Perceived Social Standing, Medication Nonadherence, and Systolic Blood Pressure in the Rural South

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Doyle M CummingsDarren DeWalt

Abstract

Little is known about how perceived social standing versus traditional socioeconomic characteristics influence medication adherence and blood pressure (BP) among African American and white patients with hypertension in the rural southeastern United States. Perceived social standing, socioeconomic characteristics, self-reported antihypertensive medication adherence, and BP were measured at baseline in a cohort of rural African American and white patients (n = 495) with uncontrolled hypertension attending primary care practices. Multivariate models examined the relationship of perceived social standing and socioeconomic indicators with medication adherence and systolic BP. Medication nonadherence was reported by 40% of patients. Younger age [β = 0.20; P = .001], African American race [β = -0.30; P = .03], and lower perceived social standing [β = 0.08; P = .002] but not sex or traditional socioeconomic characteristics including education and household income, were significantly associated with lower medication adherence. Race-specific analyses revealed that this pattern was limited to African Americans and not observed in whites. In stepwise modeling, older age [β = 0.57, P = .001], African American race [β = 4.4; P = .03], and lo...Continue Reading

Associated Clinical Trials

Aug 30, 2011·Jacquie Halladay, MD, MPH

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Citations

Jan 26, 2017·Medicine·Tadesse Melaku AbegazAsim Ahmed Elnour
Apr 2, 2020·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Kangho SuhKelley R Branch
Jun 14, 2019·Current Hypertension Reports·Shannon K DoyleKristin L Rising

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