‘They should walk with you’: the perspectives of African Americans living with hypertension and their family members on disease self-management
| Autor: | Sarah B. Woods, Angela R. Hiefner, Victoria Udezi, Gabriele Slaughter, Rachel Moore, Elizabeth Mayfield Arnold |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Ethnicity & Health. 28:373-398 |
| ISSN: | 1465-3419 1355-7858 |
| Popis: | African Americans are at significantly greater risk for hypertension, as well as worse hypertension-related morbidity and mortality than other racial/ethnic groups. Prior research aiming to address these health disparities has focused on improving individual patient self-management, with few studies testing family-centered interventions. We aimed to explore the perspectives of African Americans with hypertension and their family members on hypertension, self-management, and reciprocal family-hypertension impacts to inform future intervention design.We conducted four dyadic focus groups (90-120 minutes) of African American adults with hypertension (i.e. patients) and their family members. We recruited patients (Participants' responses highlighted themes of societal risk factors and barriers (e.g. racism-related stress worsens blood pressure), influences of African American culture (e.g. culturally-informed diet practices), the patient-physician relationship (e.g. proactive communication is beneficial), family-level influences on health (e.g. family monitoring patients' health behaviors), and patient-level risk factors and self-management strategies (e.g. prayer to cope with stress). Themes reflected a hierarchical, nested, ecological structure such that themes within unique levels of participants' social systems affected, and were affected by, stress, change, or behavior in the other levels.African American adults with hypertension and their family members described multilevel influences on hypertension and disease self-management, with a strong emphasis on the value of family support. Developing culturally appropriate, family-centered interventions to improve hypertension self-management will be an important next step. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|