Stress, adherence, and blood pressure control: A baseline examination of Black women with hypertension participating in the SisterTalk II intervention

Kang, Aram; Dulin, Akilah; Nadimpalli, Sarah B.; Risica, Patricia Markham

doi:10.1016/j.pmedr.2018.08.002

Cited by 21 publications

(12 citation statements)

References 49 publications

(58 reference statements)

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“…The study did not examine nor define stress because many things could be attributed to its etiology. A study examining HTN control in AA females indicated that stress was found to be associated with higher SBP specifically among younger adult women . HTN has long been perceived as an illness caused by stress among black people …”

Section: Discussionmentioning

confidence: 99%

The associations among illness perceptions, resilient coping, and medication adherence in young adult hypertensive black women

Spikes

Higgins

Lewis

et al. 2019

J of Clinical Hypertension

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Hypertension, a modifiable risk factor of cardiovascular disease, is largely responsible for the disproportionate morbidity and mortality in black women. Black women 20 years of age and older have a higher prevalence of HTN compared to white women (44% vs 28%). Poor adherence and non‐adherence to hypertensive medications have been strongly indicated as a primary contributor to the early onset of disparity in cardiovascular disease morbidity and mortality experienced by black people. The purpose of this study was to examine medication adherence in black women relative to sociodemographic, clinical, cultural context, psychosocial, cognitive, and behavioral factors. This was a prospective, descriptive cross‐sectional study of N = 85, hypertensive black women, with mean age of 39 ± 5.4 years, 18‐45 years of age. Variables and measures included: sociodemographic characteristics, clinical, adverse social stressors, psychosocial, cognitive‐behavioral factors, and medication adherence. Descriptive statistics, correlations, multivariate logistic regressions, and moderation analysis were tested. 81.2% (n = 69) of the sample was categorized as non‐adherent. SBP was the only clinical covariate associated with HTN medication adherence. HTN illness perceptions, composite score, resilient coping, depressive symptoms, exposure to lifetime gender, and racial stressors, were not associated with HTN medication adherence. Using multivariate logistic regression, decreased SBP and lower scores on the “Consequence” dimension of the HTN illness perception scale were associated with medication adherence (χ2 = 10.53, P = .001). Adherence was associated with both the “Consequence” and “Identity” dimensions of the HTN illness perception scale indicating the need and importance for clinicians to have open and honest communication regarding HTN and its treatment in facilitating adherence.

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Section: Discussionmentioning

confidence: 99%

The associations among illness perceptions, resilient coping, and medication adherence in young adult hypertensive black women

Spikes

Higgins

Lewis

et al. 2019

J of Clinical Hypertension

View full text Add to dashboard Cite

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“…The perceived sense of relaxation and calm, perhaps provoked by the slow movement and meditation components of Qigong exercise (Zou et al, 2018), may lead to stress relief (Goyal et al, 2014). In a previous study, stress relief was correlated with exercise adherence in AA women (Kang et al, 2018). The high retention rate of our study and exercise adherence outside of the class (86.7%) also might support that steady-state and moderate exercise training, such as Qigong, is more enjoyable than high-intensity exercise (Foster et al, 2015).…”

Section: Discussionmentioning

confidence: 97%

Effects of Qigong Exercise on Physical and Psychological Health among African Americans

Chang

Nguyen

et al. 2020

West J Nurs Res

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Interventions are needed to address physical and psychological health in middle-aged and older African Americans (AAs). The purpose of this pilot study was to evaluate the feasibility and potential benefits of an eight-week Qigong exercise on physical ability and function, balance, frailty, depression and anxiety, and spiritual well-being in AAs using a single-group design. Fifteen AAs with a mean age of 64 years received Qigong exercise over 16 semi-weekly, one-hour sessions. The majority were female (93.3%) and college-level educated (53.3%). Repeat chair stands, physical function, and spiritual well-being improved significantly ( p < .05) with effect sizes ranging from .45 to .87. Over 52% of participants showed improved depression scores, fast gait speed, and standing balance. Nearly 42% demonstrated some frailty improvement over baseline. No adverse events were reported. Qigong exercise potentially improves the physical ability and function, and spiritual well-being of AAs and needs further testing in a randomized clinical trial.

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“…For example, Gaston et al 51 explored a behavioral health intervention for mid-life African-American women and found that 14.5% of women noted stress as a barrier preventing them from adhering to a regular exercise regimen. Kang et al 52 found that among African-American women who reported high-stress levels, there was lower adherence to behavioral lifestyle modifications. In the JHS study, stress was associated with lower adoption of Life’s Simple 7, the American Heart Association (AHA) recommended lifestyle modifications for optimal heart health.…”

Section: Discussionmentioning

confidence: 99%

Stress interventions and hypertension in Black women

Kalinowski

Kaur

Newsome-Garcia

et al. 2021

Womens Health (Lond Engl)

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Hypertension is a risk factor for cardiovascular disease. Black women have high rates of hypertension compared to women of other racial or ethnic groups and are disproportionately affected by psychosocial stressors such as racial discrimination, gender discrimination, and caregiving stress. Evidence suggests that stress is associated with incident hypertension and hypertension risk. Stress management is associated with improvements improved blood pressure outcomes. The purpose of this review is to synthesize evidence on effects of stress management interventions on blood pressure in Black women. A comprehensive search of scientific databases was conducted. Inclusion criteria included studies that were: (1) primary research that tested an intervention; (2) in the English language; (3) included African-American women; (4) incorporated stress in the intervention; (5) included blood pressure as an outcome; and (6) were US based. Eighteen studies met inclusion criteria. Ten (56%) studies tested meditation-based interventions, two (11%) tested coping and affirmation interventions, and six (33%) tested lifestyle modification interventions that included stress management content. Thirteen of the studies were randomized controlled trials. Reductions in blood pressure were observed in all of the meditation-based interventions, although the magnitude and statistical significance varied. Comprehensive lifestyle interventions were also efficacious for reducing blood pressure, although the relative contribution of stress management versus behavior modification could not be evaluated. Coping and affirmation interventions did not affect blood pressure. Most of the reviewed studies included small numbers of Black women and did not stratify results by race and gender, so effects remain unclear. This review highlights the urgent need for studies specifically focusing on Black women. Given the extensive disparities in cardiovascular disease morbidity and mortality, whether stress management can lower blood pressure and improve primary and secondary cardiovascular disease prevention among Black women is an important question for future research.

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Stress, adherence, and blood pressure control: A baseline examination of Black women with hypertension participating in the SisterTalk II intervention

Cited by 21 publications

References 49 publications

The associations among illness perceptions, resilient coping, and medication adherence in young adult hypertensive black women

The associations among illness perceptions, resilient coping, and medication adherence in young adult hypertensive black women

Effects of Qigong Exercise on Physical and Psychological Health among African Americans

Stress interventions and hypertension in Black women

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