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Dissertation/Thesis Abstract

A study of the Relationships between Psycho-Social factors and Self-Perceived Treatment Regimen Adherence in a New York Metropolitan Community Sample of Black Race Diagnosed with Hypertension
by Madu, Ednah N., Ph.D., Adelphi University, 2018, 276; 13818341
Abstract (Summary)

Background: Hypertension (HTN), also referred to as a silent killer, has been the leading cause of mortality in the world for more than 10 years. Uncontrolled HTN is associated with cardiovascular complications like stroke, heart failure and chronic kidney disease. Disparity is noted in hypertension prevalence, blood pressure control, cardiovascular burden and adherence to hypertension treatment regimens, with worse consequences for Blacks/African Americans compared to their racial counterparts. Multiple factors account for these differences and include biological, psychological and socio-cultural issues. Despite the many salient factors identified to be associated with adherence to hypertensive treatment regimens, as well as current strategies in place, high cardiovascular burden from uncontrolled HTN persist in Black communities.

Purpose: To determine the strongest factors associated with adherence to hypertension treatment regimens among all of the most salient factors identified by prior research, within the context of a community sample of Black/African Americans residing in an urban setting.

Design: Cross-sectional, correlation design.

Theoretical Framework: The Biopsychosocial model framework. Data Analysis: Data analysis consisted of descriptive and bivariate analysis of the predictor variables. Significant variables was analyzed using multiple linear regression model to identify the strongest variables predicting adherence.

Result: Four factors remained significant predictors to adherence in the final regression model: Annual income [$10,000-$20,000 (β= .21, p = .04); annual income $40,001-$80,000 (β = .25, p = .03), Full-time work status (β= -.23 p = .04), Last blood pressure within normal range (β= .19, p = .02) and Depressive symptoms (β = -.20, p = .02).

Implications: The identification of mainly inter-related psychosocial factors (depressive symptoms, income and employment status) as significant predictors of adherence in this sample has implications for priority psychosocial assessment (depression screening in particular), when rendering care to hypertensive Black/African American patients.

Keywords: hypertension, hypertension control disparity, Blacks or African Americans, antihypertensive treatment regimens, adherence

Indexing (document details)
Advisor: Jacobowitz, William
School: Adelphi University
School Location: United States -- New York
Source: DAI-B 80/04(E), Dissertation Abstracts International
Subjects: African American Studies, Behavioral psychology, Health care management
Keywords: Blacks/African Americans, Health Disparity, Hypertension Control, Psychosocial Factors, Socio-Economic Status, Treatment Adherence
Publication Number: 13818341
ISBN: 978-0-438-74591-9
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