{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T06:05:11Z","timestamp":1794031511789,"version":"4.8.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the sociodemographic, religiosity, and quality of life (QoL) predictors of illness acceptance among hypertensive patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 317 patients attending Connaught Hospital outpatient clinics in Freetown, Sierra Leone. Data were collected using the Brief Religious Coping Scale, Acceptance of Illness Scale, and SF-36 QoL instrument. Multiple linear regression identified predictors of illness acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 60.6% of participants reported high illness acceptance. Positive religious coping was common (mean 18.47, SD \u00b13.37), while negative coping was less frequent, though half attributed illness to the devil. QoL scores were highest for physical functioning (mean 75.28, SD \u00b122.36) and lowest for social functioning (mean 37.22, SD \u00b120.22). Regression analysis explained 64.3% of the variance in illness acceptance. Negative religious coping (\u03b2 = -0.309, p &lt; 0.001), older age (\u03b2 = -5.287, p &lt; 0.001), female gender (\u03b2 = -1.070, p = 0.027), and higher education predicted lower acceptance, while higher QoL was a significant positive predictor (\u03b2 = 0.019, p &lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Illness acceptance was moderate, shaped by QoL, religious coping, and sociodemographic inequities. Integrating psychosocial assessment, spiritual sensitivity, and health literacy into hypertension care may strengthen resilience and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261479422","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:08:11Z","timestamp":1786727291000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2603-9989","authenticated-orcid":false,"given":"Ahmed","family":"Vandy","sequence":"first","affiliation":[{"name":"University of Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel Mandella","family":"Kanu","sequence":"additional","affiliation":[{"name":"University of Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lahai","sequence":"additional","affiliation":[{"name":"University of Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Foday","family":"Marah","sequence":"additional","affiliation":[{"name":"University of Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bondu","family":"Sebba","sequence":"additional","affiliation":[{"name":"University of Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustus","family":"Osborne","sequence":"additional","affiliation":[{"name":"Institute for Development of the Western Area"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0268150"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2024-001662"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.30829\/contagion.v6i2.21636"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0003281"},{"key":"e_1_3_6_6_2","unstructured":"WHO. Hypertension. 2025. Accessed February 14 2026.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hypertension"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.124.323889"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2025.09.1600"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06184-1"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.5114\/hpc.2015.57131"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12242562"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resp.2013.02.009"},{"key":"e_1_3_6_13_2","volume-title":"The Relationship between Gratitude and Self-Acceptance with the Quality of Life of Hypertension Patients","author":"Ainiyah N","year":"2025","unstructured":"Ainiyah N, Hasina SN, Yuliana E. The Relationship between Gratitude and Self-Acceptance with the Quality of Life of Hypertension Patients; 2025. Published online."},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.53730\/ijhs.v6nS4.9590"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1192\/bja.2019.81"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4983"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-024-02119-z"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.5812\/numonthly.38009"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186789"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/rel2010051"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00270"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/2050312116671725"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-012-9578-9"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-017-0517-7"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-021-01260-3"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.15406\/ijfcm.2025.09.00374"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v9.i26.7620"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11013-024-09863-7"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4052-y"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9782-2"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.30574\/ijsra.2024.12.2.1219"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002404"},{"key":"e_1_3_6_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e09716"},{"key":"e_1_3_6_34_2","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S370178"},{"key":"e_1_3_6_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.26148"},{"key":"e_1_3_6_36_2","doi-asserted-by":"publisher","DOI":"10.56305\/001c.138072"},{"key":"e_1_3_6_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.09.010"},{"key":"e_1_3_6_38_2","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2018.1511658"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261479422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319261479422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261479422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:21:05Z","timestamp":1786962065000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319261479422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":37,"alternative-id":["10.1177\/21501319261479422"],"URL":"https:\/\/doi.org\/10.1177\/21501319261479422","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"21501319261479422"}}