Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.
A, V., EM, K., M, L., F, M., B, S., & A, O. (2026). Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.. Journal of primary care & community health. https://doi.org/10.1177/21501319261479422
A V, EM K, M L, F M, B S, A O. Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.. Journal of primary care & community health. 2026; doi: 10.1177/21501319261479422
A V, EM K, M L, et al. Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.[J]. Journal of primary care & community health. 2026. DOI: 10.1177/21501319261479422.
@article{a2026,
author = {Vandy A and Kanu EM and Lahai M and Marah F and Sebba B and Osborne A},
title = {Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.},
journal = {Journal of primary care & community health},
year = {2026},
doi = {10.1177/21501319261479422},
note = {PMID: 42599829},
}
TY - JOUR AU - Vandy A AU - Kanu EM AU - Lahai M AU - Marah F AU - Sebba B AU - Osborne A TI - Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors. T2 - Journal of primary care & community health PY - 2026 DO - 10.1177/21501319261479422 AN - PMID:42599829 ER -
ObjectivesTo determine the sociodemographic, religiosity, and quality of life (QoL) predictors of illness acceptance among hypertensive patients.MethodsThis cross-sectional study included 317 patients attending Connaught Hospital outpatient clinics in Freetown, Sierra Leone. Data were collected using the Brief Religious Coping Scale, Acceptance of Illness Scale, and SF-36 QoL instrument. Multiple linear regression identified predictors of illness acceptance.ResultsOverall, 60.6% of participants reported high illness acceptance. Positive religious coping was common (mean 18.47, SD ±3.37), while negative coping was less frequent, though half attributed illness to the devil. QoL scores were highest for physical functioning (mean 75.28, SD ±22.36) and lowest for social functioning (mean 37.22, SD ±20.22). Regression analysis explained 64.3% of the variance in illness acceptance. Negative religious coping (β = -0.309, p < 0.001), older age (β = -5.287, p < 0.001), female gender (β = -1.070, p = 0.027), and higher education predicted lower acceptance, while higher QoL was a significant positive predictor (β = 0.019, p < 0.001).ConclusionIllness acceptance was moderate, shaped by QoL, religious coping, and sociodemographic inequities. Integrating psychosocial assessment, spiritual sensitivity, and health literacy into hypertension care may strengthen resilience and improve outcomes.