International Journal of Preventive Medicine (Int J Prev Med)2008-78021152020062022662266ENSocial Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, TabrizSocial Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, TabrizMedical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, TabrizSocial Determinants of Health Research Center, Tabriz University of Medical Sciences, TabrizDepartment of Health, Maragheh University of Medical Sciences, Maragheh20200620<p><span class="fontstyle0"><strong>Aim</strong>: </span><span class="fontstyle2">The present study aims to evaluate self‑management status in Iranian patients with hypertension and its relationship with social determinants. </span><span class="fontstyle0">Setting and </span></p><p><span class="fontstyle0"><strong>Design</strong>: </span><span class="fontstyle2">This study was carried out in 2017‑2018 in health care centers affiliated with Tabriz University of Medical Sciences in Iran. </span></p><p><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">A total of 240 patients with hypertension, who referred to health care centers of Tabriz, were invited to fill out the self‑management (researcher made) and social determinants of health questionnaires. </span><span class="fontstyle0">Statistical Analysis: </span><span class="fontstyle2">Spearman correlation was used to determine the relationship between self‑management score and its items with items of social determinants of health questionnaire. Also, Pearson correlation Student </span><span class="fontstyle3">t</span><span class="fontstyle2">‑test was used. </span></p><p><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">In this research 197 patients were studied. Mean age of the participants was 56.6 ± 10.1 years. The mean ± SD (standard deviation) of self‑management score was 81.51 ± 13.16. The correlation coefficient of self ‑management<br />with financial ability of securing the education expenses, nutrition and fruits, and health care expenses were 0.228 (</span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.001), 0.149 (</span><span class="fontstyle3">P </span><span class="fontstyle2">value &lt;0.05), and 0.28 (</span><span class="fontstyle3">P </span><span class="fontstyle2">&lt; 0.001) respectively. Also, the correlation coefficient of age with self‑management was - 0.206 (</span><span class="fontstyle3">P </span><span class="fontstyle2">value = 0.004). Item level analysis showed strong significant associations between social determinants and three items related to lifestyle and two items related to monitoring of blood pressure (BP) at home. </span></p><p><span class="fontstyle0"><strong>Conclusion</strong>: </span><span class="fontstyle2">Overall self ‑management status of the patients was very good. Health centers that plan self ‑management support programs for patients should consider the social determinants of life style modification and monitoring of BP at home by hypertensive patients.<br /></span></p><p><span class="fontstyle0" style="color: #00652e;"><strong>Keywords</strong>: </span><span class="fontstyle3">Hypertension, self -care, self- management, social determinants of health</span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2266http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2266/717718103