Telisa Spikes1, Melinda Higgins, Arshed Quyyumi, Carolyn Reilly, Pricilla Pemu, Sandra Dunbar. 1. Telisa Spikes, MSN, RN Predoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Melinda Higgins, PhD Associate Research Professor, Biostatistics, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Arshed Quyyumi, MD, FACC, FRCP Professor of Medicine, Division of Cardiology, Emory Clinical Cardiovascular Research Institute, Emory University, Atlanta, Georgia. Carolyn Reilly, PhD, RN, CHFN, FAHA Associate Clinical Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Pricilla Pemu, MD, MSCR, FACP Professor, Morehouse School of Medicine, Atlanta, Georgia. Sandra Dunbar, PhD, RN, FAAN, FAHA, FPCNA Professor and Associate Dean for Academic Advancement, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Abstract
BACKGROUND: African Americans are disproportionately affected by hypertension and have lower medication adherence when compared to other racial groups. Antecedent factors such as beliefs surrounding hypertension, the presence or absence of social support, and depressive symptoms have not been extensively studied collectively in relation to hypertension medication adherence in African Americans. OBJECTIVE: To determine the associations among demographic and clinical factors, depressive symptoms, hypertension beliefs, and social support with blood pressure medication adherence in middle-aged African American adults with a diagnosis of hypertension. METHODS: A cross-sectional study of (N = 120) African Americans (mean age, 49 years; 22.5% men) with a current diagnosis of metabolic syndrome, including hypertension, who reported having and taking a prescribed blood pressure-lowering medication were included. Descriptive statistics, bivariate correlation analysis, and logistic regression using odds ratio were used to examine the effects of high blood pressure beliefs, social support, and depression on medication adherence. RESULTS: A small but significant relationship was found between medication adherence and number of comorbidities (r = 0.19, P = .04). In a multivariate regression model, after controlling for gender, comorbidities remained associated with medication adherence (β = 0. 77, P = .04). Depressive symptoms, high blood pressure beliefs, and social support did not have a significant relationship with medication adherence. CONCLUSIONS: Multiple comorbidities may have a positive impact upon medication adherence. Further study is needed in a larger sample of African Americans who have a diagnosis of hypertension in addition to other comorbidities requiring medication management.
BACKGROUND: African Americans are disproportionately affected by hypertension and have lower medication adherence when compared to other racial groups. Antecedent factors such as beliefs surrounding hypertension, the presence or absence of social support, and depressive symptoms have not been extensively studied collectively in relation to hypertension medication adherence in African Americans. OBJECTIVE: To determine the associations among demographic and clinical factors, depressive symptoms, hypertension beliefs, and social support with blood pressure medication adherence in middle-aged African American adults with a diagnosis of hypertension. METHODS: A cross-sectional study of (N = 120) African Americans (mean age, 49 years; 22.5% men) with a current diagnosis of metabolic syndrome, including hypertension, who reported having and taking a prescribed blood pressure-lowering medication were included. Descriptive statistics, bivariate correlation analysis, and logistic regression using odds ratio were used to examine the effects of high blood pressure beliefs, social support, and depression on medication adherence. RESULTS: A small but significant relationship was found between medication adherence and number of comorbidities (r = 0.19, P = .04). In a multivariate regression model, after controlling for gender, comorbidities remained associated with medication adherence (β = 0. 77, P = .04). Depressive symptoms, high blood pressure beliefs, and social support did not have a significant relationship with medication adherence. CONCLUSIONS: Multiple comorbidities may have a positive impact upon medication adherence. Further study is needed in a larger sample of African Americans who have a diagnosis of hypertension in addition to other comorbidities requiring medication management.
Authors: Nancy R Kressin; Fei Wang; Judith Long; Barbara G Bokhour; Michelle B Orner; James Rothendler; Christine Clark; Surekha Reddy; Waldemar Kozak; Laura P Kroupa; Dan R Berlowitz Journal: J Gen Intern Med Date: 2007-03-16 Impact factor: 5.128
Authors: Barbara Riegel; Sandra B Dunbar; Donna Fitzsimons; Kenneth E Freedland; Christopher S Lee; Sandy Middleton; Anna Stromberg; Ercole Vellone; David E Webber; Tiny Jaarsma Journal: Int J Nurs Stud Date: 2019-08-23 Impact factor: 5.837