Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults

Datos Bibliográficos

ID15509176
AutoresEdward Adinkrah (0000-0002-4731-8927, Charles R. Drew University of Medicine and Science), M Bazargan (0000-0001-6153-7870, University of California, Los Angeles), Cheryl Wisseh (0000-0001-9308-7384, West Coast University), Assari (0000-0002-5054-6250, Charles R. Drew University of Medicine and Science, autor de correspondencia)
Año2020
Volumen17
Número18
Páginas6538-6538
Fecha de publicación2020-09-08
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17186538
PMID32911772
OpenAlexW3083780516
IdiomaEN
Citas recibidas6
Referencias citadas64

Background : For African American middle-aged and older adults with hypertension, poor adherence to medication and lifestyle recommendations is a source of disparity in hypertension outcomes including higher rates of stroke in this population relative to whites. Aims : To study demographic, social, behavioral, cognitive, and medical predictors of adherence to medication and lifestyle recommendations among underserved African American middle-aged and older adults with hypertension. Methods : This was a community-based cross-sectional survey in South Los Angeles with 338 African American middle-aged and older adults with hypertension who were 55 years or older. Age, gender, continuity of care, comorbidity, financial difficulty, self-rated health, depression, educational attainment, adherence knowledge, and adherence worries were the independent variables. Data was analyzed using linear regression with two outcomes, namely, adherence to medication (measured by the first 9 items of the Blood Pressure Self-Care Scale) and adherence to lifestyle recommendations (measured by the second 9 items of the Blood Pressure Self-Care Scale). Results : There were about twice more females than males, with a total mean age of 70 years (range 55-90 years). Various demographic, social, behavioral, and medical factors predicted adherence to medication but not adherence to lifestyle recommendations. Females with hypertension with higher continuity of care, less financial strain, higher knowledge, less negative general beliefs, and concerns about antihypertensive medications had higher adherence to antihypertensive medications. The presence of depressive symptoms, reduced knowledge, and disease management worries were associated with a reduced adherence to lifestyle recommendations. Conclusions : There seem to be fewer demographic, social, behavioral, cognitive, and medical factors that explain adherence to lifestyle recommendations than adherence to medication in economically disadvantaged underserved African American middle-aged and older adults with hypertension. More research is needed on factors that impact adherence to lifestyle recommendations of African American middle-aged and older adults with hypertension

Blood pressure · Comorbidity · Cross-sectional study · Depression (economics · Environmental health · Middle age · Population · Psychiatry · Social support · Stroke (engine · Blood Pressure and Hypertension Studies · Demography · Health Systems, Economic Evaluations, Quality of Life · Medication Adherence and Compliance · Medicine · Psychology · Gerontology · Internal Medicine