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作者 Li, Wen-Wen
書名 Cultural factors related to medication compliance in Chinese immigrants with hypertension
國際標準書號 0496832751
book jacket
說明 112 p
附註 Source: Dissertation Abstracts International, Volume: 65-06, Section: B, page: 2869
Chair: Erika S. Froelicher
Thesis (Ph.D.)--University of California, San Francisco, 2004
Purpose. To characterize Chinese immigrants with hypertension (HPT), develop cultural measures of health perceptions/behaviors and social support and examine the extent to which cultural factors are correlated with medication compliance (MC)
Significance. In the general US population, only 58% of patients taking antihypertensive medications have their blood pressure (BP) controlled. Little is known about MC and HPT control among Chinese immigrants
Design. Cross-sectional
Methods. A convenience sample (n = 200) was recruited in an Asian outpatient clinic in the San Francisco Bay area. The inclusion criteria were: A Chinese immigrant ≥18 years old, taking HPT medications, and able to speak Mandarin. Data collection included medical record abstraction, self-report questionnaires, and BP measurements
Findings. The mean age was 70.6 (+/-10.3). Half were men (50.0%) and had less than a high school diploma (50.0%). The majority (70.5%) reported an annual family income of ≤$19,999. Their average length of stay in the US was 13.0 years (+/-7.2). Only 2.0% preferred using English to communicate with their health care provider. Half (51.0%) had their HPT controlled. Measures with item-total correlation ≥0.30 and Cronbach's alpha ≥ 0.60 were retained in this study. Eight factors were evaluated for their association with non-MC: (1) Perceived Benefits of Chinese Herbs, (2) Perceived Benefits of Western Medications for HPT, (3) Perceived Susceptibility in General, (4) Perceived Susceptibility to Specific Diseases, (5) Health-Related Social Support, (6) Social Support in General, (7) Age and (8) Length of Stay in the US. Four variables were statistically significant: Lower Perceived Susceptibility in General [OR = 3.77 (95%CI 1.19, 12.01)]; Higher Perceived Benefit of Chinese Herbs [OR = 2.21 (95%CI 1.02, 4.81)]; Lower Perceived Benefits of Western Medications for HPT [OR = 2.78 (95%CI 1.13, 6.84)]; and Longer Length of Stay in the US [OR = 2.48 (95%CI 1.12, 5.50)]
Conclusions. The instruments for cultural factors and MC have an acceptable internal consistency. Four out of eight cultural factors were predictors for non-MC
Implications. The study results provide important information about Chinese immigrants with HPT and cultural factors associated with non-MC. This exploratory prediction model can help in the formulation of nursing intervention for improving MC and HPT control in this population
School code: 0034
DDC
Host Item Dissertation Abstracts International 65-06B
主題 Health Sciences, Nursing
Health Sciences, Public Health
0569
0573
Alt Author University of California, San Francisco
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