title: Adherence with hypertension care among Hmong Americans.
abstract: 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.
authors.affiliation: Department of Physiological Nursing, University of California, San Francisco, 94143, USA. candice.wong@ucsf.edu
authors.forename: Candice C
authors.initials: CC
authors.lastname: Wong
authors.forename: Vangleng
authors.initials: V
authors.lastname: Mouanoutoua
authors.forename: Meng-Jinn
authors.initials: MJ
authors.lastname: Chen
authors.forename: Kelsey
authors.initials: K
authors.lastname: Gray
authors.forename: Winston
authors.initials: W
authors.lastname: Tseng
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000706:statistics & numerical data*; D001795:Blood Pressure Determination / Q000706:statistics & numerical data; D002140:California / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010349:Patient Compliance / Q000208:ethnology*; D012959:Socioeconomic Factors