Daengku: Journal of Humanities and Social Sciences Innovation
Vol. 6 No. 4 (2026)

Determinants of Uncontrolled Hypertension among Maritime Communities in Riau Islands, Indonesia: A Mixed-Methods Study on Social-Cultural and Self-Care Factors

Yulia Devi Putri (Nephrology and Hypertension Division, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Indonesia)
Nursyirwan Effendi (Department of Anthropology, Faculty of Social and Political Sciences, Universitas Andalas, Indonesia)
Adang Bachtiar (Department of Health Administration and Policy, Faculty of Public Health, Universitas Indonesia, Indonesia)
Harnavi Harun (Nephrology and Hypertension Division, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Indonesia)



Article Info

Publish Date
10 Jul 2026

Abstract

Background: Hypertension remains a significant health challenge in maritime communities due to unique occupational and cultural lifestyles. In the Riau Islands, the prevalence of hypertension reached 25.3% in specific coastal areas, yet control rates remain suboptimal. Objective: This study aims to analyze the factors influencing blood pressure control among hypertensive patients in a maritime setting. Methods: A quantitative cross-sectional study was conducted with 237 hypertensive respondents in the maritime area of Batam, Riau Islands. Data were collected using questionnaires covering demographics, knowledge, stress levels, medication adherence, and socio-cultural factors. Results: The majority of respondents were male (60.8%), aged 45–59 years (60.8%), and worked as fishermen (52.7%). Analysis showed that 74.3% of patients had uncontrolled hypertension. Significant determinants included low medication adherence (52.3%), high stress levels (62.4%), poor health knowledge (54.4%), and limited access to healthcare facilities (67.5%). Socio-cultural practices, particularly the high consumption of salted seafood and traditional beliefs, significantly hindered hypertension control (p < 0.05). Conclusion: Hypertension control in maritime populations is heavily influenced by socio-cultural habits and systemic barriers. Tailored interventions, such as the "Alviro Model," are necessary to address these specific coastal challenges.

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Journal Info

Abbrev

daengku

Publisher

Subject

Humanities Education Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Other

Description

The Daengku seeks to publish high-quality research papers, review articles, and book reviews that make a contribution to knowledge through the application and development of theories, new data exploration, and/or scientific analysis of salient policy issues. The Scope of the Daengku includes the ...