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All Journal JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Journal of Telenursing (JOTING) Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Pendidikan Pedagogos : Jurnal Pendidikan Barongko : Jurnal Ilmu Kesehatan Journal of Innovative and Creativity Media Penelitian dan Pengembangan Kesehatan
Supriadin
STIKes Yahya Bima
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Associations Among Dietary Patterns, Perceived Stress, and Hypertension: A Community-Based Path Analysis Study Supriadin, Supriadin; Fajlurrahman, Imam; Jumiati, Linda Putri
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.101267

Abstract

Introduction: Hypertension is a leading modifiable contributor to cardiovascular morbidity and mortality. Dietary patterns and psychosocial stress are interrelated determinants of hypertension, yet they are rarely examined simultaneously within community settings. Objective: To examine direct and indirect pathways linking dietary patterns and perceived stress with hypertension among community-dwelling adults using path analysis. Methods: A cross-sectional study was conducted among adults aged 30–65 years selected through multistage cluster sampling from community health center areas. Dietary intake was assessed using a validated 95-item Food Frequency Questionnaire to identify Prudent, Western, and Traditional dietary patterns. Perceived stress was measured with the PSS-10. Blood pressure was measured using standardized procedures; hypertension was defined as SBP ≥140 mmHg and/or DBP ≥90 mmHg or antihypertensive use. Associations were examined using bivariate analysis and structural equation modeling. Results: Among 250 participants (mean age 49.6±8.7 years; 57.2% female), hypertension prevalence was 38.8%. The Prudent pattern was inversely associated with blood pressure and stress, whereas the Western pattern showed positive associations (all p≤0.01). Path analysis showed that the Western pattern was positively associated with perceived stress (β=0.24, p=0.002) and hypertension status (β=0.29, p0.001), while the Prudent pattern was inversely associated with hypertension status (β=−0.18, p=0.004). Conclusion: Western dietary patterns were associated with higher hypertension risk both directly and indirectly through perceived stress, while Prudent patterns showed protective associations.
Co-Authors Agung Waluyo Amirul Kadafi Anas Kiki Anugrah Arif Rahman Dian Apri Nelyanti Fajlurrahman, Imam Jumiati, Linda Putri Kurniadi Kurniadi, Kurniadi Lestari, Wahyuni Ayu Muhtar Muhtar Nurul Jannah Nurul Jannah Rohman Azzam Sri Yuliana Sri Yuliana Vitasari, Dian Wahidah Wahidah Zulkarnain Zulkarnain