Background: Hypertension is a major public health concern in the Commonwealth of Dominica, as it is a major contributor to 73.2% of all deaths in the adult population 60 years of age and older and the second leading cause of death in the 20–59 age group. Confounding the problem is the fact that Black Caribbean people's management of hypertension is very often based on beliefs that may not be compatible with contemporary medical treatment (Connell, Mc Kevitt, & Wolfe, 2005; Grant & Hezekiah, 1996; Mendez et al., 2003).
Purpose: The purpose of this study was to examine, measure, and describe the knowledge of HTN, beliefs regarding medications used to treat HTN, health perceptions of personal susceptibility to HTN, the seriousness of having HTN, the benefits of engaging in recommended management of HTN, and barriers to such engagement among adult Dominicans diagnosed with HTN.
Theoretical Framework: The Health Belief Model provided the framework for this study.
Methods: A descriptive, correlational design was used to examine the relationships among major study variables. A convenience sample of 150 participants was recruited from the seven health centers around the island.
Results: This study found no significant relationships between predictor variables of age, gender, education, and income and the four outcome variables from the Health Belief Model. Results indicated that adult native Dominicans have knowledge of HTN and medication management, yet HTN is the second-leading cause of death in Dominica.
Conclusions: While the descriptive study provided insight into beliefs, knowledge, and perceptions of a cultural group on the management of HTN, qualitative methods are recommended to continue the study of this phenomenon in Dominica.
|Advisor:||Thornton, Karen A.|
|Commitee:||Belle, Pegge, Colin, Jessie M.|
|School:||Barry University School of Nursing|
|School Location:||United States -- Florida|
|Source:||DAI-B 74/06(E), Dissertation Abstracts International|
|Subjects:||Nursing, Public health, Health education|
|Keywords:||Dominicans, Health beliefs, Hypertension|
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