Correlation between Health Literacy and Self-Management amongst Older Thai Muslims with Hypertension


  • อามานี แดมะยุ คณะพยาบาลศาสตร์ มหาวิทยาลัยนราธิวาสราชนครินทร์
  • ศิริรัตน์ ปานอุทัย
  • พนิดา จันทโสภีพันธ์


health literacy, self-management, older Thai Muslims, hypertension


     Objective: To examine any correlation between health literacy and self-management amongst older Thai Muslims with hypertension.
     Design: Descriptive correlational study.
     Methodology: A total of 88 participants were recruited. All of them were older Thai Muslims having been diagnosed with hypertension and receiving treatment at Health-Promoting Hospitals in Narathiwat province from January to February 2020. The instruments for data collection were the demographic and illness recording form, the health literacy questionnaire for older persons with hypertension, and the self-management questionnaire for older Thai Muslims with hypertension. The data were analysed using descriptive statistics and the Pearson correlation coeffcient.
     Results: The participants displayed a moderate level of functional and overall health literacy, a high level of communicative/interactive health literacy, and a low level of critical health literacy. The participants’ overall self-management, treatment management, and role management were at a moderate level, whilst their emotional management and cooperation with follow-up appointments were at a high level. The participants’ overall, functional, communicative/interactive, and critical health literacy had a moderate-degree positive correlation with their overall self-management, at a statistically signifcant level of 0.01 (r = 0.469,
0.346, 0.403, and 0.344, respectively). When each aspect of self-management was taken into consideration, it was found that the participants’ health literacy had a moderate-degree positive correlation with their treatment and role management, at a statistically signifcant level of 0.01 (r = 0.443), but had a low-degree correlation with their emotional management and cooperation with follow-up appointments (r = 0.194 and 0.186, respectively).
      Recommendations: The results of this study can provide fundamental information for nurses and healthcare professionals caring for older Thai Muslims with hypertension, to promote health literacy and self-management ability.


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Zhou B, Bentham J, Di Cesare M, Bixby H, Danaei G, Cowan MJ, et al. Worldwide trends in blood

pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants. The Lancet 2017; 389(10064):37-55.

Scott WB. Hypertension in older adults. Ann LongTerm Care 2015; 23(12): 42-3.

Department of older persons. Situation of the Thai elderly 2017. Bangkok: Duen Tula Printing House; 2017. (in Thai)

Tongdee J, Rongmuang D, Nakchatree C. Health status and quality of life among the elderly in the southern border provinces of Thailand. Nursing Journal of the Ministry of Public Health 2012; 22(3):88-99. (in Thai)

Thai hypertension society. 2019 The guidelines on the treatment of hypertension. ChiangMai: trickthink;

(in Thai)

Lillahkul N, Supanakul P. Way of life of Muslim people in Thailand’s southern provinces and health

promoting lifestyle. The Southern College Network Journal of Nursing and Public Health 2018;

(2):302-12. (in Thai)

Makeng M, Jittanoon P, Buapetch A. The effect of Muslim-based health behavior modifcation program on diabetic control behaviors and blood sugar level of uncontrolled DM Muslim patients with co-morbidity.

Songklanagarind Journal of Nursing 2018; 38(1):46-62. (in Thai)

Armeeroh A, Poum A. Knowledge and attitude associated with self-care behavior among hypertension

patients in Kohsathon sub-district, Takbai district, Narathiwat province. Wichcha Journal Nakhon Si Thammarat Rajabhat University 2018;37(1): 38-49. (in Thai)

Wangji N, Boonyasopun U, Srikeaw M. Effect of behavioral modifcation program on medical adherence

and blood pressure for Muslim elderly with uncontrolled hypertension [Dissertation]. Songkla: Songkla

University; 2015. (in Thai)

Plianbumroong D. Health perceptions and health behaviors of pre-hypertension client. Journal of Nursing and Health Care 2016;34(1):83-92. (in Thai)

Raiyai W. Self- management of Thai Muslim elderly with hypertension Panamanians Nuea Khlong

subdistrict Nuea Khlong district Krabi province [Internet]. 2018[cited 2019 Aug 6]; Available from: 2019/01/11/4.-.-.pdf (in Thai)

Rasamejam P, Akaratanapol P, Limteerayos P, Khlungtumneam K. Factors predicting health promoting

behaviors among Thai Muslim with hypertension. Journal of Nursing, Siam University 2018; 19(37):

-68. (in Thai)

Lorig KR, Holman HR. Self-management education: history, defnition, outcomes, and mechanisms. Ann

behav med 2003;26(1):1-7.

Pham VT, Jullamate P, Piphatvanitcha N. Factors related to self-management behaviours in hypertension

older adults in Haiduong province, Vietnam. Journal of Nursing and Health Sciences 2016; 10(3):56-64.

(in Thai)

Jandeekaewsakul P, Watthayu N, Suwannaroop N. Factors predicting self management behavior among

patients with uncontrolled essential hypertension. Journal of Nursing Science. 2018;36(1):31-43.

(in Thai)

Nutbeam D. Health literacy as a public health goal:a challenge for contemporary health education and

communication strategies into the 21st century. Health Promot Int 2000;15(3):259-67.

Geboers B, de Winter AF, Spoorenberg SL, Wynia K, Reijneveld SA. The association between health

literacy and self-management abilities in adults aged 75 and older,and its moderators. Qual Life Res.


Amini R, Daddost RA, Khodavisi, M, Tapak L. Correlation between health literacy and self-management

in patients with hypertension, province of Hamadan, Iran. J Bioche Tech 2018;2(1):134-141.

Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain defcit in elderly

patients. J Am Geriatr Soc 1975;23(10):433-41.

Chiangmai provincial public health offce. The Short Portable Mental Status Questionnaire (SPMSQ)

[Internet].2018[cited 2019 Aug 9]; Available from:

document/181112154199934579.pdf (in Thai)

Department of medical services. Barthel activities of daily living: ADL [Internet].2014[cited 2019 Aug

; Available from: http://hpc9.anamai.moph. old_

kan_LTC (in Thai)

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. Lippincott

Williams & Wilkins; 2008.

Noppakraw J, Chintanawat R, Khampolsiri T. Health literacy and self management in older persons with

type 2 diabetes mellitus [Internet]. 2018[cited 2019 Aug 6]; Available from: http://search.lib.cmu. (in Thai)

Thatsaeng B, Lasuka D, Khampolsiri T. Effects of a self-management supporting program on selfmanagement behaviors and blood pressure among elders with hypertension. Nursing Journal

;39(4) :124-37. (in Thai)

Kobayashi LC, Wardle J, Wolf MS, Von Wagner C. Aging and functional health literacy: a systematic review and meta-analysis. J Gerontol B Psychol Sci Soc Sci 2016;71(3):445-57.

Ansari H, Almasi Z, Ansari-Moghaddam A, Mohammadi M, Peyvand M, Hajmohammadi M, Bagheri F. Health literacy in older adults and its related factors: a cross-sectional study in Southeast Iran. Health Scope 2016;5(4):1-6

Nilnate W. Health literacy in Thai elders in senior citizens club of Bangkok. Bangkok: Department of

Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University. 2014. (in Thai)

Khumthong T, Potisiri W, Kaedumkoeng K. Factors influencing health literacy for people at risk of diabete

mellitus and hypertension of Uthaithani and Ang Thong. Veridian E-journal Science and Technology

Silpakorn University 2016;3(6):67-85. (in Thai)

Song K, Panuthai S, Nanasilp P. Health literacy and Health promoting behaviors among Muslim older

persons [Dissertation]. Chiangmai: Chiangmai University; 2018. (in Thai)

Srikuankaew A, Jiawiwatkul A, Thayansin S. The relationship between happiness, health literacy and

quality of life of elderly :a case study in wiang elderly school, Fang district, Chiang Mai province. MFU

Connexion 2018;7(2):76-95. (in Thai)

Warren-Findlow J, Hutchison J, Patel P, Dulin M, Tapp H, Kuhn L. Assessing health literacy of

hypertensive patients in a primary care setting using a self-administered questionnaire. J Health Care Poor

Underserved 2014;25(4):1833-43.

Grey R, Pataravanich U, Chamchan C, Suwannoppakao R. New concept of older persons: the psycho-social

and health perspective. Nakhon Pathom: Institute for Population and Social Research, Mahidol University,

Thailand. 2013. (in Thai)

Aramsin R, Kerdkul P, Jarujit S, Prachanno W. Self-management behaviors among patients with

hypertension in Mueang district, Chanthaburi province. Journal of Phrapokklao Nursing College 2018;

(1):68-77. (in Thai)

Sujamnong S, Therawiwat M, Imamee N. Factors related to self management of hypertension patients,

Taladkwan district health promoting hospital, Nonthaburi province. Journal of Health and Nursing Research.

;29(2):21-30. (in Thai)

Sungkhao M, Thaniwattananon P. Effect of self-management supporting program on medication adherence and blood pressure level among the older patients with uncontrolled hypertension. Songklanagarind

Journal of Nursing 2020; 40(1):84-100. (in Thai)

Japakeeya I. Patient’s guide and management according to Islamic principles [Internet]. 2555[cited 2019

Aug 10]; Available from: (in Thai)

Heijmans M, Waverijn G, Rademakers, J, van der Vaart R, Rijken M. Functional, communicative and

critical health literacy of chronic disease patients and their importance for self-management. Patient Educ

Couns 2015;98(1):41-8.



How to Cite

แดมะยุ อ, ปานอุทัย ศ, จันทโสภีพันธ์ พ. Correlation between Health Literacy and Self-Management amongst Older Thai Muslims with Hypertension. TJNC [Internet]. 2020 Jul. 17 [cited 2022 Dec. 7];35(3):87-107. Available from: