Violence as a barrier to compliance for the hypertensive urban African American.

Violence is now recognized as a health epidemic. Violence is especially prevalent in inner-city African-American communities. Most of the attention has focused on youths. However, the effects of violence extend to the communities' hypertensive patients. Patients are subjected to the emotional impact of violence on and individual level. Studies linking stress, with hypertension have not directly addressed the role of violence. As a group, they suffer from violence's diverting of funds in the health-care system. For this particular subgroup, violence is ingrained in their daily lives. Their coping mechanisms often place compliance with antihypertensive measures in jeopardy. Community intervention is needed to address the violence. However, primary care physicians in these communities must inquire about the impact violence has on their hypertensive patients to eliminate possible compliance barriers.