Adherence With Hypertension Care Among Hmong Americans

To assess contexts of adherence with hypertension care among Hmong Americans, in-person interviews were conducted with a convenience sample of 323 adults using culturally adapted survey instruments. The mean age of participants was 58 years; 91% had no education, and 86% spoke no English. Although m...

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Bibliographic Details
Published in:Journal of community health nursing 2005-09, Vol.22 (3), p.143-156
Main Authors: Wong, Candice C., Mouanoutoua, Vangleng, Chen, Meng-Jinn, Gray, Kelsey, Tseng, Winston
Format: Article
Language:English
Subjects:
Adherence
Adult
Age
Aged
Aged, 80 and over
Asian Americans
Asian Americans - statistics & numerical data
Blood
Blood pressure
Blood Pressure Determination - statistics & numerical data
California - epidemiology
Diseases
Female
Health care
Health insurance
Health Knowledge, Attitudes, Practice
Health services
Health Status
Hmong people
Humans
Hypertension
Hypertension - diagnosis
Hypertension - therapy
Logistic Models
Male
Medications
Mental illness
Middle Aged
Minority & ethnic groups
Nursing
Odds Ratio
Patient Compliance - ethnology
Refugees
Socioeconomic Factors
Strokes
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Summary:To assess contexts of adherence with hypertension care among Hmong Americans, in-person interviews were conducted with a convenience sample of 323 adults using culturally adapted survey instruments. The mean age of participants was 58 years; 91% had no education, and 86% spoke no English. Although more than 90% had health insurance and were treated with medications, the rate of blood pressure control was low (27%). A majority (> 90%) suffered from psychological distress, and 46% lived with physical illness. Over 50% reported nonadherence with hypertension care. Respondents who were 50 years of age or older, had no physical illness, did not know that hypertension was preventable, or believed that American medicine was too strong, were more likely to report nonadherence with proper medication consumption. Findings suggest that adherence was not due to lack of health care coverage; instead, it may be due to gaps in health services.
ISSN:0737-0016
1532-7655
DOI:10.1207/s15327655jchn2203_2