Hypertension among adults living in Haiti: An integrative review

Baptiste, Diana Lyn; Hamilton, Jill B.; Foronda, Cynthia; Sloand, Elizabeth; Fahlberg, Beth; Pfaff, Teresa; Delva, Sabianca; Davidson, Patricia M.

doi:10.1111/jocn.14320

Cited by 16 publications

(26 citation statements)

References 17 publications

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“…Mean/ %, SD many barriers to medication adherence due to low health literacy, low knowledge of hypertension as a disease rather than a natural phenomenon and poor access to consistent primary care (Baptiste et al, 2018;Pierce et al, 2014;Sanon et al, 2014). Medication adherence interventions work best when the patients believe that high blood pressure is a serious issue, and when they are willing to learn about their condition and change their behaviour (Buckley et al, 2016).…”

Section: Characteristicsmentioning

confidence: 99%

“…Haiti is the third largest nation in the Caribbean, yet the poorest in the Western Hemisphere. In recent history, this small country has been afflicted by several natural disasters, an unstable government, loss of natural resources and a failing economy and infrastructure (Baptiste et al, 2018). In 2015, Haitians were the fourth largest community from the Caribbean migrating to the United States (Schulz & Batalova, 2017;US Census of Bureau, 2010).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Death and disability are worse among vulnerable populations such as this one, due to limited access to health care and medications (Annuaire Statisque, 2012;Baptiste et al, 2018;Kenerson, 2014;Niska & Sloand, 2010). Uncontrolled hypertension is a common issue among this group.…”

Section: What Does This Paper Contribute To the Wider Global Community?mentioning

confidence: 99%

“…Despite limited statistics regarding the prevalence of high blood pressure among Haitian immigrants, several studies have confirmed that hypertension was the most frequent diagnosis in outpatient rural clinics in Haiti (Baptiste, 2018;Kenerson, 2014;Niska & Sloand, 2010). Furthermore, the research found there was an equally high prevalence of hypertension among Haitian immigrants living in the United States, due to dietary habits and social pressures, and stress related to acculturation (Sanon et al, 2014;Thomas et al, 2019).…”

Section: What Does This Paper Contribute To the Wider Global Community?mentioning

confidence: 99%

“…Previous qualitative studies have shown that Haitians are also likely to perceive hypertension as a natural part of ageing, rather than acknowledging it as a chronic condition that requires medical attention and maintenance (Sanon et al, 2014). Therefore, it is not uncommon for Haitian immigrants to take prescribed medicines and seek medical attention for chronic conditions such as hypertension on a sporadic basis (Baptiste et al, 2018;Sanon et al, 2014). Additionally, in Haitian culture salt is regarded as a source of "vitality and strength," often added to home remedies to treat common illness such as dehydration and diarrhoea (Baptiste et al, 2018;Kenerson, 2014).…”

Section: What Does This Paper Contribute To the Wider Global Community?mentioning

confidence: 99%

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Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study

Marseille

Commodore‐Mensah

Davidson

et al. 2021

Journal of Clinical Nursing

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Aims and Objectives:To examine the feasibility of a culturally tailored education programme for Haitian immigrants diagnosed with hypertension.Background: Hypertension is a major public health problem, impacting more than 26% of the global population. The overall prevalence of hypertension is 45.4% in the United States with nearly 80,000 deaths due to hypertension in 2015. African Americans and other Black populations living in the U.S. are disproportionally affected by hypertension.Design: Pre-test and post-test feasibility study. Methods:A convenience sample of forty-four participants who identified as Haitian immigrants was enrolled in this evidence-based education programme. The intervention included culturally tailored education focused on improving knowledge, medication adherence and blood pressure. Outcomes were measured using the Hill-Bone Medication Adherence Scale and Hypertension Knowledge Test. The SQUIRE 2.0 guidelines were used for reporting outcomes.Results: Of the participants that completed the study (N=42), the mean age was 61.95 (± 9.75) years and 59% were female. Baseline systolic and diastolic blood pressures were 143 (±18.15) and 85 (±7.23), respectively. Six weeks after the intervention, there was a significant decrease in mean systolic, 126 (±12.07) and diastolic 78.50 (± 7.23) blood pressures. An increase in medication adherence and hypertension knowledge was also noted at the six-week follow-up period. Conclusion:The feasibility of healthcare provider implementation of a culturally tailored intervention to manage hypertension has been demonstrated. However, future research is warranted to gain a more in-depth understanding of how to approach hypertension management among Haitians and other Black immigrant communities.Relevance to clinical practice: Advanced practice nurses are uniquely qualified to implement evidence-based programmes that improve patient knowledge and adherence to hypertension management. Through tailoring and adopting an evidence-based methods for educating patients about medication adherence and adequate blood pressure management, there is a potential to see improvements in patient outcomes. | 2961 MARSEILLE Et AL.

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Section: Characteristicsmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: What Does This Paper Contribute To the Wider Global Community?mentioning

confidence: 99%