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June 14, 2026BMC Public HealthOpen Access

Higher self-efficacy is linked to ~87% lower odds of a low treatment-management profile.

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Why the study?

Hypertension is prevalent in high-altitude ethnic minority areas with low control rates, but self-management studies have focused on low-altitude, Han populations using total scores, obscuring behavioral heterogeneity.

Population

Hypertensive patients attending Gannan Tibetan Autonomous Prefecture People's Hospital

Comparison

Latent profiles of self-management behaviors

Design

Cross-sectional study

Key result

Higher self-efficacy was significantly associated with lower odds of membership in the low treatment-management profile compared to the overall balanced-management profile (OR 0.126).

Authors

ZZZhuoya ZhangDSDongli SheJHJinjiu Hu

Discussion

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Overview

Heterogeneous self-management profiles in high-altitude minorities warrant tailored support; leaves open whether profile-specific strategies improve control.

Key Points

  • The study aims to identify distinct profiles of self-management behaviors in hypertensive patients from high-altitude ethnic minority areas and to explore influencing factors related to these profiles.
  • Conducted a cross-sectional study from December 2024 to May 2025 among hypertensive patients at Gannan Tibetan Autonomous Prefecture People’s Hospital.
  • Used latent profile analysis to identify self-management behavior profiles.
  • Employs multinomial logistic regression to examine associations with various factors such as self-efficacy and social support.
  • Identified three distinct self-management behavior profiles: comprehensive management type, low treatment management type, and low risk factor management type.
  • Found that self-efficacy significantly impacted all three profiles, while social support and health literacy affected specific groups.
  • Highlighted the necessity for tailored interventions based on the identified behavioral profiles.

Study Design

Type

Cross-Sectional (n=250)

Multicenter

No

Structured PICO

P
Population
250 adult hypertensive patients from a high-altitude ethnic minority area in China, evaluated for self-management behavior profiles.
O
Outcome
Latent profiles of self-management behaviors and factors associated with profile membershippatient reported

Main Result

Odds Ratio: 0.126 (95% CI 0.063–0.252)

p-value: p=<0.001

Self-management behaviors among hypertensive patients in high-altitude ethnic minority regions exhibit significant heterogeneity, with self-efficacy playing a key role across all behavioral profiles.

Limitations

  • Convenience sampling
  • Cross-sectional design limits causal inference
  • Single-center study

Cite This Study

Zhang et al. (2026) conducted a cross-sectional in Hypertension (n=250). Self-efficacy vs. Lower self-efficacy was evaluated on Membership in the low treatment-management profile vs overall balanced-management profile (OR 0.126, 95% CI 0.063-0.252, p=<0.001). Higher self-efficacy was significantly associated with lower odds of membership in the low treatment-management profile compared to the overall balanced-management profile (OR 0.126).

synapsesocial.com/papers/6a2e4704b1cc60ccdea8b96ehttps://doi.org/10.1186/s12889-026-27956-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Latent profile analysis and influencing factors of proactive health behaviors in hypertensive patients from the perspective of the health belief model2026
  2. 2Profiles of medication literacy and associated factors among young and middle-aged hypertensive patients in China: A latent profile analysis2026
  3. 3The association between blood pressure control and multiple self-management behaviors in elderly patients with hypertension: a study based on latent class analysis2026
  4. 4Exploring Health Literacy Heterogeneity in Prehypertensi: Tailored Intervention Strategies Based on Latent Profile Analysis2026
  5. 5Health literacy, social support, and health education, as factors associating with self-management behaviors among elderly patients with hypertension in China: a structural equation model2024 · 1 citations