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Pettey CM, McSweeney JC, Stewart KE, et al. African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension. Sage Open. 2016;6(1)doi: 10.1177/2158244015623595.
Pettey, C. M., McSweeney, J. C., Stewart, K. E., Cleves, M. A., Price, E. T., Heo, S., & Souder, E. (2016). African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension. SAGE open, 6(1), . https://doi.org/10.1177/2158244015623595
Pettey, Christina M, et al. "African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension." SAGE open vol. 6,1 (2016). doi: https://doi.org/10.1177/2158244015623595
Pettey CM, McSweeney JC, Stewart KE, Cleves MA, Price ET, Heo S, Souder E. African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension. Sage Open. 2016 Jan-Mar;6(1). doi: 10.1177/2158244015623595. Epub 2016 Jan 05. PMID: 27148469; PMCID: PMC4853166.
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Sage Open. 2016 Jan-Mar;6(1). doi: 10.1177/2158244015623595. Epub 2016 Jan 05.

African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension.

SAGE open

Christina M Pettey, Jean C McSweeney, Katharine E Stewart, Mario A Cleves, Elvin T Price, Seongkum Heo, Elaine Souder

Affiliations

  1. University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  2. North Carolina State University, Raleigh, NC, USA.

PMID: 27148469 PMCID: PMC4853166 DOI: 10.1177/2158244015623595

Abstract

More than 80 million Americans have hypertension (HTN), and African Americans (AAs) are disproportionately affected. AAs also have lower rates of adherence to HTN treatment. It is important to understand AAs' perceptions of adherence to develop effective interventions. The aim of this study is to examine AAs' perceptions of adherence to medications and lifestyle changes prescribed to treat HTN. In this qualitative study, we used purposive sampling to recruit Southern AAs with HTN aged 21 and older from a free, faith-based clinic. We recorded individual, in-person interviews about perceptions related to adherence to treatment of HTN and analyzed verbatim transcripts using content analysis and constant comparison. We also conducted medical record audits. Twenty-nine AAs participated (52% female, 38% were <50 years of age, 52% had taken anti-HTN medications for ≥5 years). Audits indicated that 65% had uncontrolled HTN during the previous year. Two main themes included causes of HTN and ways to improve blood pressure. Perceived causes of HTN included diet, stress, unhealthy actions, genes, and obesity. Ways to improve HTN included using cultural treatments "passed down," increasing exercise, reducing stress, and losing weight. Many reported using home remedies to control HTN, including drinking pickle juice. More than half of this sample had uncontrolled HTN. They identified influences of culture on perceptions of adherence including causes and treatment of HTN, and possibly detrimental home remedies. It is imperative that clinicians identify culturally appropriate interventions for this high-risk group.

Keywords: African Americans; Blacks; adherence; hypertension; qualitative

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