title: Model development of healthy-lifestyle behaviors for rural Muslim Indonesians with hypertension: A qualitative study.
abstract: Hypertension is a significant health issue in Indonesia. Health professionals in a rural district of West Java identified hypertension as a priority health issue. In this study, we describe healthy-lifestyle behaviors as perceived by the district's middle-aged Muslims with hypertension. A qualitative case-study design was used. Twelve married couples, directly or indirectly impacted by hypertension, and who visited community health centers, were purposively recruited. Semistructured interviews provided data that were systematically analyzed for categories and subcategories. Categories of healthy-lifestyle behaviors currently practiced were eating behavior, physical activity, resting, not smoking, managing stress, seeking health information, seeking health care, caring other people, and fulfilling an obligation to God. Categories of reasons for practicing healthy-lifestyle behaviors were behavioral beliefs, competence, religious support, prior experience, social support, and health system support. Categories for not practicing healthy-lifestyle behaviors were personal, social, and environmental barriers. To achieve healthy-lifestyle behavior changes, it is essential for rural middle-aged Muslim individuals to be supported by reinforcing their positive reasons and to address their negative reasons to practice healthy-lifestyle behaviors.
authors.affiliation: Department of Nursing, Shiga University of Medical Science, Shiga, Japan.
authors.forename: Mayumi
authors.initials: M
authors.lastname: Mizutani
authors.affiliation: Graduate School of Nursing Science, St Luke's International University, Tokyo, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Tashiro
authors.affiliation: Department of Nursing, Syarif Hidayatullah State Islamic University, Jakarta, Indonesia.
authors.lastname: Maftuhah
authors.affiliation: Department of Public Health, Indramayu College of Health Science, Indramayu, Indonesia.
authors.forename: Heri
authors.initials: H
authors.lastname: Sugiarto
authors.affiliation: Department of Midwifery, Indramayu College of Health Science, Indramayu, Indonesia.
authors.forename: Lily
authors.initials: L
authors.lastname: Yulaikhah
authors.affiliation: Department of Nursing, Indramayu College of Health Science, Indramayu, Indonesia.
authors.forename: Riyanto
authors.initials: R
authors.lastname: Carbun
mesh_terms: D005260:Female; D015438:Health Behavior; D006292:Health Priorities; D000070497:Healthy Lifestyle; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D007214:Indonesia; D007407:Interviews as Topic; D007514:Islam; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D036301:Qualitative Research; D012424:Rural Population; D018454:Spouses
keywords: Indonesia; Muslim; health promotion; healthy-lifestyle; hypertension; rural