Journal of Transcultural Nursing
Volume 27, Issue 1, 2016, Pages 33-41
Social Ecology of Adherence to Hypertension Treatment in Latino Migrant and Seasonal Farmworkers (Article)
Hall E. ,
Lee S.-Y. ,
Clark P.C. ,
Perilla J.
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a
Thomas University Division of Nursing, Thomasville, GA, United States
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b
Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, United States
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c
Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, United States
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d
Department of Psychology, Georgia State University, Atlanta, GA, United States
Abstract
Purpose: This study explored Latino migrant/seasonal farmworkers’ (MSFWs’) adherence to hypertension treatment. Design: A cross-sectional correlational study was conducted. Method: 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). Discussion: MSFWs had poor medication adherence and blood pressure control. Blood pressure knowledge and acculturation played a role in blood pressure self-care. Implications: Culturally appropriate educational programs are needed to help MSFWs’ adherence to hypertension treatment. © 2014, SAGE Publications. All rights reserved.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949845004&doi=10.1177%2f1043659614524788&partnerID=40&md5=b05566173f3669d13bb4980958b247d3
DOI: 10.1177/1043659614524788
ISSN: 10436596
Cited by: 4
Original Language: English