title: Social Ecology of Adherence to Hypertension Treatment in Latino Migrant and Seasonal Farmworkers.
abstract: OBJECTIVE
  This study explored Latino migrant/seasonal farmworkers' (MSFWs') adherence to hypertension treatment.
  
  
  METHODS
  A cross-sectional correlational study was conducted.
  
  
  METHODS
  Forty-five Latino MSFWs from two farmworker health clinics completed Spanish versions of the Morisky Medication Adherence Scale, the Blood Pressure Knowledge Scale and Blood Pressure Self-Care Scale, the Perceived Stress Scale, the Acculturation Rating Scale for Mexican Americans-II, the Short Assessment of Health Literacy for Spanish-Speaking Adults, health care access questions, and blood pressure measurements.
  
  
  RESULTS
  MSFWs had poor medication adherence (51%). Blood pressure knowledge, perceived stress, acculturation, health literacy, and health care access accounted for 49% of the variance in blood pressure self-care. Higher acculturation level and health literacy were associated with better blood pressure control (p = .01).
  
  
  CONCLUSIONS
  MSFWs had poor medication adherence and blood pressure control. Blood pressure knowledge and acculturation played a role in blood pressure self-care.
  
  
  CONCLUSIONS
  Culturally appropriate educational programs are needed to help MSFWs' adherence to hypertension treatment.
authors.affiliation: Thomas University Division of Nursing, Thomasville, GA, USA ehall@thomasu.edu.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Hall
authors.affiliation: Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, USA.
authors.forename: Shih-Yu
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, USA.
authors.forename: Patricia C
authors.initials: PC
authors.lastname: Clark
authors.affiliation: Department of Psychology, Georgia State University, Atlanta, GA, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Perilla
mesh_terms: D000382:Agricultural Workers' Diseases / Q000188:drug therapy* / Q000208:ethnology / Q000451:nursing; D001794:Blood Pressure; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000208:ethnology / Q000451:nursing; D008297:Male; D010349:Patient Compliance; D012621:Seasons; D016746:Transcultural Nursing; D014171:Transients and Migrants; D014481:United States
keywords: Latino/Latina; adherence; cardiovascular; hypertension; migrant farmworkers