Paper Title
STROKE PREVENTION IN PATIENTS WITH HYPERTENSION THROUGH INNOVATIVE APPROACHES IN HEALTH LITERACY COMMUNITY BASED CULTURALLY TAILORED: A LITERATURE REVIEW

Abstract
Objectives: The Sustainable Development Goals (SDGs) have a third goal that includes a one-third reduction in premature deaths from non-communicable diseases through prevention and treatment measures. Hypertension, one of the non-communicable diseases, affects approximately 972 million people worldwide, with prevalence predicted to increase to 29.2% by 2025. This study aimed to identify the development of hypertension treatment research in stroke prevention as well as the potential for future research Methods: This study used a literature review design on individuals with hypertension as research subjects. Data were obtained from various sources such as Scopus, PubMed, and Google Scholar (Q1-Q4 open access international journals and sinta accredited national journals), as well as data from WHO, AHA, RISKESDAS, and books spanning 2013-2023. Keyword combinations used included "Hypertension AND Health Literacy", "Hypertension AND Cultural AND Stroke", and "Community Based Culturally Tailored AND Hypertension". Articles were collected and screened using the PRISMA diagram. Of the 812 articles identified, 26 articles met the criteria for review. These articles addressed factors influencing hypertension, health literacy, CBCT (Community Based Culturally Tailored), and stroke prevention. Results: The findings indicate the urgency of developing a culture- and community-based health literacy intervention through a CBCT approach in managing hypertension to reduce the risk of stroke complications. This intervention improves patient understanding and adherence to hypertension management, which can reduce the likelihood of stroke.Conclusions: A health literacy approach adapted to community culture (CBCT) is effective in improving stroke prevention in hypertensive patients. Further research is needed to optimize the implementation and effectiveness of this intervention in specific communities. Keywords - Hypertension, Health Literacy, CBCT, Stroke.