Title Text
Factors influencing A number of patient-, family- and
patients' community-level motivators and barriers to
hypertension self- patients' hypertension self-management
management and have been identified. Efforts to tailor
sustainable self-
behavioural interventions to sustain daily
care practices: a
qualitative study
self-care activities during social and cultural
events are imperative..
The Prevalence Of Hypertension is estimated to cause 4.5% of
Hypertension And the global disease burden and is as
Its Associated Risk prevalent in many developing countries as
Factors In Two in developed countries.
Rural Communities
In Penang, Malaysia
Various risk factors have been associated
with hypertension, including age, sex, race,
physical activity, and socioeconomic class.
Vast majority of cases of uncontrolled
hypertension are amongst individuals
more than 60 years of age
Generally the prevalence of hypertension in
urban adult population is between 15-35%
but is lower in rural Asian populations.
Obesity is a well-established risk factor for
hypertension.
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 is still low at around 30% in urban and 20%
in rural areas
Orang Asli in Indigenous peoples in Malaysia are Tarmiji Masron, Fujimaki
Peninsular Malaysia marginalised socio-economically and Masami, Norhasimah Ismail
: culturally.
Population, Spatial Politically, the natives of Sabah and
Distribution
Sarawak as a whole, are in a relatively
and Socio-Economic
Condition
better position compared to the Orang Asli
of Peninsular Malaysia. However, they
share a common problem of being
dispossessed from their land which has led
to an erosion of their cultural identity.
The erosion of their cultural identity is
being exacerbated by an inappropriate
education system which fails to
accommodate their beliefs and practices
and in some
cases by efforts to convert them to other
religions. Additional factors include the
effects of
mainstream development as well as policy
such as that for the integration and
assimilation
specifically targeting the Orang Asli in
Peninsular Malaysia. This policy imposition,
without consultation with the affected
peoples, contains values that run counter
to their
worldviews, lifestyles, cultural and spiritual
traditions.
Increased risks of Despite this effort, majority of the Orang BMC Public HealthBMC series –
cardiovascular Asli are still having a low standard in their open, inclusive and
diseases and insulin quality of life and the population of some trusted201616:284
resistance among subtribes remain very small in numbers.
the Orang Asli in
Based on our observations during the field
Peninsular Malaysia
work, the Orang Asli live in a low socio-
economic status; they are lag behind in
terms of education, personal hygiene and
overall academic performance. Moreover,
they stay in an environment which is poorly
kept in terms of hygiene and resulted in a
wide range of health problems such as
infections. The Orang Asli at the peripheries
have adopted city life with minimum
physical activities and therefore a
sedentary life [23]. Othman CN, Che Lamin
RA, Farooqui M, Sihab N, Mohd Said S.
Modernization and the life style related
disease among Orang Asli at Kuala Boh,
Selangor Malaysia. J ASIAN Behav Stud.
2012;2:7.
The changes of life styles and unhealthy
diets adopted by the Orang Asli (both
inland and periphery) as a result of
modernisation have increased their risks for
CVDs. Besides modernisation, other factors
such as genetic of the Orang Asli may
require investigation for the observed
phenomena. Adequate education and
awareness programmes on healthy life
styles and diets are in dire need for the
Orang Asli to help them to plan for a
healthier community in order to ensure
their sustainability.