers compromised self-management, with 39.3% of participants reporting low income.

Study Design

Type

Cross-Sectional (n=107)

Structured PICO

Population

107 adults with hypertension attending public primary health care facilities in a disadvantaged rural community.

Outcome

Socioeconomic, behavioural, and health system factors associated with hypertension managementpatient reported

Cite This Study

synapsesocial.com/papers/6aa0091858e84d0ff5b47c0f https://doi.org/10.3390/ijerph23091165

View Full Paper

Ask AI

Bookmark