Worrisome and Stressful Contexts: Implications for High Blood Pressure Disparity

2.50
Hdl Handle:
http://hdl.handle.net/10755/151549
Type:
Presentation
Title:
Worrisome and Stressful Contexts: Implications for High Blood Pressure Disparity
Abstract:
Worrisome and Stressful Contexts: Implications for High Blood Pressure Disparity
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Boutain, Doris, PhD, RN
P.I. Institution Name:University of Washington
Title:Associate Professor
Background: Studies exploring stress and high blood pressure disparity among African Americans are on the rise. These approaches, though promising, often do not compare the different life experiences of African Americans across geographic locales. Purpose: This presentation explores how African Americans in South Louisiana and Central Washington discussed stress and high blood pressure. Sample: A convenience sample (N=30) of African-American women (n=15) and men (n=15) with high blood pressure were study participants in South Louisiana. A purposive sample (N=37) of African-American women (n=15) and men (n=22 ) were study participants in Central Washington. Methods: Most participants were interviewed twice, using the same open-ended interview guide. Studies were conducted one year apart from 1999-2000 and 2001-2002 respectively. Discourse analysis, field experiences, and the assistance of community consultants were critical to data analysis in both locations. Results: African Americans in rural Louisiana distinguished between worry and stress. Worry was associated with concerns about self, children, kin and community health. Stress involved having multiple obligations and encountering multiple forms of discrimination. African Americans in urban Washington voiced that workplace and neighborhood stress impacted their high blood pressure management more often than worry or private concerns. Like participants in Louisiana, they too distinguished between stress and worry/concerns. Washington participants, however, noted that stress was more of a hinderance to the effective control of their blood pressure. Stress was most often discussed in terms of discriminatory encounters in the workplace and public. Implications: Worry and stress are important variables to study in relation to high blood pressure. Inattention to how African Americans contextually perceive worry and stress as affecting their high blood pressure can result in misdirected health care communications and interventions. National Institute of Nursing Research (F31 NR07249-01); and Centers for Disease Control and Prevention (U48/CCU009654-06). Appreciation is extended to Joseph Fletcher III.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWorrisome and Stressful Contexts: Implications for High Blood Pressure Disparityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151549-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Worrisome and Stressful Contexts: Implications for High Blood Pressure Disparity</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Boutain, Doris, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Washington</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dboutain@u.washington.edu</td></tr><tr><td colspan="2" class="item-abstract">Background: Studies exploring stress and high blood pressure disparity among African Americans are on the rise. These approaches, though promising, often do not compare the different life experiences of African Americans across geographic locales. Purpose: This presentation explores how African Americans in South Louisiana and Central Washington discussed stress and high blood pressure. Sample: A convenience sample (N=30) of African-American women (n=15) and men (n=15) with high blood pressure were study participants in South Louisiana. A purposive sample (N=37) of African-American women (n=15) and men (n=22 ) were study participants in Central Washington. Methods: Most participants were interviewed twice, using the same open-ended interview guide. Studies were conducted one year apart from 1999-2000 and 2001-2002 respectively. Discourse analysis, field experiences, and the assistance of community consultants were critical to data analysis in both locations. Results: African Americans in rural Louisiana distinguished between worry and stress. Worry was associated with concerns about self, children, kin and community health. Stress involved having multiple obligations and encountering multiple forms of discrimination. African Americans in urban Washington voiced that workplace and neighborhood stress impacted their high blood pressure management more often than worry or private concerns. Like participants in Louisiana, they too distinguished between stress and worry/concerns. Washington participants, however, noted that stress was more of a hinderance to the effective control of their blood pressure. Stress was most often discussed in terms of discriminatory encounters in the workplace and public. Implications: Worry and stress are important variables to study in relation to high blood pressure. Inattention to how African Americans contextually perceive worry and stress as affecting their high blood pressure can result in misdirected health care communications and interventions. National Institute of Nursing Research (F31 NR07249-01); and Centers for Disease Control and Prevention (U48/CCU009654-06). Appreciation is extended to Joseph Fletcher III.</td></tr></table>en_GB
dc.date.available2011-10-26T11:05:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:05:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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