TY - JOUR
T1 - Does home remedy use contribute to medication nonadherence among blacks with hypertension?
AU - Cuffee, Yendelela L.
AU - Rosal, Milagros
AU - Hargraves, J. Lee
AU - Briesacher, Becky A.
AU - Akuley, Suzanne
AU - Altwatban, Noof
AU - Hullett, Sandral
AU - Allison, Jeroan J.
N1 - Funding Information:
This research was funded by a Disserta tion Grant from Agency for Healthcare Research and Quality (R36 HS020755-01), and the TRUST study was funded by a grant from the National Heart, Lung, and Blood Institute (U01 HL079171-01). Support was also provided by the Center for Health Equality and Intervention Research (CHEIR) at the University of Massachusetts Medical School, funded by the National Institute on Minority Health and Health Disparities (1P60MD006912). The project described was supported by the National Center for Advancing Translational Sciences, Grant KL2 TR002015and Grant UL1 TR002014. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Funding Information:
We would like to acknowledge Ms. Sara Anne Gochnauer for her assistance in providing data for the introduction of this article. This research was funded by a Dissertation Grant from Agency for Healthcare Research and Quality (R36 HS020755-01), and the TRUST study was funded by a grant from the National Heart, Lung, and Blood Institute (U01 HL079171-01). Support was also provided by the Center for Health Equality and Intervention Research (CHEIR) at the University of Massachusetts Medical School, funded by the National Institute on Minority Health and Health Disparities (1P60MD006912). The project described was supported by the National Center for Advancing Translational Sciences, Grant KL2 TR002015and Grant UL1 TR002014. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Publisher Copyright:
© 2020 Ethnicity and Disease, Inc.. All rights reserved.
PY - 2020/9
Y1 - 2020/9
N2 - Background: Home remedies (HRs) are described as foods, herbs, and other household products used to manage chronic conditions. The objective of this study was to examine home remedy (HR) use among Blacks with hypertension and to determine if home remedy use is correlated with blood pressure and medication adherence. Methods: Data for this cross-sectional study were obtained from the TRUST study conducted between 2006-2008. Medication adherence was measured using the Morisky Medication Adherence Scale, and HR use was self-reported. Multivariable associations were quantified using ordinal logistic regression. Results: The study sample consisted of 788 Blacks with hypertension living in the southern region of the United States. HR use was associated with higher systolic (HR users 152.79, nonusers 149.53; P=.004) and diastolic blood pressure (HR users 84.10, nonusers 82.14 P=.005). Use of two or more HRs was associated with low adherence (OR: .55, CI: .36-.83, P= .004). Conclusion: The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies.
AB - Background: Home remedies (HRs) are described as foods, herbs, and other household products used to manage chronic conditions. The objective of this study was to examine home remedy (HR) use among Blacks with hypertension and to determine if home remedy use is correlated with blood pressure and medication adherence. Methods: Data for this cross-sectional study were obtained from the TRUST study conducted between 2006-2008. Medication adherence was measured using the Morisky Medication Adherence Scale, and HR use was self-reported. Multivariable associations were quantified using ordinal logistic regression. Results: The study sample consisted of 788 Blacks with hypertension living in the southern region of the United States. HR use was associated with higher systolic (HR users 152.79, nonusers 149.53; P=.004) and diastolic blood pressure (HR users 84.10, nonusers 82.14 P=.005). Use of two or more HRs was associated with low adherence (OR: .55, CI: .36-.83, P= .004). Conclusion: The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies.
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U2 - 10.18865/ED.30.3.451
DO - 10.18865/ED.30.3.451
M3 - Article
C2 - 32742150
AN - SCOPUS:85088906430
SN - 1049-510X
VL - 30
SP - 451
EP - 458
JO - Ethnicity and Disease
JF - Ethnicity and Disease
IS - 3
ER -