NDLI: Short Form (SF-36) Health Survey Measures are Associated with Decreased Adherence among Urban African-Americans with Severe, Poorly Controlled Hypertension

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Short Form (SF-36) Health Survey Measures are Associated with Decreased Adherence among Urban African-Americans with Severe, Poorly Controlled Hypertension

Year: 2011, Volume: 13, Issue: 4

Year: 2011, Volume: 13, Issue: 3

Year: 2011, Volume: 13, Issue: 2

Year: 2010, Volume: 12

Year: 2009, Volume: 11

Year: 2008, Volume: 10

Year: 2007, Volume: 9

Short Form (SF-36) Health Survey Measures are Associated with Decreased Adherence among Urban African-Americans with Severe, Poorly Controlled Hypertension

Content Provider	PubMed Central
Author	Matthew, Konerman Weeks, Kristina R. Shands, Jamille R. Tilburt, Jon C. Dy, Sydney Bone, Lee R. Levine, David M. Young, J. Hunter
Abstract	The objective of this study was to determine if an association exists between SF-36 measures and nonadherence among urban African-Americans with poorly controlled hypertension. 158 African-Americans admitted to an urban academic hospital for severe, uncontrolled hypertension. Main outcome measure was self-reported nonadherence to antihypertensive medications using a validated instrument. For every 10-point increase in Physical Component Summary (PCS) score, an individual was almost two times more likely to report being nonadherent (OR 1.94, 95%CI 1.30-2.90; p<0.01). A significant interaction (p=0.05) was observed between the Physical Functioning and Mental Health subscales; individuals with high Physical Functioning and low Mental Health scores displayed the lowest adherence rate. These results suggest that high physical functioning, especially if associated with poor mental health, increases the likelihood of nonadherence to antihypertensive regimens among urban African-Americans. The SF-36 may serve as an effective clinical tool that identifies patients at risk for nonadherence, and more importantly, may improve clinicians’ understanding of nonadherence, allowing for discussions about antihypertensives to be tailored to individual patients.
Related Links	http://dx.doi.org/10.1111/j.1751-7176.2010.00402.x
Ending Page	390
Page Count	6
Starting Page	385
File Format	PDF
ISSN	15246175
e-ISSN	17517176
Journal	Journal of clinical hypertension (Greenwich, Conn.)
Issue Number	5
Volume Number	13
Language	English
Publisher Date	2011-05-01
Access Restriction	Open
Subject Keyword	Internal Medicine Cardiology and Cardiovascular Medicine Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Endocrinology, Diabetes and Metabolism Internal Medicine Cardiology and Cardiovascular Medicine

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Short Form (SF-36) Health Survey Measures are Associated with Decreased Adherence among Urban African-Americans with Severe, Poorly Controlled Hypertension