Background: Self-efficacy and self-management may be associated with health-related quality of life among people living with hypertension. Objective: To examine associations between self-efficacy, self-management, and quality of life among adults with hypertension in Luwuk, Banggai Regency, Indonesia. Methods: This cross-sectional study included 150 adults attending four community health centers. Self-efficacy, self-management, and quality of life were assessed using the SEMH, HSMBQ, and SF-36 instruments, respectively. Associations between dichotomized measures were examined using Pearson chi-square tests and crude odds ratios (ORs) with 95% confidence intervals (CIs). Results: Of 150 participants, 109 (72.7%) were women, 72 (48.0%) were classified as having good self-efficacy, 106 (70.7%) as having good self-management, and 85 (56.7%) as having good quality of life. Good self-efficacy was associated with good quality of life (OR = 5.18, 95% CI 2.55–10.53; p < 0.001), as was good self-management (crude OR = 3.26, 95% CI 1.57–6.79; p = 0.001). Conclusion: Self-efficacy and self-management were each associated with quality of life in this cross-sectional sample. Causal direction and independence from potential confounding cannot be inferred.
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