2.50
Hdl Handle:
http://hdl.handle.net/10755/211608
Type:
Research Study
Title:
SOCIAL INFLUENCE on HIGH BLOOD PRESSURE in BLACK AFRICAN AMERICAN ADULTS
Abstract:
Purpose/Aims: To examine the relationship between BP and BP awareness; eating habits and exercise self-confidence; lifestyle behaviors; social capital; chronic disease management self-confidence, social support; depression; and antihypertensive medication adherence in Black African American adults. Rational/Conceptual Basis/ Background: High blood pressure (HBP) is the leading cause of cardiovascular disease such as stroke, coronary heart disease, and end-stage renal disease; all are leading causes of death in the US. HBP has been attributed to higher rates of morbidity, comorbidities, and excess death rates in Black Americans of African descent. Little is known about the extent to which lifestyle behaviors and HBP are modified by the socioecological context of social capital (SC) (e.g. bonding, bridging, and linking). Design: Cross-sectional descriptive study. Methods: A convenience sample (n=208) was recruited from community settings in California. Inclusion criteria were: self-identify as Black African American, > 18 years old, born/raised in US, reads and/or speaks English, resident of California, no major cardiovascular event or currently on dialysis, and nonpregnant women. The data collection instrument consisted of 161 questions. Subjects` BP and body weight were also measured. Results: Subjects diagnosed with HBP prior to the study had higher self-confidence in getting information from community resources and in managing chronic disease compared to subjects without a prior HBP diagnosis (p=0.01). Predictors of measured HBP included: education (OR=0.1; 95% CI 0.0, 0.8); income (OR=0.1, 95% CI 0.1, 0.9); age-income interaction (OR=5.9, 95% CI 1.3, 26.5); age-education interaction (OR=11.1, 95% CI 2.0, 60.7); and bonding SC (OR=2.3, 95% CI 1.1, 5.0) for subjects < 60 years old. Predictors of measured HBP for subjects > 60 years old included: bonding SC (OR=0.3, 95% CI 1.1, 15.4); bridging SC (OR=0.5, 95% CI 0.3, 0.9); and linking SC (OR=0.3, 95% CI 0.1, 0.9). Conclusions: Subjects with normal BP were less confident in their ability to obtain information and manage chronic illness compared to subjects with HBP who were taking antihypertensive medication prior to the study. Results were mixed with regard to SC and BP elevation; as bonding SC increased in subjects < 60 years old their measured BP levels also increased. In subjects 60 years and older, the results were reversed; as bonding, bridging, and linking SC increased their BP levels decreased as expected. Multiple logistic regression analysis indicated bonding SC as the only predictor of HBP in subjects < 60 years old. Implications: This study shows a need for further development of the SC concept as a methodological framework in nursing research and the need for further empirical investigation of SC as a predictor physiological outcome measures such as HBP.
Keywords:
African Americans; Hypertension; Medication adherence
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4703
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleSOCIAL INFLUENCE on HIGH BLOOD PRESSURE in BLACK AFRICAN AMERICAN ADULTSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211608-
dc.description.abstractPurpose/Aims: To examine the relationship between BP and BP awareness; eating habits and exercise self-confidence; lifestyle behaviors; social capital; chronic disease management self-confidence, social support; depression; and antihypertensive medication adherence in Black African American adults. Rational/Conceptual Basis/ Background: High blood pressure (HBP) is the leading cause of cardiovascular disease such as stroke, coronary heart disease, and end-stage renal disease; all are leading causes of death in the US. HBP has been attributed to higher rates of morbidity, comorbidities, and excess death rates in Black Americans of African descent. Little is known about the extent to which lifestyle behaviors and HBP are modified by the socioecological context of social capital (SC) (e.g. bonding, bridging, and linking). Design: Cross-sectional descriptive study. Methods: A convenience sample (n=208) was recruited from community settings in California. Inclusion criteria were: self-identify as Black African American, > 18 years old, born/raised in US, reads and/or speaks English, resident of California, no major cardiovascular event or currently on dialysis, and nonpregnant women. The data collection instrument consisted of 161 questions. Subjects` BP and body weight were also measured. Results: Subjects diagnosed with HBP prior to the study had higher self-confidence in getting information from community resources and in managing chronic disease compared to subjects without a prior HBP diagnosis (p=0.01). Predictors of measured HBP included: education (OR=0.1; 95% CI 0.0, 0.8); income (OR=0.1, 95% CI 0.1, 0.9); age-income interaction (OR=5.9, 95% CI 1.3, 26.5); age-education interaction (OR=11.1, 95% CI 2.0, 60.7); and bonding SC (OR=2.3, 95% CI 1.1, 5.0) for subjects < 60 years old. Predictors of measured HBP for subjects > 60 years old included: bonding SC (OR=0.3, 95% CI 1.1, 15.4); bridging SC (OR=0.5, 95% CI 0.3, 0.9); and linking SC (OR=0.3, 95% CI 0.1, 0.9). Conclusions: Subjects with normal BP were less confident in their ability to obtain information and manage chronic illness compared to subjects with HBP who were taking antihypertensive medication prior to the study. Results were mixed with regard to SC and BP elevation; as bonding SC increased in subjects < 60 years old their measured BP levels also increased. In subjects 60 years and older, the results were reversed; as bonding, bridging, and linking SC increased their BP levels decreased as expected. Multiple logistic regression analysis indicated bonding SC as the only predictor of HBP in subjects < 60 years old. Implications: This study shows a need for further development of the SC concept as a methodological framework in nursing research and the need for further empirical investigation of SC as a predictor physiological outcome measures such as HBP.en_GB
dc.subjectAfrican Americansen_GB
dc.subjectHypertensionen_GB
dc.subjectMedication adherenceen_GB
dc.date.available2012-02-20T12:05:00Z-
dc.date.issued2012-02-20T12:05:00Z-
dc.date.accessioned2012-02-20T12:05:00Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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