{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:07:05Z","timestamp":1789020425214,"version":"build-2803163510"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"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":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>H Hypertension is the most significant modifiable risk factor for cardiovascular disease. This study aimed to determine attitudes toward hypertension prevention, examine their relationship with the propensity to achieve a healthy lifestyle, and identify sociodemographic and health-related predictors in young and middle-aged adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This descriptive, cross-sectional study included 351 adults without diagnosed hypertension who had at least one chronic condition associated with increased hypertension risk. Data were collected via an online survey between February and August 2025 using a validated self-report survey comprising the Demographic Information Form, the Attitudes Scale towards Prevention of Hypertension, and the Propensity to Achieve Healthy Lifestyle Scale. Descriptive statistics, Pearson correlation, and hierarchical multiple linear regression were used to analyze relationships and correlates, with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 30.73\u202f\u00b1\u202f11.20\u202fyears; 67.8% were female. The mean Attitudes Scale towards Prevention of Hypertension score was 106.37\u202f\u00b1\u202f12.31 (range 26\u2013130), indicating a positive attitude, while the mean Propensity to Achieve Healthy Lifestyle scale score was 18.93\u202f\u00b1\u202f4.96, a moderate level. A significant, low-level positive correlation was found between the two scales (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.186;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Three variables were independently associated with preventive attitudes, explaining 17.5% of the variance (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05): elementary education (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.280), no previous hypertension education (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.175), and higher propensity to achieve a healthy lifestyle (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.153). The propensity to achieve a healthy lifestyle accounted for a small but significant increment over sociodemographic and health variables alone (\u0394\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f0.022,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although preventive attitudes were generally positive in this at-risk, normotensive sample, perceived readiness and self-efficacy for lifestyle change remained only moderate, indicating a discordance between attitude and readiness rather than a demonstrated attitude\u2013behavior gap, since behavior itself was not measured. Educational level and structured hypertension education showed the strongest associations with preventive attitudes, underscoring the importance of early preventive interventions prioritizing groups with lower educational levels. As the design was cross-sectional, these associations should not be interpreted causally.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1946451","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:33:26Z","timestamp":1789018406000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hypertension prevention attitudes and propensity to achieve a healthy lifestyle in young and middle-aged adults at increased risk: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"G\u00fcrkan","family":"\u00d6zden","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Internal Medicine Nursing, \u0130n\u00f6n\u00fc University","place":["Malatya, T\u00fcrkiye"]},{"name":"Corpus AR, Malatya Teknokent","place":["Malatya, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Tubay","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences, Internal Medicine Nursing, \u0130n\u00f6n\u00fc University","place":["Malatya, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeynep","family":"Karada\u011f Canl\u0131","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences, Internal Medicine Nursing, \u0130n\u00f6n\u00fc University","place":["Malatya, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"50","DOI":"10.5334\/gh.1332","article-title":"The burden of cardiovascular disease attributable to hypertension in Nigeria: a modelling study using summary-level data","volume":"19","author":"Ojo","year":"2024","journal-title":"Glob Heart"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1273","DOI":"10.1056\/NEJMoa2206916","article-title":"Global effect of modifiable risk factors on cardiovascular disease and mortality","volume":"389","year":"2023","journal-title":"N Engl J Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"559751","DOI":"10.3389\/fpubh.2021.559751","article-title":"Global, regional, and national death, and disability-adjusted life-years (DALYs) for cardiovascular disease in 2017 and trends and risk analysis from 1990 to 2017 using the global burden of disease study and implications for prevention","volume":"9","author":"Li","year":"2021","journal-title":"Front Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1001\/jama.2022.10951","article-title":"Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention in adults without cardiovascular disease risk factors","volume":"328","author":"Mangione","year":"2022","journal-title":"JAMA"},{"key":"ref5","volume-title":"The mediating role of healthy lifestyle between socioeconomic status and hypertension: a nationwide cross-sectional study from NHANES 2017\u22122020. Research Square[Preprint].","author":"Yang","year":"2026"},{"key":"ref6","volume-title":"Knowledge, attitudes and behavior of hypertension prevention in adolescents in remote areas, Indonesia. In Proceedings of the 2nd International Conference on Education, Humanities, Health and Agriculture (ICEHHA 2022), Ruteng, Flores, Indonesia: EAI.","author":"Ningsih","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1111\/JNU.12875","article-title":"Knowledge, attitudes, and beliefs of cardiovascular disease prevention in young adults in the country of Georgia","volume":"55","author":"Crawford","year":"2023","journal-title":"J Nurs Scholarsh"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e40260","DOI":"10.1097\/MD.0000000000040260","article-title":"The relationship between health literacy and healthy lifestyle behaviors a meta-analysis","volume":"103","author":"Elkin","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"ref9","first-page":"259","volume-title":"Socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China. BMC Cardiovasc. Disord.","author":"Fan","year":"2021"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1186\/S12889-023-15247-0","article-title":"Individual and area-level socioeconomic correlates of hypertension prevalence, awareness, treatment, and control in uMgungundlovu, KwaZulu-Natal, South Africa","volume":"23","author":"Madela","year":"2023","journal-title":"BMC Public Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"698","DOI":"10.3390\/ijerph23060698","article-title":"Prevalence, risk factors, and preventive strategies of hypertension among young adults in the United Arab Emirates","volume":"23","author":"Raid Hussain Aljubori","year":"2026","journal-title":"Int J Environ Res Public Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2858253","DOI":"10.1155\/2018\/2858253","article-title":"A proposed middle-range theory of nursing in hypertension care","volume":"2018","author":"Drevenhorn","year":"2018","journal-title":"Int J Hypertens"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e14940","DOI":"10.1111\/jch.14940","article-title":"Assessing associations of nurse-managed hypertension care on pharmacotherapy, lifestyle counseling, and prevalence of comorbid cardiometabolic diseases in all patients with hypertension that are treated in primary care in Stockholm, Sweden","volume":"27","author":"Ivarsson","year":"2025","journal-title":"J Clin Hypertens"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1111\/jan.14221","article-title":"Lifestyle risk factor communication by nurses in general practice: understanding the interactional elements","volume":"76","author":"James","year":"2020","journal-title":"J Adv Nurs"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"53","DOI":"10.54308\/TAHD.2022.52296","article-title":"Ailelerinde Hipertansiyon Hastas\u0131 Olan Ki\u015filerde Hipertansiyon Geli\u015fiminin \u00d6nlenmesiyle \u0130lgili Tutumlar: Bir \u00d6l\u00e7ek Geli\u015ftirme \u00c7al\u0131\u015fmas\u0131","volume":"26","author":"Albayrak","year":"2022","journal-title":"Turk J Fam Pract"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"4040","DOI":"10.1111\/JOCN.14535","article-title":"Development and psychometric evaluation of the Swedish propensity to achieve healthy lifestyle scale in patients with hypertension","volume":"27","author":"Brostr\u00f6m","year":"2018","journal-title":"J Clin Nurs"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"88","DOI":"10.5543\/KHD.2021.21018","article-title":"Evaluation of Turkish adaptation and psychometric properties of propensity to achieve healthy lifestyle scale","volume":"12","author":"Kes","year":"2022","journal-title":"J Cardiovasc Nurs"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1186\/s12982-026-02485-x","article-title":"Knowledge, attitude, perception, and preventive practices toward hypertension among children and adolescents in Ibadan, Southwestern, Nigeria","volume":"23","author":"Dairo","year":"2026","journal-title":"Discov. Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"30","DOI":"10.9734\/JPRI\/2021\/V33I49A33298","article-title":"Public\u2019s knowledge, attitudes and practices related to hypertension","volume":"33","author":"Ahmed","year":"2021","journal-title":"J Pharm Res Int"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e40596","DOI":"10.1097\/MD.0000000000040596","article-title":"Knowledge, attitudes, and practices on hypertension among the health science faculty and students at the University of Namibia: a cross-sectional study","volume":"103","author":"Keendjele","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"ref21","volume-title":"Motivational Interviewing: Helping People Change","author":"Miller","year":"2012"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1038\/SJ.JHH.1001249","article-title":"Educational level and hypertension: how socioeconomic differences condition health care","volume":"15","author":"Tedesco","year":"2001","journal-title":"J Hum Hypertens"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1186\/s12889-024-19201-6","article-title":"Prevalence of insufficient physical activity among adult residents of Tehran: a cross-sectional report from Tehran cohort study (TeCS)","volume":"24","author":"Mossavarali","year":"2024","journal-title":"BMC Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"210","DOI":"10.11124\/jbisrir-2016-2296","article-title":"The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review","volume":"14","author":"Ha Dinh","year":"2016","journal-title":"JBI Database Syst Rev Implement Rep"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"166","DOI":"10.31965\/INFOKES.VOL20.ISS2.822","article-title":"The effect of multimedia-based education on knowledge, attitudes, and behavior hypertension patients in stroke prevention","volume":"20","author":"Manurung","year":"2022","journal-title":"J INFO Kesehat"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"3483","DOI":"10.3889\/OAMJMS.2019.683","article-title":"Adherence to consuming medication for hypertension patients at primary health care in Medan city","volume":"7","author":"Wahyuni","year":"2019","journal-title":"Open Access Maced J Med Sci"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"94","DOI":"10.3928\/01484834-20170123-06","article-title":"Healthy lifestyle behaviors and health promotion attitudes in preregistered nurses: a questionnaire study","volume":"56","author":"Blake","year":"2017","journal-title":"J Nurs Educ"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1756","DOI":"10.3889\/OAMJMS.2018.314","article-title":"The relationship between lifestyle, health promotion lifestyle profile ii and high blood pressure in university students","volume":"6","author":"Aynaci","year":"2018","journal-title":"Open Access Maced J Med Sci"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"31194","DOI":"10.1038\/s41598-025-16024-2","article-title":"The role of healthy lifestyle categories and score trend in managing hypertension among hypertensive adults","volume":"15","author":"Vaezi","year":"2025","journal-title":"Sci Rep"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"115","DOI":"10.15212\/FMCH.2018.0112","article-title":"Blood pressure-controlling behavior in relation to educational level and economic status among hypertensive women in Ghana","volume":"6","author":"Ghose","year":"2018","journal-title":"Fam Med Community Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1037\/0021-9010.85.1.112","article-title":"Correction for range restriction: an expanded typology","volume":"85","author":"Sackett","year":"2000","journal-title":"J Appl Psychol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.1136\/bmj.332.7549.1080","article-title":"The cost of dichotomising continuous variables","volume":"332","author":"Altman","year":"2006","journal-title":"BMJ"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1136\/jech.2004.023531","article-title":"Indicators of socioeconomic position (part 1): figure 1","volume":"60","author":"Galobardes","year":"2006","journal-title":"J Epidemiol Community Health"}],"container-title":["Frontiers in Public 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