The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension.
The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension.
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DOI：
10.3389/fpubh.2013.00066
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发表时间：
2013-01-01
影响因子：
5.2
通讯作者：
Efird, Jimmy T
中科院分区：
文献类型：
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作者：
Abel, Willie M;Efird, Jimmy T
背景：黑人女性是世界上高血压患病率最高的人群。人们对这种差异的原因知之甚少。美国黑人遭受医疗虐待的历史遗产，让我们对医疗行业的不信任、拒绝治疗和对治疗方案的不良依从性有了一些了解。方法：从北卡罗来纳州的城市社区招募服用降压药的黑人妇女（N=80）。研究参与者完成了对高血压治疗的信任问卷和Hill-Bone依从性问卷。一个精确的离散事件模型被用来检验信任和药物依从性之间的关系。结果：研究参与者的平均年龄为48±9.2岁。大多数参与者（67%）积极就业，30%的收入处于或低于联邦贫困线。对卫生保健提供者的信任水平的提高与更大的药物依从性独立相关（P趋势=0.015）。结论：黑人高血压妇女信任他们的卫生保健提供者比那些不相信他们的卫生保健提供者更有可能坚持他们的处方抗高血压药物。研究结果表明，黑人妇女和医疗保健提供者之间的信任关系对降低高血压的不同率很重要。
BACKGROUND: Black women have the highest prevalence of hypertension in the world. Reasons for this disparity are poorly understood. The historical legacy of medical maltreatment of Blacks in the U.S. provides some insight into distrust in the medical profession, refusal of treatment, and poor adherence to treatment regimens.METHODS: Black women (N=80) who were prescribed antihypertensive medications were recruited from urban communities in North Carolina. Study participants completed the Trust in Physician and Hill-Bone Compliance to High Blood Pressure Therapy questionnaires. An exact discrete-event model was used to examine the relationship between trust and medication adherence.RESULTS: Mean age of study participants was 48±9.2years. The majority of participants (67%) were actively employed and 30% had incomes at or below the federal poverty level. Increasing levels of trust in the health care provider was independently associated with greater medication adherence (P Trend=0.015).CONCLUSION: Black women with hypertension who trusted their health care providers were more likely to be adherent with their prescribed antihypertensive medications than those who did not trust their health care providers. Findings suggest that trusting relationships between Black women and health care providers are important to decreasing disparate rates of hypertension.