Piane G
School of Allied Health Professions, Northern Illinois University, DeKalb 60115-2854.
J Health Care Poor Underserved. 1990 Fall;1(2):243-53. doi: 10.1353/hpu.2010.0455.
Black Americans face a higher risk of hypertension than other Americans. Because of the differences in risk status and environmental or genetic factors that may contribute to hypertension, it is important to compare the effectiveness of hypertension intervention for blacks and for whites. While a diminished effect of intervention among blacks might be expected due to such factors as lower socioeconomic status, high stress, and salt-sensitivity, a comparison between black and white participants in a six-session hypertension education series showed no significant differences in outcome. Overall, the program was successful in improving knowledge gained regarding control of blood pressure; encouraging positive behavior changes; and in reducing by 68 percent the number of participants whose blood pressure was elevated by the end of the program. However, program attendance was less frequent in black communities than in white communities. Marketing strategies to attract more black participants, and adherence strategies to retain those who are recruited, are discussed.
非裔美国人患高血压的风险高于其他美国人。由于风险状况以及可能导致高血压的环境或遗传因素存在差异，比较针对黑人和白人的高血压干预效果很重要。虽然由于社会经济地位较低、压力大以及盐敏感性等因素，可能预计黑人的干预效果会减弱，但在一个为期六节的高血压教育系列中，黑人和白人参与者之间的结果比较显示没有显著差异。总体而言，该项目成功地提高了关于血压控制的知识；鼓励了积极的行为改变；并使项目结束时血压升高的参与者人数减少了68%。然而，黑人社区的项目参与率低于白人社区。文中讨论了吸引更多黑人参与者的营销策略以及留住已招募人员的依从策略。
