The purposes of this study are to characterize Chinese immigrants with hypertension (HPT) who are taking prescribed HPT medications; to develop and pilot-test cultural measures of health perceptions, health behaviors and social support; to describe Chinese immigrants' health perceptions of HPT and its treatment, health behaviors and social support; to examine the extent to which perceptions, activity (self-care) and social support are correlated with medication compliance. The study will use a cross-sectional design. Four data collection approaches will be used: medical record abstraction, measurement development, self-report questionnaires and blood pressure measurement. A convenience sample will be used to recruit 130 Chinese immigrants with HPT who are currently taking prescribed Western HPT medications. The questionnaires measure cultural factors (health perceptions and behaviors, and social support) and medication compliance. These are derived from a pilot study with individual interviews and a focus group. All questionnaires will be pre-tested with five Chinese immigrants to determine the appropriateness of content, wording and response choices. After pre-testing, the questionnaires will be modified. All questionnaires will be administered to the entire sample. Chinese immigrants' perceptions of HPT and use of Chinese and Western medicine will be described. A logistic regression model of cultural factors will be established for medication compliance. The knowledge gleaned from this study will help develop culturally sensitive health education materials and HPT management interventions. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31NR008308-02
Application #
6663790
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Huss, Karen
Project Start
2002-09-30
Project End
2004-06-30
Budget Start
2003-09-30
Budget End
2004-06-30
Support Year
2
Fiscal Year
2003
Total Cost
$22,598
Indirect Cost
Name
University of California San Francisco
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Li, Wen-Wen; Wallhagen, Margaret I; Froelicher, Erika S (2008) Hypertension control, predictors for medication adherence and gender differences in older Chinese immigrants. J Adv Nurs 61:326-35
Li, Wen-Wen; Stotts, Nancy A; Froelicher, Erika Sivarajan (2007) Compliance with antihypertensive medication in Chinese immigrants: cultural specific issues and theoretical application. Res Theory Nurs Pract 21:236-54
Li, Wen-Wen; Stewart, Anita L; Stotts, Nancy et al. (2006) Cultural factors associated with antihypertensive medication adherence in Chinese immigrants. J Cardiovasc Nurs 21:354-62
Li, Wen-Wen; Stewart, Anita L; Stotts, Nancy A et al. (2005) Cultural factors and medication compliance in Chinese immigrants who are taking antihypertensive medications: instrument development. J Nurs Meas 13:231-52