Evidence map›Paper›PMID 33045154›Full record

Observational studyThe Journal of cardiovascular nursing

The Effect of Contextualized Racial and Gendered Stressors, Social Support, and Depression on Hypertension Illness Perceptions and Hypertension Medication Adherence in Young African American Women With Hypertension.

Telisa Spikes, Melinda Higgins, Tené Lewis, Sandra Dunbar

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

4 authors at 3 institutions in 1 country.

Telisa SpikesTelisa Spikes, RN, PhD Postdoctoral Research Fellow, Rollins School of Public Health, Emory University, Atlanta, Georgia. Melinda Higgins, PhD Associate Research Professor, Biostatistics, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Tené Lewis, PhD Associate Professor, Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia. Sandra Dunbar, RN, PhD, FAAN, FAHA, FPCNA Professor, Associate Dean for Academic Advancement, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Melinda Higgins
Tené Lewis
Sandra Dunbar
Office of the Director · USEmory Healthcare · USEmory University · US

Funding

Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Hypertensive Medication Adherence in Young African American WomenF31NR017348 · NINR · EMORY UNIVERSITY · PI SPIKES, TELISA · 2018 to 2019
$59k
NHLBI NIH HHS T32 HL130025NINR NIH HHS F31 NR017348
6 · The paper itself

Abstract

backgroundPoor adherence to hypertensive medication has been suggested to be a major contributor to uncontrolled hypertension (HTN) in African Americans. The impact that social determinants have on the various patient-level factors, including HTN beliefs, mental well-being, and social support, may provide insight into the development and tailoring of culturally targeted interventions, thus improving adherence.

objectiveThe aim of this study was to examine the relationships of exposures to contextualized racial and gendered stressors, social support, and depressive symptoms with HTN illness perceptions and blood pressure (BP) medication adherence.

methodsParticipants (N = 85) were hypertensive African-American women aged 18 to 45 years (mean [SD], 39.2 [5.4] years) recruited from the community setting and outpatient medical clinics in a large metropolitan city. Hypertension illness beliefs were assessed using the 8-item Brief Illness Perception Questionnaire ("How much does your blood pressure affect your life?") and medication adherence was assessed with the 7-item Adherence to Refills and Medication Scale ("How often do you forget to take your BP medicine?"). Logistic regression analyses were performed to examine the associations with medication adherence and linear regression analyses were performed to examine the associations of continuous variables and HTN illness perceptions.

resultsThe sample was predominantly nonadherent (81.2%). In the adjusted multivariable regression model, systolic BP (odds ratio, 0.95; P = .05) and the "Consequence" dimension of HTN beliefs (odds ratio, 0.76; P = .02) were associated with medication adherence. In the adjusted linear regression model, systolic BP (β = 0.22, P < .01) and depressive symptoms (β = 1.11, P < .01) were associated with HTN illness beliefs.

conclusionsAssessing beliefs and the mental well-being before initiating BP medications is essential for adherence and BP control.

Indexed as

AdultAntihypertensive AgentsBlack or African AmericanCross-Sectional StudiesDepressionFemaleHumansHypertensionMedication AdherenceMiddle AgedOdds RatioSelf ConceptSex FactorsSocial SupportStress, PsychologicalSurveys and QuestionnairesAntihypertensive Agents

Identifiers

PMID33045154
PMCPMC9014814
OpenAlexW3016983662

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.