OBJECTIVE: To determine associations between home remedy use and self-reported adherence among urban African Americans with poorly controlled hypertension. METHODS: A cross-sectional structured interview of African Americans admitted to medical units for uncontrolled hypertension at an urban academic hospital from 1999-2004. Logistic regression was used to test associations between home remedy use and self-reported adherence. RESULTS: One-hundred-eighty-three of 272 participants completed the study (67%); 39 (21%) reported using home remedies for hypertension. In a multivariate model, home remedy use was independently associated with greater medication adherence (OR for nonadherence=0.32, 95% CI: 0.14-0.75; p<0.01) and dietary adherence (OR for changing diet=3.28, 95% CI: 1.10-9.81; p=0.03), but not lifestyle or appointment adherence. These associations remained strong while controlling for age; sex; employment status; and key covariates, including greater medication side effects (OR=4.31; 95% CI: 1.64-11.3; p<0.01), greater difficulty paying for medications (OR=2.94, 95% CI: 1.25-6.92; p=0.01) and longer duration of diagnosis (OR for log years=1.53; 95% CI: 1.02-2.33; p=0.045). CONCLUSION: Home remedy use may be a marker of positive self-care for some hypertensive African Americans and not a promoter of nonadherence.
OBJECTIVE: To determine associations between home remedy use and self-reported adherence among urban African Americans with poorly controlled hypertension. METHODS: A cross-sectional structured interview of African Americans admitted to medical units for uncontrolled hypertension at an urban academic hospital from 1999-2004. Logistic regression was used to test associations between home remedy use and self-reported adherence. RESULTS: One-hundred-eighty-three of 272 participants completed the study (67%); 39 (21%) reported using home remedies for hypertension. In a multivariate model, home remedy use was independently associated with greater medication adherence (OR for nonadherence=0.32, 95% CI: 0.14-0.75; p<0.01) and dietary adherence (OR for changing diet=3.28, 95% CI: 1.10-9.81; p=0.03), but not lifestyle or appointment adherence. These associations remained strong while controlling for age; sex; employment status; and key covariates, including greater medication side effects (OR=4.31; 95% CI: 1.64-11.3; p<0.01), greater difficulty paying for medications (OR=2.94, 95% CI: 1.25-6.92; p=0.01) and longer duration of diagnosis (OR for log years=1.53; 95% CI: 1.02-2.33; p=0.045). CONCLUSION: Home remedy use may be a marker of positive self-care for some hypertensive African Americans and not a promoter of nonadherence.
Authors: Matthew Konerman; Kristina R Weeks; Jamille R Shands; Jon C Tilburt; Sydney Dy; Lee R Bone; David M Levine; J Hunter Young Journal: J Clin Hypertens (Greenwich) Date: 2010-12-17 Impact factor: 3.738
Authors: J Hunter Young; Derek Ng; Chidinma Ibe; Kristina Weeks; Daniel J Brotman; Sydney Morss Dy; Frederick L Brancati; David M Levine; Michael J Klag Journal: J Clin Hypertens (Greenwich) Date: 2015-04-29 Impact factor: 3.738
Authors: Catherine S Nagawa; Jessica A Palakshappa; Rajani S Sadasivam; Thomas K Houston Journal: J Altern Complement Med Date: 2020-12-08 Impact factor: 2.579