Key result
Higher stress was significantly associated with higher systolic blood pressure (p=0.029) and poor blood pressure control (p=0.043), a relationship mediated by lower non-pharmacological adherence.
Why the study?
Is stress associated with treatment adherence and blood pressure control in Black American women with hypertension?
Cross-Sectional
Is stress associated with treatment adherence and blood pressure control in Black American women with hypertension?
p-value: p=0.043
Higher stress is associated with poorer blood pressure control and lower non-pharmacological adherence among Black American women with hypertension.
May warrant stress evaluation in Black women with hypertension; leaves open whether interventions improve adherence or control.
-tests, linear regression. Tests of mediation examined if adherence mediated the relationship between stress and blood pressure control. This study found that stress was associated with lower age (p < .001) and being a single parent (p < .001). Stress was also associated with higher systolic blood pressure (p = .029), and poor blood pressure control (p = .043). Participants who reported higher stress also reported lower non-pharmacological adherence (p = .042). Non-pharmacological adherence was found to mediate the association between stress and blood pressure control. Hence, results document a relationship between stress with non-pharmacological adherence and blood pressure control among Black American women. More research is necessary to examine the relationship between stress and treatment adherence.
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Kang et al. (2018) conducted a cross-sectional in Hypertension. Stress was evaluated on Blood pressure control (p=0.043). Higher stress was significantly associated with higher systolic blood pressure (p=0.029) and poor blood pressure control (p=0.043), a relationship mediated by lower non-pharmacological adherence.
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