scholarly journals An Exploration of the Barriers in the Prevention and Control of High Blood Pressure Among West African Immigrants in Rhode Island

2013 ◽  
Author(s):  
Ntaobasi Udeh
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Rhode Island ◽  
High Blood Pressure ◽  
Prevention And Control ◽  
African Immigrants ◽  
West African ◽  
Pressure Management ◽  
West African Immigrants ◽  
And Control

This is a report of a pilot study to explore the barriers to the prevention and control of high blood pressure by West African immigrants in Rhode Island. The incidence of high blood pressure is high in African Americans with many possible contributory factors documented. However, little is known about possible barriers to the control of high blood pressure among specific black ethnic populations such as West African immigrants living in Rhode Island. A qualitative research design employing a semi-structured interview was utilize to explore the issue. The barriers to high blood pressure management reported by these West Africans immigrants reported included: psychosocial stressors, inability to adopt lifestyle changes such as diet and exercise, belief system, and a lack of complete adherence to medication regimen. The study also highlighted the fact that some primary care providers for these patients are not following the recommended interventions for the management of high blood pressure in people of black ancestry. The findings of this pilot study support the need for provider use of available treatment guidelines for population from black ancestry and the necessity for adequate patient education in the areas of stress management strategies and lifestyle modification as adjuncts to medication prescribed for high blood pressure management.

scholarly journals High Blood Pressure prevention and control: from evidence to action

2018 ◽  
Vol 49 (2) ◽  
pp. 137-138
Author(s):  
Lena Barrera
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Latin American ◽  
Prevention And Control ◽  
National Health Survey ◽  
Middle Income ◽  
Disability Adjusted Life ◽  
Life Years ◽  
Health Organization ◽  
And Control

The Pan American Health Organization (PAHO) with the World Hypertension League has established the 17th May to promote the prevention and control of High Blood Pressure (HBP). Currently nearly 1.13 billion of adults suffer from HBP (blood pressure ≥140/90 mm Hg) worldwide. While HBP prevalence decreased in high income countries (HIC) between 1975 and 2015, the opposite trend was observed in low- and middle- income countries (LMIC). Particularly, in Latin American and Caribbean countries the prevalence decreased from 40.6% to 26.8% and from 26.8% to 19.4% for men and women between 45 to 49 years old respectively. However, in 2015, HBP accounted for 8.9 of the total of disability adjusted life years (DALYS) and was associated with 4.9 million, 2.0 million and 1.5 million deaths due to ischemic heart disease, hemorrhagic stroke and ischemic stroke respectively. Therefore, HBP is the leading cardiovascular risk factor worldwide. In Colombia, the last National Health Survey reported a global prevalence of 22.8% and nearly 60% for those between 60 and 69 years in 2007

scholarly journals Adherence to Management of High Blood Pressure: Recommendations of the Canadian Coalition for High Blood Pressure Prevention and Control

1998 ◽  
Vol 89 (5) ◽  
pp. I5-I7 ◽  
Author(s):  
Arun Chockalingam ◽  
Marilyn Bacher ◽  
Norman Campbell ◽  
Heather Cutler ◽  
Aidan Drover ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Prevention And Control ◽  
And Control

scholarly journals São Paulo call to action for the prevention and control of high blood pressure: 2020

2019 ◽  
Vol 21 (12) ◽  
pp. 1744-1752 ◽  
Author(s):  
Norm R. C. Campbell ◽  
Aletta E. Schutte ◽  
Cherian V. Varghese ◽  
Pedro Ordunez ◽  
Xin‐Hua Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Prevention And Control ◽  
Sao Paulo ◽  
São Paulo ◽  
Call To Action ◽  
And Control

scholarly journals An Exploration of the Barriers to Diabetes Management Among West African Immigrants in the United States

2013 ◽  
Author(s):  
Oluseyi Abioye-Akanji
Keyword(s):  
Type 2 Diabetes ◽  
Rhode Island ◽  
Diabetes Management ◽  
Cultural Beliefs ◽  
African Immigrants ◽  
The United States ◽  
West African ◽  
Primary Care Doctor ◽  
West African Immigrants

Purpose: To explore the barriers to diabetes management among West African immigrants living in Rhode Island. Study Design and Methods: Semi-structured interviews with adults (N=5); men (n=2), women (n=3), Nigerian (n=3), Liberian (n=1), and Ghanaian (n=1) ages ≥18 with Type 1 or Type 2 diabetes, living in Rhode Island. Demographic information of the participants was obtained using a questionnaire. Interviews were conducted by the researcher and lasted approximately 50 minutes, and were scheduled to accommodate participants’ needs. Interviews were audio-taped and statements of the study participants were recorded. Subjects were redirected to clarify responses when necessary. Content analysis and coding, as proposed by Miles and Huberman (1994), were completed. Eight pertinent themes were identified. Results: All participants had Type 2 diabetes and reported various barriers to diabetes management: (1) financial difficulties, (2) poor dietary habits, (3) non adherence to daily maintenance, (4) cultural attachment to traditional management of diabetes, (5) cultural beliefs, (6) negative relationship with primary care doctor, (7) non-adherence to medication regimen, and (8) their practitioner’s inadequate knowledge of cultural care. Clinical Implications: These findings revealed that barriers exist for suitable diabetes management by some West African immigrants living in RI. Reducing the risk for complications, morbidity, and mortality can only occur with reduction of identified barriers.

scholarly journals High Blood Pressure in Sub-Saharan Africa: The Urgent Imperative for Prevention and Control

2015 ◽  
Vol 17 (10) ◽  
pp. 751-755 ◽  
Author(s):  
Justin B. Echouffo-Tcheugui ◽  
Andre P. Kengne ◽  
Sebhat Erqou ◽  
Richard S. Cooper
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Prevention And Control ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
And Control

Abstract P354: The “Afro-Cardiac Study” Identifies High Burden of Cardiovascular Disease Risk in West African Immigrants in the United States

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Yvonne Y Commodore-Mensah ◽  
Charles A Berko ◽  
Maame E Sampah ◽  
Joycelyn Cudjoe ◽  
Cheryl D Himmelfarb
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Health Insurance ◽  
Vigorous Physical Activity ◽  
African Immigrants ◽  
The United States ◽  
West African ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
West African Immigrants

Introduction: The African immigrant population grew 40-fold between 1960 and 2007, from 35,355 to 1.4 million with one third coming from West Africa, primarily Ghana and Nigeria. African immigrants have been understudied and, traditionally, lumped into the racial category of Black/African-American. We have examined the prevalence of CVD risk factors (hypertension, overweight/obesity, diabetes, hyperlipidemia, current smoking and physical inactivity), assessed global CVD risk and identified independent predictors of increased CVD risk by sex in West African immigrants (WAI). Methods: Cross-sectional study of WAI (Ghanaians and Nigerians) aged 35-74 years recruited from churches in the Baltimore/ Washington, DC metropolitan area. CVD risk factors were determined per AHA guidelines. Descriptive statistics were performed on participant’s Pooled Cohort Equations (PCE) scores and CVD risk factors with comparison by sex. Participants with PCE scores ≥7.5% and ≥3 CVD risk factors were deemed high risk. A multivariable logistic regression was fitted to identify independent predictors of high CVD risk. Results: The mean age of the 253 participants was 49.5±9.2 years and 58% were female. Males were more likely to be employed than females (90% vs. 72%; p=0.001). Only 52% of participants had health insurance. The majority [54% [137/253)] had ≥3 CVD risk factors and 28% had PCE score ≥7.5%. Smoking was the least prevalent (<1%) and overweight/obesity the most prevalent (88%) risk factor. Although females (64%) were more likely to be treated for hypertension than males (36%), there was no difference in hypertension control by sex. Diabetes was identified in 16% of the participants. Mean total cholesterol (TC) was 180.9±33.9mg/dL and 32% had TC level ≥200mg/dL. In addition, 44% were found to be physically inactive (<150minutes/week of moderate or <75minutes/week of vigorous physical activity). In females, employment [0.18 AOR, 95%CI: 0.075-0.44)] and health insurance [0.35 AOR, 95%CI 0.14-0.87)] were associated with a PCE score ≥7.5%. In males, higher social support was associated with a 0.92 (95%CI: 0.84-0.98) odds of having ≥3 CVD risk factors. Conclusion: The high prevalence of CVD risk among relatively young WAIs is worrisome and suggests that the “healthy immigrant effect” may no longer hold for 21st century African immigrants. Employment and health insurance were protective against high CVD risk in females with social support protective against high CVD risk in males. CVD prevention strategies must be tailored to the unique needs of the WAI with consideration of socioeconomic status and sex.

Sign in / Sign up

Export Citation Format

Share Document