High Blood Pressure Medication Adherence Among Urban, African Americans in the Midwest United States.

High Blood Pressure Medication Adherence Among Urban, African Americans in the Midwest United States.
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DOI:
10.1007/s40615-020-00819-2
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发表时间:
2021-06
影响因子:
3.9
通讯作者:
Lynch E
Lynch E
中科院分区:
医学4区
文献类型:
--
作者:
Schober DJ;Tate M;Rodriguez D;Ruppar TM;Williams J;Lynch E

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高血压是一种慢性疾病,不成比例地影响非洲裔美国人。管理高血压(HBP)需要坚持每日服药。然而,许多高血压患者服用HBP药物的时间不一致,使他们患心脏病的风险增加。研究人员已经表明,这些健康风险对非洲裔美国人比白人更大。在这篇文章中,我们研究了城市非洲裔美国人高血压患者药物依从性的障碍和促进因素。我们采访了24名患有高血压的非洲裔美国人(58.5%为女性,平均年龄59.5岁),并进行了全面的主题分析。出现了22个药物依从性障碍和32个药物依从性促进因素。障碍包括副作用和遗忘,而促进因素包括提醒,例程和社会支持。使用这些数据,我们开发了一个影响药物依从性的因素的主题连接图。这张图可以指导针对非裔美国人的多层次HBP干预研究,以促进药物依从性,预防心脏病,减少种族和种族健康差异。
Hypertension is a chronic condition that disproportionately affects African Americans. Managing high blood pressure (HBP) requires adherence to daily medication. However, many patients with hypertension take their HBP medication inconsistently, putting them at heightened risk of heart disease. Researchers have shown that these health risks are greater for African Americans than for Caucasians. In this article, we examine barriers and facilitators of medication adherence among urban African Americans with hypertension. We interviewed 24 African Americans with hypertension (58.5% women, average age 59.5 years) and conducted a comprehensive thematic analysis. Twenty-two barriers and 32 facilitators to medication adherence emerged. Barriers included side effects and forgetting while facilitators included reminders, routines and social support. Using this data, we developed a diagram of theme connectedness of factors that affect medication adherence. This diagram can guide multi-level HBP intervention research that targets African Americans to promote medication adherence, prevent heart disease, and reduce ethnic and racial health disparities.
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