Master of Public Health Program, DePaul University, 1 E. Jackson Blvd., Daley - 710, Mailstop - Master of Public Health, Chicago, IL, 60604, USA.
Alliant Insurance Services, Chicago, IL, 60606, USA.
J Racial Ethn Health Disparities. 2021 Jun;8(3):607-617. doi: 10.1007/s40615-020-00819-2. Epub 2020 Jul 10.
Hypertension is a chronic condition that disproportionately affects African Americans. Managing high blood pressure (HBP) requires adherence to daily medication. However, many patients with hypertension take their HBP medication inconsistently, putting them at heightened risk of heart disease. Researchers have shown that these health risks are greater for African Americans than for Caucasians. In this article, we examine barriers and facilitators of medication adherence among urban African Americans with hypertension. We interviewed 24 African Americans with hypertension (58.5% women, average age 59.5 years) and conducted a comprehensive thematic analysis. Twenty-two barriers and 32 facilitators to medication adherence emerged. Barriers included side effects and forgetting while facilitators included reminders, routines, and social support. Using this data, we developed a diagram of theme connectedness of factors that affect medication adherence. This diagram can guide multi-level HBP intervention research that targets African Americans to promote medication adherence, prevent heart disease, and reduce ethnic and racial health disparities.
高血压是一种慢性疾病，在非裔美国人中发病率不成比例。控制高血压（HBP）需要每天服用药物。然而，许多高血压患者不规律地服用 HBP 药物，使他们面临更高的心脏病风险。研究人员表明，这些健康风险在非裔美国人中比在白种人更高。在本文中，我们研究了城市中非裔高血压患者药物依从性的障碍和促进因素。我们采访了 24 名患有高血压的非裔美国人（58.5%为女性，平均年龄 59.5 岁），并进行了全面的主题分析。出现了 22 个药物依从性障碍和 32 个促进因素。障碍包括副作用和遗忘，而促进因素包括提醒、常规和社会支持。利用这些数据，我们绘制了一个影响药物依从性因素的主题关联性图。该图可以指导针对非裔美国人的高血压干预研究，以促进药物依从性、预防心脏病，并减少族裔和种族健康差距。
