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Gender Differences in Chinese Immigrants: Predictors for Antihypertensive Medication Adherence

University of California, San Francisco

Erika S. Froelicher, PhD, MPH, RN

University of California, San Francisco

The purpose of this study was to describe gender differences in predictors for antihypertensive medication adherence in Chinese immigrants. A cross-sectional design was used with recruitment with a convenience sample of 100 men and 100 women with hypertension. Measurements for demographics, cultural factors, clinical factors, and medication adherence were self-administered by the participants. Blood pressure was checked twice. A multivariate logistic regression was used to establish a parsimonious prediction model for medication adherence. It was found that in men, longer length of stay in the United States was a predictor for nonadherence. The predictor of nonadherence in women was lower perceived benefits of antihypertensive medications. To increase adherence in women, the benefits of antihypertensive medications should be emphasized. For men who have lived in the United States for 12 years or more, their adherence should be closely monitored.

Key Words: hypertension • medication adherence • gender differences • Chinese immigrants

References

• Afifi, A.A., & Clark, V. (1997). Computer-aided multivariate analysis (3rd ed.). New York: Chapman & Hall.
• Becker, M.H. (1974). The health belief model and sick role behavior. Health Education Monographs, 2(4), 409-432.
• Becker, M.H. (1979). Patient perceptions and compliance: Recent studies of the health belief model. In R. B. Haynes, D. W. Taylor, & D. L. Sackett (Ed.), Compliance in health care (pp. 78-109). Baltimore, MD: John Hopkins University Press.
• Burke, L.E., & Ockene, I.S. (2000). Compliance in healthcare and research. Armonk, NY: Futura.
• Centers for Disease Control and Prevention. ( 1998). Socioeconomic status and health chartbook. Health, United States, 1998. Hyattsville, MD: National Center for Health Statistics.
• Elashoff, J.D. (1999). nQuery advisor version 3.0 user's guide. Los Angeles: Los Angeles Statistical Solutions.
• Hinderliter, A.L., Light, K.C., & Willis, P.W.T. (1992). Gender differences in left ventricular structure and function in young adults with normal or marginally elevated blood pressure. American Journal of Hypertension, 5(1), 32-36.
• Hong, B., & Bayat, N. (1999). National Asian American & Pacific Islander cardiovascular health action plan eliminating racial and ethnic in cardiovascular health. Retrieved September 7, 1999, from http://www.apiahf.org/cvd1.html
• Horne, R. (1999). Patients' beliefs about treatment: The hidden determinant of treatment outcome? Journal of psychosomatic research, 47(6), 491-495.[CrossRef][Medline] [Order article via Infotrieve]
• Horne, R., & Weinman, J. (1999). Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. Journal of psychosomatic research, 47(6), 555-567.[CrossRef][Medline] [Order article via Infotrieve]
• Institute of Medicine. (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press.
• Joint National Committee. (1997). The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (NIH Publication No. 98-4080). Bethesda, MC: National Institutes of Health.
• Joint National Committee. (2003). The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (NIH Publication No. 03-5233). Bethesda, MC: National Institutes of Health.
• Kaplan, N.M. (1993). Management of hypertension (5th ed.). Durant, OK: Essential Medical Information Systems.
• Kristofferzon, M.L., Lofmark, R., & Carlsson, M. (2003). Myocardial infarction: Gender differences in coping and social support. Journal of Advanced Nursing, 44(4), 360-374.[CrossRef][Medline] [Order article via Infotrieve]
• Li, W.W. (2001a). Exploration of cultural factors in Chinese immigrants with hypertension. Unpublished pilot project, University of California, San Francisco.
• Li, W.W. (2001b). Pretest of instruments for measuring health belief and medication compliance in Chinese immigrants. Unpublished pilot project, University of California, San Francisco.
• Li, W.W., Stewart, A.L., Stotts, N.A., & Froelicher, E.S. (2005). Cultural factors and medication compliance in Chinese immigrants who are taking antihypertensive medications: Instrument development. Journal of Nursing Measurement, 13(3), 231-252.[Medline] [Order article via Infotrieve]
• Li, W.W., Stewart, A.L., Stotts, N., & Froelicher, E.S. (2006). Cultural factors associated with antihypertensive medication adherence in Chinese immigrants. Journal of Cardiovascular Nursing, 21(5), 354-362.
• Lim, J.G., Shapiro, E.P., Vaidya, D., Najjar, S.S., Turner, K.L., Bacher, A.C., et al. (2005). Sex differences in left ventricular function in older persons with mild hypertension. American Heart Journal, 150(5), 934-940.[CrossRef][Medline] [Order article via Infotrieve]
• Lipson, J.G., & Meleis, A.I. (1999). Research with immigrants and refugees. In A. S. Hinshaw, S. L. Feetham, J. L. F. Shaver (Eds.), Handbook of clinical nursing research (pp. 87-106). Thousand Oaks, CA: Sage.
• Morisky, D.E., Green, L.W., & Levine, D.M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 24(1), 67-74.[Medline] [Order article via Infotrieve]
• Reckelhoff, J.F., Hennington, B.S., Moore, A.G., Blanchard, E.J., & Cameron, J. (1998). Gender differences in the renal nitric oxide (NO) system: Dissociation between expression of endothelial NO synthase and renal hemodynamic response to NO synthase inhibition. American Journal of Hypertension, 11(1 Pt 1), 97-104.[CrossRef][Medline] [Order article via Infotrieve]
• Shea, S., Misra, D., Ehrlich, M.H., Field, L., & Francis, C.K. (1992). Correlates of nonadherence to hypertension treatment in an inner-city minority population. American Journal of Public Health, 82(12), 1607-1612.[Abstract/Free Full Text]
• Stavig, G.R., Igra, A., & Leonard, A.R. (1988). Hypertension and related health issues among Asians and Pacific Islanders in California. Public Health Reports, 103(1), 28-37.[Medline] [Order article via Infotrieve]
• U.S. Bureau of the Census. (2000). Profiles of general demographic characteristics: 2000 census of population and housing, United States. Washington, DC: U.S. Department of Commerce.
• Weissfeld, J.L., Brock, B.M., Kirscht, J.P., & Hawthorne, V.M. (1987). Reliability of health belief indexes: Confirmatory factor analysis in sex, race, and age subgroups. Health Services Research, 21(6), 777-793.[Medline] [Order article via Infotrieve]

Journal of Transcultural Nursing, Vol. 18, No. 4, 331-338 (2007)
DOI: 10.1177/1043659607305194


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Li, W.-W. Articles by Froelicher, E. S. Search for Related Content PubMed PubMed Citation Articles by Li, W.-W. Articles by Froelicher, E. S. Social Bookmarking                         What's this?