Barriers to Hypertension Control among Underserved Blacks in the United States and South Africa

2.50
Hdl Handle:
http://hdl.handle.net/10755/153251
Type:
Presentation
Title:
Barriers to Hypertension Control among Underserved Blacks in the United States and South Africa
Abstract:
Barriers to Hypertension Control among Underserved Blacks in the United States and South Africa
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Dennison, Cheryl R., RN, ANP, PhD
P.I. Institution Name:The Johns Hopkins University
Title:Assistant Professor
Co-Authors:Krisela Steyn, MD; Naomi S. Levitt, MD; Lee Bone, RN, MPH; David Levine, MD; Martha N. Hill, RN, PhD
[Research Paper or Poster Presentation] Background: Barriers to hypertension (HTN) care and control exist at patient, provider, and organizational levels. It is necessary to identify and address these barriers in order to develop culturally salient interventions to reduce racial disparities. Purpose: To report and compare findings of two studies examining barriers to HTN control among Black men in East Baltimore and Black South African men and women with hypertension. Methods: The Precede-Proceed Model guided this research. In the first study, 309 hypertensive Black men, ages 18-54 years, were recruited from the East Baltimore community for participation in a 5-year clinical trial. In the second study, 403 hypertensive Blacks (183 men, 220 women), ages 35-65 years were recruited from primary care sites in three townships near Cape Town. Cross-sectional, descriptive analyses at baseline for each study are reported. In these studies, blood pressure (BP) and self-reported sociodemographics, health behaviors, health service utilization, quality of life, and social support were assessed. Results: In the first study, mean BP (mm Hg) was 146/99; BP control (<140/90 mm Hg) rate was 19%. A majority of the men encountered a variety of barriers including economic, social, and lifestyle obstacles to adequate BP care and control, including no current HBP care (49%), risk of alcoholism (62%), use of illicit drugs (45%), social isolation (47%), unemployment (40%), and lack of health insurance (51%). In the second study, mean BP was 146/89; BP control rate was 39%. Barriers to HTN care included limited HTN-related knowledge, poor quality of life and stressors such as family death. An unhealthy lifestyle involving physical inactivity (65%), using alcohol excessively (32%), and smoking cigarettes (30%) was common. Conclusions: These studies identified a high level of barriers to HTN control and the need for comprehensive multilevel interventions to improve HTN care and control in these high-risk populations.
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.titleBarriers to Hypertension Control among Underserved Blacks in the United States and South Africaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153251-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Barriers to Hypertension Control among Underserved Blacks in the United States and South Africa</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dennison, Cheryl R., RN, ANP, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cdennis4@jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Krisela Steyn, MD; Naomi S. Levitt, MD; Lee Bone, RN, MPH; David Levine, MD; Martha N. Hill, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: Barriers to hypertension (HTN) care and control exist at patient, provider, and organizational levels. It is necessary to identify and address these barriers in order to develop culturally salient interventions to reduce racial disparities. Purpose: To report and compare findings of two studies examining barriers to HTN control among Black men in East Baltimore and Black South African men and women with hypertension. Methods: The Precede-Proceed Model guided this research. In the first study, 309 hypertensive Black men, ages 18-54 years, were recruited from the East Baltimore community for participation in a 5-year clinical trial. In the second study, 403 hypertensive Blacks (183 men, 220 women), ages 35-65 years were recruited from primary care sites in three townships near Cape Town. Cross-sectional, descriptive analyses at baseline for each study are reported. In these studies, blood pressure (BP) and self-reported sociodemographics, health behaviors, health service utilization, quality of life, and social support were assessed. Results: In the first study, mean BP (mm Hg) was 146/99; BP control (&lt;140/90 mm Hg) rate was 19%. A majority of the men encountered a variety of barriers including economic, social, and lifestyle obstacles to adequate BP care and control, including no current HBP care (49%), risk of alcoholism (62%), use of illicit drugs (45%), social isolation (47%), unemployment (40%), and lack of health insurance (51%). In the second study, mean BP was 146/89; BP control rate was 39%. Barriers to HTN care included limited HTN-related knowledge, poor quality of life and stressors such as family death. An unhealthy lifestyle involving physical inactivity (65%), using alcohol excessively (32%), and smoking cigarettes (30%) was common. Conclusions: These studies identified a high level of barriers to HTN control and the need for comprehensive multilevel interventions to improve HTN care and control in these high-risk populations.</td></tr></table>en_GB
dc.date.available2011-10-26T12:08:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:08:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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