The Influence of Living Arrangement on the Management and Control of Hypertension: A Mixed-Method Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/243440
Category:
Abstract
Type:
Presentation
Title:
The Influence of Living Arrangement on the Management and Control of Hypertension: A Mixed-Method Study
Author(s):
Han, Hae-Ra; Kim, Miyong T.
Author Details:
Han, Hae-Ra, RN, PhD, FAAN, hhan3@jhu.edu; Kim, Miyong T., PhD;
Abstract:
Purpose: Recent studies have found that elders living alone may experience worse health outcomes than those living with spouse and/or children, yet none of these studies specifically looked at the relationship in relation to chronic disease management outcomes. The purpose of this study was to examine the relationship between living arrangement and HBP control status.

Methods: We used baseline survey data obtained from 440 Korean American elders (60 yrs or older) who participated in a randomized trial to promote high blood pressure (HBP) control. In addition, individual telephone interviews were done with a sub-sample (n=12) to better understand the pattern of social interactions by living arrangement and its influence on their health behaviors.

Results: The sample were mostly female (70%) in their early 70s (mean=71 years). The most frequent type of living arrangement was “living with spouse (52%),” followed by “living with child(ren) (28%)” and “living alone (20%).” Those who reported “living alone” were more likely to be female and older, and tended to reside in senior group housing (p< 0.01 for all tests). Shorter length of stay in the United States (OR=0.97; 95% CI 0.94-0.99), shorter years of having HBP (OR=1.00; 95% CI 0.99-1.00) and living alone (OR=2.02; 95% CI 1.06-3.84) were significantly associated with BP control. Based on the individual interviews, those in senior group housing tended to have more frequent social interactions which often involved casual conversations around health topics and positive encouragements about HBP medication taking and health information sharing.

Conclusion: Korean American elders living independently are neither socially-isolated nor at increased risk for poor BP control when compared with peers in alternate living arrangements. The findings also point to the need for research at broadening our knowledge and understanding about the benefits of social support-based system approach to better improve community health systems.

Keywords:
elderly; hypertension; living arrangement
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Influence of Living Arrangement on the Management and Control of Hypertension: A Mixed-Method Studyen_GB
dc.contributor.authorHan, Hae-Raen_GB
dc.contributor.authorKim, Miyong T.en_GB
dc.author.detailsHan, Hae-Ra, RN, PhD, FAAN, hhan3@jhu.edu; Kim, Miyong T., PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243440-
dc.description.abstract<b>Purpose: </b>Recent studies have found that elders living alone may experience worse health outcomes than those living with spouse and/or children, yet none of these studies specifically looked at the relationship&nbsp;in relation to chronic disease management outcomes. The purpose of this study was to examine the relationship between living arrangement and HBP control status. <p><b>Methods: </b>We used baseline survey data obtained from 440 Korean American elders (60 yrs or older) who participated in&nbsp;a randomized trial to promote high blood pressure (HBP) control. In addition, individual telephone interviews were&nbsp;done with a sub-sample (n=12) to better understand the pattern of social interactions by living arrangement and its influence on&nbsp;their health behaviors. <p><b>Results: </b>The sample were mostly female (70%) in&nbsp;their early 70s (mean=71 years). The most frequent type of living arrangement was &ldquo;living with spouse (52%),&rdquo; followed by &ldquo;living with child(ren) (28%)&rdquo; and &ldquo;living alone (20%).&rdquo; Those who reported &ldquo;living alone&rdquo; were more likely to be female and older,&nbsp;and tended to reside in senior group housing (p&lt; 0.01 for all tests). Shorter length of stay in the United States (OR=0.97; 95% CI 0.94-0.99), shorter years of having HBP (OR=1.00; 95% CI 0.99-1.00) and living alone (OR=2.02; 95% CI 1.06-3.84) were significantly associated with BP control. Based on the individual interviews, those in senior group housing tended to have more frequent social interactions&nbsp;which often involved casual conversations around health topics and positive encouragements about HBP medication taking and health information sharing. <p><b>Conclusion: </b>Korean American elders living independently are neither socially-isolated nor at increased risk for poor BP control when compared with peers in alternate living arrangements. The findings also point to the need for research at broadening our knowledge and understanding about the benefits of social support-based system approach to better improve community health systems.en_GB
dc.subjectelderlyen_GB
dc.subjecthypertensionen_GB
dc.subjectliving arrangementen_GB
dc.date.available2012-09-12T09:22:18Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:22:18Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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