title: Ascribing meaning to hypertension: a qualitative study among African Americans with uncontrolled hypertension.
abstract: OBJECTIVE
  The objective was to elicit patients' perceptions regarding the meaning of hypertension and to identify the personal, social, and environmental factors that might influence their perceptions.
  
  
  METHODS
  Qualitative study.
  
  
  METHODS
  Adult ambulatory care practice
  
  
  METHODS
  African American patients with uncontrolled hypertension.
  
  
  METHODS
  In-depth structured interviews were conducted with a purposive sample of 60 patients. Interviews were audiotaped, transcribed verbatim, and analyzed by using grounded theory.
  
  
  RESULTS
  Patient descriptions of hypertension were grouped into three categories: 1) their thoughts on hypertension; 2) the consequences of hypertension; and 3) the impact that having hypertension had on their lifestyle. Factors that might have shaped how patients described hypertension were grouped into three categories: 1) the experiences of their social networks such as family and friends; 2) their personal experiences; and 3) information about hypertension that they might have gathered from the medical literature or during an encounter with a healthcare provider. Patients with family members who had experienced hypertension-related complications such as stroke were more likely to view hypertension as a serious condition. Patients who themselves experienced hypertension-related symptoms and who also had family members with a history of hypertensive disease were more likely to describe a willingness to make lifestyle changes.
  
  
  CONCLUSIONS
  In this study, personal experiences, experiences of family and friends, and encounters with the healthcare environment influenced patients' perceptions of hypertension and their willingness to make lifestyle changes. These findings can be used as a framework for helping to tailor effective and culture-specific interventions.
authors.affiliation: Weill Medical College, New York, New York, USA. cboutin@med.cornell.edu
authors.forename: Carla
authors.initials: C
authors.lastname: Boutin-Foster
authors.forename: Gbenga
authors.initials: G
authors.lastname: Ogedegbe
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Ravenell
authors.forename: Laura
authors.initials: L
authors.lastname: Robbins
authors.forename: Mary E
authors.initials: ME
authors.lastname: Charlson
mesh_terms: D000328:Adult; D001741:Black or African American; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000208:ethnology*; D008019:Life Style; D011320:Primary Health Care; D036301:Qualitative Research; D012944:Social Support