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Cited by 241Blood Pressure and Hypertension StudiesHealth and Wellbeing ResearchMedication Adherence and Compliance

The DOI matches its Crossref record; 56 of the 57 references it cites were found in a registry or an index.

The Association Between Self-Efficacy and Hypertension Self-Care Activities Among African American Adults

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Warren-Findlow, Jan, Seymour, Rachel B., Brunner Huber, Larissa R.·2012·Journal of Community Health
DOI 10.1007/s10900-011-9410-6PMC PMC3179559
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Abstract

Chronic disease management requires the individual to perform varying forms of self-care behaviors. Self-efficacy, a widely used psychosocial concept, is associated with the ability to manage chronic disease. In this study, we examine the association between self-efficacy to manage hypertension and six clinically prescribed hypertension self-care behaviors. We interviewed 190 African Americans with hypertension who resided in the greater metropolitan Charlotte area about their self-efficacy and their hypertension self-care activities. Logistic regression for correlated observations was used to model the relationship between self-efficacy and adherence to hypertension self-care behaviors. Since the hypertension self-care behavior outcomes were not rare occurrences, an odds ratio correction method was used to provide a more reliable measure of the prevalence ratio (PR). Over half (59%) of participants reported having good self-efficacy to manage their hypertension. Good self-efficacy was statistically significantly associated with increased prevalence of adherence to medication (PR = 1.23, 95% CI: 1.08, 1.32), eating a low-salt diet (PR = 1.64, 95% CI: 1.07-2.20), engaging in physical activity (PR = 1.27, 95% CI: 1.08-1.39), not smoking (PR = 1.10, 95% CI: 1.01-1.15), and practicing weight management techniques (PR = 1.63, 95% CI: 1.30-1.87). Hypertension self-efficacy is strongly associated with adherence to five of six prescribed self-care activities among African Americans with hypertension. Ensuring that African Americans feel confident that hypertension is a manageable condition and that they are knowledgeable about appropriate self-care behaviors are important factors in improving hypertension self-care and blood pressure control. Health practitioners should assess individuals' self-care activities and direct them toward practical techniques to help boost their confidence in managing their blood pressure.

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  1. National Institute on Alcohol Abuse and Alcoholism. The physician’s guide to helping patients with alcohol problems (pp. 95–3769). Washington, DC: NIH.

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Metadata

Authors
Warren-Findlow, J., Seymour, R. B., & Brunner Huber, L. R.
Affiliations
University of Illinois Chicago (US)
ORCID
Seymour, Rachel B.
Venue
Journal of Community Health
Publisher
Springer Science and Business Media LLC
Published
2011-05-06
Volume
37
Issue
1
Pages
15-24
ISSN
  • 0094-5145 (ISSN-L)
  • 1573-3610
DOI
10.1007/s10900-011-9410-6
PMC
PMC3179559
OpenAlex
W2070003344
Cited by
239
References
57
Citations by year
2026: 7 · 2025: 14 · 2024: 16 · 2023: 16 · 2022: 23 · 2021: 31 · 2020: 20 · 2019: 25 · 2018: 19 · 2017: 17 · 2016: 16 · 2015: 15 · 2014: 8 · 2013: 8 · 2012: 3
FWCI
4.61
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Community Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (R03AG030523)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
self-efficacy, hypertension, hypertension self-care, African Americans, medication adherence, sodium restriction, physical activity, smoking cessation, weight management, chronic disease management, blood pressure control
MeSH terms
Adult, Aged, Aged, 80 and over, Black or African American, Cross-Sectional Studies, Female, Humans, Hypertension, Male, Middle Aged, Patient Compliance, Self Care, Self Efficacy, Young Adult

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