Key result
Perceived illness severity and social engagement are linked to higher health literacy in hypertensive older adults.
Why the study?
Hypertension prevalence is rising in Indonesia, especially Bali, but research on health literacy among older adults with hypertension remains limited and outdated.
Cross-Sectional (n=296)
Yes
Perceptions of illness severity, social support, and social activity engagement are key fundamental predictors of health literacy among older adults with hypertension in Bali, highlighting targets for educational interventions.
Answers are grounded in this paper and cite their sources.
May guide tailored education programs for older adults with hypertension; hypothesis-generating and requires prospective validation before practice change.
Background: The prevalence of hypertension in Indonesia continues to increase, particularly in Bali. However, existing research focusing on health literacy in Indonesia, especially among older adults with hypertension, is still limited and outdated. Objective: This cross-sectional predictive design study aimed to examine the level of health literacy among older adults with hypertension and its associated factors. Methods: Two hundred ninety-six eligible older adults with hypertension were purposively selected from two regencies in Bali. Data were collected from March to April 2025 using the Demographic Characteristic Questionnaire, the Short-Form Health Literacy Survey (HLS-SF12), the Perceived Severity of Illness Questionnaire (PSIQ), and the Multidimensional Scale of Perceived Social Support (MSPSS). The data were analyzed using descriptive statistics and multiple regression. Conclusion: Perceptions of illness severity, along with social support and social activity engagement, play a fundamental role in shaping the health literacy of older adults with hypertension in Bali. These findings can guide nurses in developing a tailored education program to help older adults better understand illness severity and promote social integration.
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Krisnayanti et al. (2026) conducted a cross-sectional in Hypertension (n=296). Perceived severity of illness, social support, and social activity engagement vs. Lower levels of these factors was evaluated on Health literacy score (HLS-SF12) (Standardized β = 0.353 for perceived severity of illness (Unstandardized B = 0.652), 95% CI 0.471-0.832, p=<0.001). Perceived severity of illness, social support, and social activity engagement were significantly associated with higher health literacy among older adults with hypertension in Bali.
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