Antihypertensive medication nonadherence in black men: direct and mediating effects of depressive symptoms, psychosocial stressors, and substance use.
作者： Crystal W. Cené , Cheryl R. Dennison , Wizdom Powell Hammond , David Levine , Lee R. Bone
DOI: 10.1111/JCH.12056
关键词:
摘要: Black men suffer disproportionately from hypertension. Antihypertensive medication nonadherence is a major contributor to poor blood pressure control, yet few studies consider how psychosocial functioning may impact black men's adherence. The authors examined the direct and mediating pathways between depressive symptoms, stressors, substance use on antihypertensive in 196 enrolled clinical trial improve hypertension care control. found that greater symptoms were associated with more (β=0.05; standard error [SE], 0.01; P<.001). None of stressor variables nonadherence. Alcohol misuse was increased (β=0.81; SE, 0.26; P<.01), but it did not mediate association Clinicians should screening for alcohol if patients are be nonadherent treat or refer appropriate resources address those issues.
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