Evidence map›Paper›PMID 30273259›Full record

ArticleThe Journal of cardiovascular nursing

The Relationship Among Health Beliefs, Depressive Symptoms, Medication Adherence, and Social Support in African Americans With Hypertension.

Telisa Spikes, Melinda Higgins, Arshed Quyyumi, Carolyn Reilly, Pricilla Pemu, Sandra Dunbar

Abstract read
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Self-care research: Where are we now? Where are we going?International journal of nursing studies · 2021
    Article
  9. Investigating Relationships Between Hypertension, Sleep, and Cognitive Risk in an Underserved Community.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2020
    Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Telisa SpikesTelisa Spikes, MSN, RN Predoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Melinda Higgins, PhD Associate Research Professor, Biostatistics, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Arshed Quyyumi, MD, FACC, FRCP Professor of Medicine, Division of Cardiology, Emory Clinical Cardiovascular Research Institute, Emory University, Atlanta, Georgia. Carolyn Reilly, PhD, RN, CHFN, FAHA Associate Clinical Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Pricilla Pemu, MD, MSCR, FACP Professor, Morehouse School of Medicine, Atlanta, Georgia. Sandra Dunbar, PhD, RN, FAAN, FAHA, FPCNA Professor and Associate Dean for Academic Advancement, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Melinda Higgins
Arshed Quyyumi
Carolyn Reilly
Pricilla Pemu
Sandra Dunbar

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
WARCEFP20RR011104 · NCRR · MOREHOUSE SCHOOL OF MEDICINE · PI OFILI, ELIZABETH O. · 1995 to 2009
$14.5M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
The Emory-Morehouse Partnership to Reduce CV DisparitiesU01HL079156 · NHLBI · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 2004 to 2008
$3.1M
Hypertensive Medication Adherence in Young African American WomenF31NR017348 · NINR · EMORY UNIVERSITY · PI SPIKES, TELISA · 2018 to 2019
$59k
NCRR NIH HHS P20 RR011104NCRR NIH HHS UL1 RR025008NHLBI NIH HHS U01 HL079156NINR NIH HHS F31 NR017348NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundAfrican Americans are disproportionately affected by hypertension and have lower medication adherence when compared to other racial groups. Antecedent factors such as beliefs surrounding hypertension, the presence or absence of social support, and depressive symptoms have not been extensively studied collectively in relation to hypertension medication adherence in African Americans.

objectiveTo determine the associations among demographic and clinical factors, depressive symptoms, hypertension beliefs, and social support with blood pressure medication adherence in middle-aged African American adults with a diagnosis of hypertension.

methodsA cross-sectional study of (N = 120) African Americans (mean age, 49 years; 22.5% men) with a current diagnosis of metabolic syndrome, including hypertension, who reported having and taking a prescribed blood pressure-lowering medication were included. Descriptive statistics, bivariate correlation analysis, and logistic regression using odds ratio were used to examine the effects of high blood pressure beliefs, social support, and depression on medication adherence.

resultsA small but significant relationship was found between medication adherence and number of comorbidities (r = 0.19, P = .04). In a multivariate regression model, after controlling for gender, comorbidities remained associated with medication adherence (β = 0. 77, P = .04). Depressive symptoms, high blood pressure beliefs, and social support did not have a significant relationship with medication adherence.

conclusionsMultiple comorbidities may have a positive impact upon medication adherence. Further study is needed in a larger sample of African Americans who have a diagnosis of hypertension in addition to other comorbidities requiring medication management.

Indexed as

Self EfficacySocial SupportAdultAntihypertensive AgentsBlack or African AmericanCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMedication AdherenceMiddle AgedAntihypertensive Agents

Identifiers

PMID30273259
PMCPMC6752722

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.