Barriers to Blood Pressure Control as Reported by African American Patients

Wexler, Randy; Elton, Terry S.; Pleister, Adam; Feldman, David S.

doi:10.1016/s0027-9684(15)30947-0

Cited by 32 publications

(43 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additional obstacles include a lack of communication and trust between patients and care providers, high medication costs, high drug burden, failure to attend follow-up appointments, and discontinuation of therapy due to drug side effects [5][6][7][8][9][10]. There is limited data available about patients' personal perspectives regarding obstacles to hypertension control [11,12]. We therefore performed a qualitative study consisting of semistructured interviews to explore hypertensive patients' views on their disease state and issues related to optimizing BP control.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Patient Perspectives about Hypertension

et al. 2013

View full text Add to dashboard Cite

To understand hypertensive patients' perspectives regarding blood pressure and hypertension treatment, this qualitative study applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c) feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the identified domains indicates that current approaches could benefit from the development of a more personalized approach for education and communication.

show abstract

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Patient Perspectives about Hypertension

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The major barrier identified by researchers is a lack of trust in the healthcare system (Elder et al, 2012;Fongwa et al, 2008;Wexier, et al, 2009). The issue of African Americans' mistrust in the healthcare system dates back to the 1932 Tuskegee Syphilis Study during which black males were left untreated even after the discovery and availability of penicillin (Gamble, 1997).…”

Section: Barriers To Blood Pressure Control In Blacks/african Americansmentioning

confidence: 99%

“…The issue of African Americans' mistrust in the healthcare system dates back to the 1932 Tuskegee Syphilis Study during which black males were left untreated even after the discovery and availability of penicillin (Gamble, 1997). Some members of a subsequent study reported feeling like "guinea pigs" for the health care system (Wexier, et al, 2009). This lack of trust in the healthcare system affects many aspects of care.…”

Section: Barriers To Blood Pressure Control In Blacks/african Americansmentioning

confidence: 99%

Section: Barriers To Blood Pressure Control In Blacks/african Americansmentioning

confidence: 99%

“…Other barriers have been described as inaccessible health education programs regarding high blood pressure prevention and control, inadequate financial resources, inconveniently located healthcare facilities, and long wait times within those facilities (Hildreth & Saunders, 1991;Wexier, et al, 2009). Wexier, et al (2009) reported that as a community, African Americans tend to have a fatalistic response to hypertension. Some participants in a focus group aimed at learning African Americans perspectives on high blood pressure control, referred to high blood pressure as a "generational thing" (p.599), implying that hypertension is an inevitable disease based on family lineage.…”

Section: Barriers To Blood Pressure Control In Blacks/african Americansmentioning

confidence: 99%

See 2 more Smart Citations

An Exploration of the Barriers in the Prevention and Control of High Blood Pressure Among West African Immigrants in Rhode Island

Udeh

2013

Preprint

View full text Add to dashboard Cite

This is a report of a pilot study to explore the barriers to the prevention and control of high blood pressure by West African immigrants in Rhode Island. The incidence of high blood pressure is high in African Americans with many possible contributory factors documented. However, little is known about possible barriers to the control of high blood pressure among specific black ethnic populations such as West African immigrants living in Rhode Island. A qualitative research design employing a semi-structured interview was utilize to explore the issue. The barriers to high blood pressure management reported by these West Africans immigrants reported included: psychosocial stressors, inability to adopt lifestyle changes such as diet and exercise, belief system, and a lack of complete adherence to medication regimen. The study also highlighted the fact that some primary care providers for these patients are not following the recommended interventions for the management of high blood pressure in people of black ancestry. The findings of this pilot study support the need for provider use of available treatment guidelines for population from black ancestry and the necessity for adequate patient education in the areas of stress management strategies and lifestyle modification as adjuncts to medication prescribed for high blood pressure management. HIGH BLOOD PRESSURE IN WEST AFRICAN IMMIGRANTS IN RIiii Acknowledgements

show abstract

Black Male Mental Health and the Black Church: Advancing a Collaborative Partnership and Research Agenda

et al. 2018

View full text Add to dashboard Cite

This article explores the role the Black Church could play in facilitating spiritually sensitive, culturally relevant and gender-specific services to address the mental health and well-being of Black males. The help-seeking behaviors of Black men are examined as the authors offer two theories: the body, mind, spirit, environment, social, transcendent, and health, illness, men, and masculinities that may assist the Black Church in functioning as an effective support networks for healthy Black male mental health. Next, the authors discuss implications for practice, research, and education, and lastly, eight recommendations for Black Church leadership, social workers, and mental health professionals are also discussed.

show abstract

Barriers to Blood Pressure Control as Reported by African American Patients

Cited by 32 publications

References 26 publications

A Qualitative Study of Patient Perspectives about Hypertension

A Qualitative Study of Patient Perspectives about Hypertension

An Exploration of the Barriers in the Prevention and Control of High Blood Pressure Among West African Immigrants in Rhode Island

Black Male Mental Health and the Black Church: Advancing a Collaborative Partnership and Research Agenda

Contact Info

Product

Resources

About