Analysis of Factors Associated with Hypertension Self-Management Among the Elderly at Samarinda Kota Community Health Center

Abstract

Hypertension is a degenerative disease whose prevalence continues to increase, particularly among the elderly population. Based on the 2023 Indonesian Health Survey data, the prevalence of hypertension in East Kalimantan reached approximately half a million people, with a high number of cases in Samarinda City, especially within the working area of the Samarinda Kota Community Health Center. This study aimed to analyze factors associated with hypertension self-management among elderly patients at the Samarinda Kota Community Health Center. The factors examined included knowledge, self-efficacy, family support, healthcare provider support, medication adherence, and blood pressure. This study employed an observational analytic design with a cross-sectional approach, conducted in 2025, involving 117 elderly respondents selected using a cluster sampling technique. The findings of this study identified associations between knowledge, self-efficacy, family support, healthcare provider support, medication adherence, and blood pressure with hypertension self-management among the elderly at the Samarinda Kota Community Health Center.  Hypertension is often referred to as a “silent killer” because it can affect anyone and typically presents without specific symptoms. Age-related decreases in vascular elasticity make the elderly more susceptible to hypertension. Adopting appropriate lifestyle practices plays a crucial role in maintaining normal blood pressure levels.