Akinlua James Tosin, Meakin Richard, Freemantle Nick
Department of Primary Care and Population Health, University College London Medical School, London, United Kingdom.
PLoS One. 2017 Jul 27;12(7):e0181909. doi: 10.1371/journal.pone.0181909. eCollection 2017.
The aim of the study was to elicit beliefs about hypertension among Nigerian immigrants in the United Kingdom.
The distributions of cardiovascular risk factors and diseases are not shared equally across ethnic and economic groups in the United Kingdom. Its burden is more clustered among minority ethnic populations and migrant groups including black African Nigerian migrants. Similar patterns have been reported across Europe, Australia, Canada, Nordic countries and the United States of America. There are about 300 distinct ethnic groups in Nigeria and reliable information about their beliefs about hypertension is not available. Given that the United Kingdom has a large community of Nigerian immigrants from these different ethno-cultural backgrounds, understanding their unique beliefs about hypertension may help promote appropriate care for this population in the United Kingdom and Nigeria.
A single Pentecostal church community in West London.
Twenty-seven Nigerian migrant members of the church entered and completed the study.
A qualitative interview study was conducted. The interviews were analysed using thematic framework analysis. The outcome measures were emerging themes from the thematic framework analysis.
Participants expressed beliefs in four major areas related to hypertension: (1) The Meaning of the term hypertension, (2) Perceptions of causation, (3) Effects of hypertension, and (4) Perceptions of treatment. The study revealed a diversity of beliefs about hypertension which incorporated both orthodox and culturally framed ideas.
This study identified important beliefs among Nigerian migrants about hypertension that can contribute to our understanding of the management of hypertension in this group and suggests the need for further research to determine whether these beliefs may be representative of this group.
本研究旨在了解英国尼日利亚移民对高血压的看法。
在英国，心血管危险因素和疾病的分布在不同种族和经济群体中并不均衡。其负担在少数族裔群体和移民群体（包括非洲黑人尼日利亚移民）中更为集中。欧洲、澳大利亚、加拿大、北欧国家和美国也报道了类似情况。尼日利亚约有300个不同的民族，目前尚无关于他们对高血压看法的可靠信息。鉴于英国有大量来自这些不同民族文化背景的尼日利亚移民，了解他们对高血压的独特看法可能有助于促进英国和尼日利亚对这一人群的适当护理。
伦敦西部的一个五旬节派教会社区。
27名该教会的尼日利亚移民成员参与并完成了研究。
进行了一项定性访谈研究。访谈采用主题框架分析法进行分析。结果测量指标是主题框架分析中出现的主题。
参与者在与高血压相关的四个主要方面表达了看法：（1）高血压一词的含义，（2）病因认知，（3）高血压的影响，（4）治疗认知。该研究揭示了对高血压看法的多样性，其中既有正统观念，也有文化层面的观念。
本研究确定了尼日利亚移民对高血压的重要看法，这有助于我们了解该群体中高血压的管理情况，并表明需要进一步研究以确定这些看法是否可能代表该群体。
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