Knowledge, attitude, practice of home blood pressure monitoring among rural residents

A mixed-methods study

Bibliographic Data

ID24215290
AuthorsYufeng Shu (Central South University), Tao Liu (0000-0001-5480-2568, Central South University), Jianyu Luo (Central South University), Pingping Dai (0000-0003-1024-7114, Medical Social Work Center, the Third Xiangya Hospital, Central South University), Haiwei Cheng (Medical Social Work Center, the Third Xiangya Hospital, Central South University)
Year2026
Volume36
Issue1
Publication date2026-12-31
Open AccessYes
TypeARTICLE
VenueCritical Public Health (JOURNAL)
Journal identifiersISSN: 0958-1596 • E-ISSN: 1469-3682
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09581596.2026.2732651
OpenAlexW7214358367
LanguageEN
References cited41

Objective This mixed-methods study investigated knowledge, attitude and practice (KAP) of home blood pressure monitoring among rural residents and urban-rural disparities.Methods From February 1 to September 1, 2025, a self-developed questionnaire assessed residents’ KAP, and semi-structured interviews with village doctors explored contextual factors.Results Of 1600 contacted residents, 948 valid responses were analyzed. Urban residents had higher knowledge, attitude, practice and total KAP scores than rural residents (all P < 0.001). Among rural residents, higher education was positively associated with KAP scores (β = 9.11, 95% CI: 3.19 to 15.04, P = 0.003), whereas smoking status was negatively associated with KAP scores (β = −3.69, 95% CI: −6.55 to −0.82, P = 0.010). Interviews identified structural barriers related to resource constraints, limited resident awareness and trust, and weak institutional support.Conclusion Our findings suggest that improving rural residents’ knowledge of home blood pressure monitoring may be important, but effective implementation may require coordinated interventions addressing cultural beliefs, economic barriers, provider incentives and primary-care infrastructure.

Educational attainment · Health education · home blood pressure monitoring · hypertension · knowledge, attitudes and practices · Resource constraints · rural residents · Smoking · structural barriers · trust in healthcare providers · urban-rural disparities · Blood Pressure and Hypertension Studies · Health Promotion and Cardiovascular Prevention · Non-Invasive Vital Sign Monitoring

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