Among African American dyads with hypertension, adult children's medication adherence was significantly associated with dyad conversations about hypertension (OR 3.48; 95% CI 1.18-10.29).
Observational (n=190)
Does intergenerational transmission of hypertension knowledge and self-efficacy affect hypertension self-care (medication adherence) in African American older parents and their adult children?
In African American families, older parents have better hypertension medication adherence than their adult children, and intergenerational communication about hypertension is associated with better adherence in the adult children.
Odds Ratio: 3.48 (95% CI 1.18–10.29)
PURPOSE OF THE STUDY: African Americans often experience early onset of hypertension that can result in generations of adults managing high blood pressure concurrently. Using a model based on the Theory of Interdependence, this study examined whether intergenerational transmission of hypertension knowledge and self-efficacy would affect hypertension self-care of older parents and their adult children. DESIGN AND METHODS: We recruited 95 African American older parent-adult child dyads with hypertension. We constructed separate logistic regression models for older parents and adult children with medication adherence as the outcome. Each model included individual demographic and health characteristics, the partner's knowledge, and self-efficacy to manage hypertension and dyad-related characteristics. RESULTS: Parents were more adherent with medication than adult children (67.4% vs. 49.5%, p < .012). There were no significant factors associated with parent medication adherence. In adjusted models for adult children, medication adherence was associated with child's gender (odds ratio OR = 3.29, 95% confidence interval CI = 1.26-8.59), parent beliefs that the child had better hypertension self-care (OR = 4.36, 95% CI = 1.34-14.17), and child reports that the dyad conversed about hypertension (OR = 3.48, 95% CI = 1.18-10.29). Parental knowledge of hypertension and parent's self-efficacy were weakly associated with adult children's medication adherence (OR = 1.35, 95% CI = 0.99-1.84 and OR = 2.59, 95% CI = 0.94-7.12, respectively). IMPLICATIONS: Interventions should consider targeting African American older adults to increase self-care knowledge and empower them as a primary influencer of hypertension self-care within the family.
Warren‐Findlow et al. (Thu,) conducted a observational in Hypertension (n=190). Dyad conversation about hypertension vs. No conversation was evaluated on Medication adherence in adult children (OR 3.48, 95% CI 1.18-10.29). Among African American dyads with hypertension, adult children's medication adherence was significantly associated with dyad conversations about hypertension (OR 3.48; 95% CI 1.18-10.29).