{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T14:16:55Z","timestamp":1791728215734,"version":"4.3.4"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Hypertension in older adults is a growing public health issue, often associated with decreased quality of life and increased healthcare demands. Health behaviors, self-efficacy in managing chronic illness, and psychological wellbeing are critical factors in effective hypertension control.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To examine the mediating role of self-care self-efficacy in the relationship between health behaviors and psychological wellbeing among community-dwelling older adults with hypertension.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional design was used, including 250 older adults attending outpatient geriatric clinics. Data were collected using a demographic questionnaire, the Arabic Geriatrics Health Behavior Questionnaire, the Arabic Self-Care Self-Efficacy Scale (SCSES), and the Psychological Wellbeing Scale.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Geriatric health behavior correlated positively with self-care self-efficacy and psychological wellbeing. Self-care self-efficacy was strongly associated with wellbeing. Self-care self-efficacy demonstrated a statistically significant partial mediating role between health behaviors and psychological wellbeing; the indirect effect (\n \u03b2<\/jats:italic>\n =\u202f0.399,\n p<\/jats:italic>\n &lt;\u202f0.001) exceeded the direct effect (\n \u03b2<\/jats:italic>\n =\u202f0.140,\n p<\/jats:italic>\n =\u202f0.034). Education level showed a positive correlation with wellbeing, while age and longer hypertension duration were negatively correlated. The model explained 28.7% of the variance in self-care self-efficacy and 23.9% in wellbeing.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and recommendations<\/jats:title>\n Self-care self-efficacy plays a partial mediating role between health behaviors and psychological wellbeing in older adults with hypertension. Interventions should enhance self-care self-efficacy and health education while tailoring support to those with lower literacy or longer disease duration. Promoting confidence in self-management may improve wellbeing, treatment adherence, and support healthier aging.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1697089","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:11:53Z","timestamp":1764047513000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["The mediating role of self-care self-efficacy in the relationship between health behavior and psychological wellbeing among community-dwelling older adults with hypertension"],"prefix":"10.3389","volume":"13","author":[{"given":"Shaimaa Mohamed","family":"Amin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soher Ahmed Awad Abdel","family":"Aziz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Hussein Ramadan","family":"Atta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Farghaly","family":"Tawfik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally Mohammed Farghaly","family":"Abdelaliem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesreen AbdelMonaem","family":"AbouZeid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud Abdelwahab","family":"Khedr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman Mohamed","family":"El-Ashry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"ref1","year":"2023"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s42506-021-00096-9","article-title":"A semi-systematic review on hypertension and dyslipidemia care in Egypt\u2014highlighting evidence gaps and recommendations for better patient outcomes","volume":"96","author":"Reda","year":"2021","journal-title":"J Egypt Public Health Assoc"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1161\/HYPERTENSIONAHA.123.19943","article-title":"Cerebral small vessel disease, hypertension, and vascular contributions to cognitive impairment and 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