ArticleThe Journal of cardiovascular nursing
A Qualitative Study: Hypertension Stigma Among Black Women.
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. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review.Global heart · 2023Pooled it
- A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients.Journal of racial and ethnic health disparities · 2025Article
- Barriers to Anti-Hypertensive Medication Adherence Among Patients in Private Healthcare in Edenvale, South Africa.Healthcare (Basel, Switzerland) · 2025Article
- Acceptance, use and challenges of digital prevention for arterial hypertension - a qualitative study among patients with high blood pressure in Germany.BMC health services research · 2025Article
- Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review.Circulation research · 2024Review
- Empowering WHISE women: usability testing of a mobile application to enhance blood pressure control.mHealth · 2024Article
- Factors associated with stigma in patients undergoing hemodialysis: a meta-analysis and systematic review.American journal of translational research · 2024Review
- Barriers and facilitators to self-measured blood pressure monitoring among US-resettled Arab refugees with hypertension: a qualitative study.BMC primary care · 2023Article
- Towards the multileveled and processual conceptualisation of racialised individuals in biomedical research.Synthese · 2023Article
- Health disparities in aging: Improving dementia care for Black women.Frontiers in aging neuroscience · 2023Article
- Characteristics and resolution of hypertension in obese African American bariatric cohort.Scientific reports · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
Abstract
backgroundThe prevalence of hypertension (HTN) in Blacks is among the highest in the world. For Black women, 46% experience stage 2 HTN (blood pressure [BP] ≥140/90 mm Hg) as compared with 42% of Black men. Because of higher rates of stage 2 HTN, Black women have greater rates of cardiovascular disease and stroke. For reasons unknown, nonadherence to lifestyle modifications and antihypertensive medications continues. An understudied potential factor associated with poor adherence to the treatment regimen and negative health outcomes is stigma.
objectiveThe aim of this study was to gain insight and describe the psychological factor of stigma as an influence on poorly controlled HTN in Black women.
methodsHypertensive Black women attending a 6-week self-management program were invited to participate in an open-ended questionnaire. Six groups were held with 62 women aged 24 to 70 years, with group size ranging from 10 to 15. Women anonymously wrote their answer to 2 questions to capture individual responses without group persuasion. Data were analyzed using thematic analysis.
resultsFive themes were generated inductively from the data and included (1) desire to get control, (2) shame and embarrassment, (3) obesity characterizations, (4) stereotype threats, and lastly, (5) disrupted normality. During member checking, younger participants were more vocal about stigma, whereas older participants did not view stigma as problematic.
conclusionsHypertension stigma could potentially deter adherence to high BP treatment. Further research is needed to explore the prevalence of stigma in this population and its impact on behaviors that hinder BP control.
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Registered trials
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.