Journals Information
Universal Journal of Public Health Vol. 11(5), pp. 716 - 723
DOI: 10.13189/ujph.2023.110521
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Determinants of Hypertension Occurrence in Rural Areas of North Lampung Regency, Lampung Province, Indonesia Using Structural Equation Modeling (SEM) Analysis
Sri Aryanti 1, Dyah Wulan Sumekar Rengganis Wardani 2, Jhons Fatriyadi Suwandi 3, Samsul Bakri 4, Tugiyono 1, Adella Putri Apriliani 5,*
1 Doctoral of Environmental Science Study Program, The Graduate School, University of Lampung, Indonesia
2 Department of Public Health, Faculty of Medicine, University of Lampung, Indonesia
3 Department of Microbiology and Parasitology, Faculty of Medicine, University of Lampung, Indonesia
4 Department of Forest Development and Environmental Management, University of Lampung, Indonesia
5 Magister of Environmental Science Study Program, The Graduate School, University of Lampung, Indonesia
ABSTRACT
Context: Evidence shows that in rural areas, the risk factors for hypertension are caused by a high-risk lifestyle. Objective: to identify the significance of the determinants of hypertension in rural areas, especially in North Lampung district, Lampung province, Indonesia. Methods: A case and control study in November-December 2022 involved 76 samples of people aged >18 years living in rural areas of North Lampung district, Lampung province, Indonesia. Subject and method: Latent variables consist of Hypertension variables, Environmental Variables, Lifestyle Variables, Health Facilities Variables, Genetic Variables, and hypertension variables which are measured through appropriate indicators. Data was through observation, in-depth interviews and questionnaires. Statistical analysis used: data analysis used the Structural Equation Modeling (SEM) method with Partial Least Square software. Results: The determinant variables of Genetics and Lifestyle have a significant relationship to the incidence of hypertension by 39.5% in rural areas of North Lampung Regency, they also show that physical activity, BMI, and fiber adequacy are the strongest indicators in explaining the related latent variables. Conclusion: The hypertension control program must be integrated with screening detection activities in the community to identify lifestyle intervention efforts so that hypertension does not occur in rural areas. This program must be supported by stakeholders from both health institutions and other institutions. The findings of hypertension risk factors will provide benefits in efforts to control hypertension, especially in rural areas at the global level, especially in Indonesia.
KEYWORDS
Hypertension, Rural, Environmental, Lifestyle, Genetics
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Sri Aryanti , Dyah Wulan Sumekar Rengganis Wardani , Jhons Fatriyadi Suwandi , Samsul Bakri , Tugiyono , Adella Putri Apriliani , "Determinants of Hypertension Occurrence in Rural Areas of North Lampung Regency, Lampung Province, Indonesia Using Structural Equation Modeling (SEM) Analysis," Universal Journal of Public Health, Vol. 11, No. 5, pp. 716 - 723, 2023. DOI: 10.13189/ujph.2023.110521.
(b). APA Format:
Sri Aryanti , Dyah Wulan Sumekar Rengganis Wardani , Jhons Fatriyadi Suwandi , Samsul Bakri , Tugiyono , Adella Putri Apriliani (2023). Determinants of Hypertension Occurrence in Rural Areas of North Lampung Regency, Lampung Province, Indonesia Using Structural Equation Modeling (SEM) Analysis. Universal Journal of Public Health, 11(5), 716 - 723. DOI: 10.13189/ujph.2023.110521.