title: Improving the Blood Pressure Control With the ProActive Attitude of Hypertensive Patients Seeking Follow-up Services: Evidence From China.
abstract: Proactive attitude of hypertensive patients seeking follow-up services (FUS) lies at the core of self-efficacy. However, few evidence have shown the activeness of seeking FUS in the context of blood pressure control among hypertensive patients. Improvements in follow-up visits may not just by services itself cause better control of blood pressure among hypertensive patients, rather due to the patient's pro-active attitude of the patient in seeking FUS.A cross-sectional study was carried out in selected rural regions of China to explore the association between blood pressure control and sociodemographic and economic variables and activeness of hypertensive patients in seeking FUS. The primary clinical outcome for this study was blood pressure control (systolic blood pressure <140  mmHg or diastolic blood pressure <90  mmHg)Out of the total 2321 participants with hypertension aged 35 years or older participated in this survey. Number of proactive FUS seekers were 3.17 times greater than those of passive seekers (odds ratio [OR] = 3.17, 95% confidence interval [CI] = 2.56-3.93, P < 0.001). In all subgroups, hypertensive patients who were seeking FUS actively were more likely to control blood pressure better than those seeking FUS passively.Proactive attitude of seeking follow-up services can improve blood pressure control among hypertensive patients.
authors.affiliation: From the School of Medicine and Health Management (ST, GB, DF, HF, HF, TS, PS, CL, ZF, TRL), Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Cancer Center (LJ), Sun Yat-sen University, Guangzhou, Guangdong, China.
authors.forename: Shangfeng
authors.initials: S
authors.lastname: Tang
authors.forename: Ghose
authors.initials: G
authors.lastname: Bishwajit
authors.forename: Lu
authors.initials: L
authors.lastname: Ji
authors.forename: Da
authors.initials: D
authors.lastname: Feng
authors.forename: Haiqing
authors.initials: H
authors.lastname: Fang
authors.forename: Hang
authors.initials: H
authors.lastname: Fu
authors.forename: Tian
authors.initials: T
authors.lastname: Shao
authors.forename: Piaopiao
authors.initials: P
authors.lastname: Shao
authors.forename: Chunyan
authors.initials: C
authors.lastname: Liu
authors.forename: Zhanchun
authors.initials: Z
authors.lastname: Feng
authors.forename: Tegene R
authors.initials: TR
authors.lastname: Luba
mesh_terms: D000368:Aged; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000523:psychology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D016896:Treatment Outcome