A mixed methods study of indigenous perspectives on non-communicable disease health literacy

Non-communicable diseases, including hypertension, represent a significant health concern, and have been associated with detrimental habits or cultural practices, particularly in suburban and rural regions. However, the factors perpetuating these habits remain unclear. The aims of this study is to to explore health literacy, cultural practices, and hypertension management with a view to bridging the literacy-practice gap, and health perspective of the indigenous tribal community from a Northern Indonesian heritage. A mixed-methods approach was adopted in order to comprehensively explore the factors influencing hypertension management within the indigenous tribal community. The study surveyed 316 participants in order to assess levels of knowledge and healthcare access. Logistic regression analysis and interviews were used to explore cultural beliefs, habits, and interactions with health services. Moreover, qualitative data were collected from 96 informants through interviews in order to explore cultural beliefs, habits, and interactions with health services. The study revealed that many participants exhibited limited knowledge and access to health education regarding hypertension. The factors influencing knowledge and behaviour, as well as health decisions, included blood pressure control, healthcare access, and cultural understanding. The study emphasises the significance of culturally-based healthcare interventions and the necessity of collaboration between medical professionals and indigenous communities to enhance health literacy and address knowledge gaps.