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Gantagad, Tadsaneewan, Panya, Pattarika, Praison, Piyaporn, Sareeso, Porntip, Yaemmisri, Waraphorn, Chuajedton, Phornsawan. (1404). Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study. سامانه مدیریت نشریات علمی, 13(4), 274-285. doi: 10.30476/ijcbnm.2025.106163.2743
Tadsaneewan Gantagad; Pattarika Panya; Piyaporn Praison; Porntip Sareeso; Waraphorn Yaemmisri; Phornsawan Chuajedton. "Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study". سامانه مدیریت نشریات علمی, 13, 4, 1404, 274-285. doi: 10.30476/ijcbnm.2025.106163.2743
Gantagad, Tadsaneewan, Panya, Pattarika, Praison, Piyaporn, Sareeso, Porntip, Yaemmisri, Waraphorn, Chuajedton, Phornsawan. (1404). 'Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study', سامانه مدیریت نشریات علمی, 13(4), pp. 274-285. doi: 10.30476/ijcbnm.2025.106163.2743
Gantagad, Tadsaneewan, Panya, Pattarika, Praison, Piyaporn, Sareeso, Porntip, Yaemmisri, Waraphorn, Chuajedton, Phornsawan. Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study. سامانه مدیریت نشریات علمی, 1404; 13(4): 274-285. doi: 10.30476/ijcbnm.2025.106163.2743

Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study

International Journal of Community Based Nursing & Midwifery
مقاله 3، دوره 13، شماره 4 - شماره پیاپی 52، دی 2025، صفحه 274-285    اصل مقاله (445.04 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2025.106163.2743
نویسندگان
Tadsaneewan Gantagad1، 2؛ Pattarika Panya* 3؛ Piyaporn Praison1، 2؛ Porntip Sareeso1؛ Waraphorn Yaemmisri1، 2؛ Phornsawan Chuajedton1، 2
1Department of Nursing, School of Nursing, Mae Fah Luang University, Chiang Rai, Thailand;
2Aged care team, Faculty of Nursing, Mae Fah Luang University, Chiang Rai, Thailand
3Department of Nursing, Faculty of Nursing, Chiang Mai Rajabhat University, Mae Hong Son Campus, Thailand;
چکیده
Background: Hypertension is a global health concern and a leading cause of unexpected death, especially among vulnerable populations. Although home blood pressure monitoring (HBPM) is effective for self-management and prevention, adherence remains suboptimal, particularly in ethnic minority communities where socio-cultural factors influence behavior. This study explored cultural and contextual barriers to sustained HBPM among the Indigenous Akha population in Chiang Rai, Thailand.
Methods: A descriptive qualitative design was used from February to April 2023. Three focus group discussions were conducted among ten purposively sampled Akha individuals at risk for hypertension in Chiang Rai Province, Thailand. Researchers analyzed the data using inductive thematic analysis based on the six-phase framework outlined by Braun and Clarke, a manual approach conducted without the use of qualitative data analysis software.
Results: Participants included ten Akha individuals aged 47–62 years. Three themes and seven sub-themes were identified as barriers: “cultural beliefs and illness perception” (symptom-based recognition, fear of lifelong medication use, traditional beliefs and community norms); “misalignment between national guidelines and local realities” (competing priorities of work and livelihood demands, lack of flexible, community-centered support); and “system-level obstacles to consistent monitoring” (lack of awareness and informational support, logistical and social barriers to accessing care).
Conclusion: The complex barriers to HBPM among Indigenous populations emphasize the need for tailored health strategies that reflect unique social, cultural, and economic context of each community. Its findings are relevant not only in Thailand but also globally, offering guidance for improving health equity and chronic disease management in underserved groups.
کلیدواژه‌ها
Culturally competent care؛ Indigenous peoples؛ Home blood pressure monitoring؛ Hypertension؛ Rural population
مراجع
  1. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nature Reviews Nephrology. 2020;16:223-37.
  2. World Health Organization. Hypertension. Geneva: World Health Organization; 2023.
  3. Kario K, Okura A, Hoshide S, et al. The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertension Research. 2024;47:1099-102.
  4. Sakboonyarat B, Rangsin R. Characteristics and clinical outcomes of people with hypertension receiving continuous care in Thailand: a cross-sectional study. Lancet Regional Health Southeast Asia. 2023;21:100319.
  5. Abrahamowicz AA, Ebinger J, Whelton SP, et al. Racial and ethnic disparities in hypertension: barriers and opportunities to improve blood pressure control. Current Cardiology Reports. 2023;25:17–27.
  6. Ogunniyi MO, Commodore-Mensah Y, Ferdinand KC. Race, ethnicity, hypertension, and heart disease: JACC Focus Seminar 1/9. Journal of the American College of Cardiology. 2021;78:2460–70.
  7. Rusmevichientong P, Morales C, Castorena G, et al. Dietary salt-related determinants of hypertension in rural northern Thailand. Int J Environ Res Public Health. 2021;18:377.
  8. Sharman JE, Howes FS, Head GA, et al. Home blood pressure monitoring: Australian Expert Consensus Statement. Journal of Hypertension. 2015;33:1721–8.
  9. Trefond J, Hermet L, Lambert C, et al. Home blood pressure monitoring and adherence in patients with hypertension on primary prevention treatment: a survey of 1,026 patients in general medicine in the Auvergne region. BMC Primary Care. 2022;23:131.
  10. Tucker KL, Sheppard JP, Stevens R, et al. Self-monitoring of blood pressure in hypertension: a systematic review and individual patient data meta-analysis. PLoS Medicine. 2017;14:e1002389.
  11. Anbarasan T, Rogers A, Rorie DA, et al. Factors influencing home blood pressure monitor ownership in a large clinical trial. Journal of Human Hypertension. 2022;36:325-32.
  12. Visanuyothin S, Plianbangchang S, Somrongthong R. An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand. Integrated Blood Pressure Control. 2018;11:25–35.
  13. Chantakeeree C, Sormunen M, Jullamate P, et al. Perceptions on quality of life among older adults with hypertension in Thailand: a qualitative study. Working with Older People. 2024;28:213–23.
  14. Chukumnird S, Boonyasopun U, Jittanoon P. Perspectives regarding adherence to preventive behaviors: a qualitative study of Thais with prehypertension. Pacific Rim International Journal of Nursing Research. 2016;20:106-18.
  15. Joo JY, Liu MF. Culturally tailored interventions for ethnic minorities: a scoping review. Nursing Open. 2021;8:2078–90.
  16. Khoong E, Commodore-Mensah Y, Lyles C, et al. Use of self-measured blood pressure monitoring to improve hypertension equity. Current Hypertension Reports. 2022;24:599-613.
  17. Hazarika CR, Babu BV. Prevalence of hypertension in Indian tribal population: a systematic review and meta-analysis. Journal of Racial Ethnic Health Disparities. 2024;11:451–67.
  18. Somprasong K, Apidechkul T, Kullawong N, et al. Prevalence of and factors associated with hypertension among the hill tribe population aged 35 years and over in northern Thailand: a cross-sectional study. American Journal of Cardiovascular Disease. 2020;10:6-16.
  19. Kronish IM, Leventhal H, Horowitz CR. Understanding minority patients’ beliefs about hypertension to reduce gaps in communication between patients and clinicians. Journal of Clinical Hypertension. 2012;14:38–44.
  20. Scott ECS, Hoskin PJ. Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom. E Clinical Medicine. 2024;76:102864.
  21. Ahmed SK. Sample size for saturation in qualitative research: debates, definitions, and strategies. Journal of Medicine Surgery and Public Health. 2025;5:100171.
  22. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3:77–101.
  23. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park (CA): Sage Publications; 1985.
  24. Peltzer K, Pengpid S. The prevalence and social determinants of hypertension among adults in Indonesia: a cross-sectional population-based national survey. International Journal of Hypertension. 2018;2018:5610725.
  25. Udompittayason W, Boonyasopun U, Songwathana P. Perspectives on hypertension among Thai‑Melayu elderly in a province of southern Thailand: an ethnographic study. Songklanagarind Journal of Nursing. 2015;35:45–60.
  26. Kayima J, Wanyenze RK, Katamba A, et al. Hypertension awareness, treatment, and control in Africa: a systematic review. BMC Cardiovascular Disorders. 2013;13:54.
  27. Naheed A, Haldane V, Jafar TH, et al. Patient pathways and perceptions of hypertension treatment, management, and control in rural Bangladesh: a qualitative study. Patient Preference and Adherence. 2018;12:1437–49.
  28. Nagarkar A, Gadhave S, Gund P, et al. Comparative study of illness perception among hypertensive patients in India. International Journal of Psychology and Behavioral Sciences. 2013;3:151–6.
  29. Shakya R, Shrestha S, Gautam R, et al. Perceived illness and treatment adherence to hypertension among patients attending a tertiary hospital in Kathmandu, Nepal. Patient Preference and Adherence. 2020;14:2287–300.
  30. Palmer R, Smith BJ, Kite J, et al. The socio-ecological determinants of help-seeking practices and healthcare access among young men: a systematic review. Health Promotion International. 2024;39:daae024.
  31. Rossi MM, Radunovich HL, Parisi MA. Rural veteran perception of healthcare access in South Carolina and Florida: a qualitative study. BMC Health Services Research. 2024;24:826.
  32. Hellem AK, Whitfield C, Casetti A, et al. Engagement in self‑measured blood pressure monitoring among medically underresourced participants (the Reach Out Trial): digital framework qualitative study. JMIR Cardio. 2023;7:e38900.
  33. Fletcher BR, Hinton L, Hartmann‑Boyce J, et al. Self-monitoring blood pressure in hypertension, patient and provider perspectives: a systematic review and thematic synthesis. Patient Education and Counseling. 2016;99:210–9.
  34. Panya P, Yaemmisri W, Viriyaratanakul B, et al. Development of community participation program on knowledge and health prevention behaviors related to hypertension among hill tribe older adults in northern Thailand. Open Nursing Journal. 2024;18:1-7.
  35. Lim KK, Lim C, Kwan YH, et al. Association between access to health-promoting facilities and participation in cardiovascular disease (CVD) risk screening among populations with low socioeconomic status (SES) in Singapore. Primary Health Care Research and Developement. 2019;20:e98.
  36. Jenkins HE, Ayuk S, Puma D, et al. Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting. International Journal of Infectious Diseases. 2022;120:125-31.
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