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.
  • a Thomas University Division of Nursing, Thomasville, GA, United States
  • b Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, United States
  • c Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, United States
  • 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.

Author Keywords

Latino/Latina Hypertension adherence Migrant farmworkers Cardiovascular

Index Keywords

nursing blood pressure Transcultural Nursing human hypertension Seasons ethnology Hispanic Americans Cross-Sectional Studies season United States cross-sectional study Humans Hispanic male female Agricultural Workers' Diseases patient compliance migration Transients and Migrants cultural nursing

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