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A model of psychosocial and cultural antecedents of blood pressure control.

Publication ,  Journal Article
Bosworth, HB; Oddone, EZ
Published in: J Natl Med Assoc
April 2002

Hypertension is a major modifiable risk factor for stroke, congestive heart failure, and end-stage renal disease. Hypertension is particularly prevalent and deadly among African Americans. Effective treatment for hypertension has been available for decades, yet only one fourth of all individuals have their blood pressure under control. Despite the potential impact of hypertension, interventions to improve control have had limited success. We present a model of how to understand antecedents of blood pressure control according to three interrelated categories: patient characteristics, social and cultural environment, and medical environment. This theoretical paper was conducted using a literature review and a model to explain psychosocial antecedents of blood pressure control is presented. We conclude that improved understanding of important antecedents of blood pressure control coupled with technological advances, such as tailored interventions, provide clinicians with a tool that may lead to improved blood pressure control. These interventions will require the involvement of clinicians and consideration of sociocultural factors to be successful.

Duke Scholars

Published In

J Natl Med Assoc

ISSN

0027-9684

Publication Date

April 2002

Volume

94

Issue

4

Start / End Page

236 / 248

Location

United States

Related Subject Headings

  • United States
  • Socioeconomic Factors
  • Public Health
  • Models, Psychological
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Hispanic or Latino
  • Female
 

Citation

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Bosworth, H. B., & Oddone, E. Z. (2002). A model of psychosocial and cultural antecedents of blood pressure control. J Natl Med Assoc, 94(4), 236–248.
Bosworth, Hayden B., and Eugene Z. Oddone. “A model of psychosocial and cultural antecedents of blood pressure control.J Natl Med Assoc 94, no. 4 (April 2002): 236–48.
Bosworth HB, Oddone EZ. A model of psychosocial and cultural antecedents of blood pressure control. J Natl Med Assoc. 2002 Apr;94(4):236–48.
Bosworth, Hayden B., and Eugene Z. Oddone. “A model of psychosocial and cultural antecedents of blood pressure control.J Natl Med Assoc, vol. 94, no. 4, Apr. 2002, pp. 236–48.
Bosworth HB, Oddone EZ. A model of psychosocial and cultural antecedents of blood pressure control. J Natl Med Assoc. 2002 Apr;94(4):236–248.
Journal cover image

Published In

J Natl Med Assoc

ISSN

0027-9684

Publication Date

April 2002

Volume

94

Issue

4

Start / End Page

236 / 248

Location

United States

Related Subject Headings

  • United States
  • Socioeconomic Factors
  • Public Health
  • Models, Psychological
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Hispanic or Latino
  • Female