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Antecedents to effective treatment of hypertension in Hispanic populations

Maria L Soto-Greene1, Debbie Salas-Lopez, Jorge Sanchez

  • 1Hispanic Center of Excellence, UMDNJ-NewJersey Medical School Newark, New Jersey, USA.

Clinical Cornerstone
|February 15, 2005
PubMed

Insights

Hypertension affects millions, especially Black and Hispanic groups, leading to cardiovascular disease. This study explores patient and physician barriers to effective hypertension management and adherence to therapy.

Area of Science:

  • Cardiology
  • Public Health
  • Health Disparities

Background:

  • Hypertension is a prevalent condition impacting over 50 million individuals.
  • It is a significant modifiable risk factor for cardiovascular disease.
  • Hypertension disproportionately affects Black and Hispanic populations, contributing to higher mortality rates.

Purpose of the Study:

  • To identify patient-specific and physician-specific barriers contributing to hypertension underdiagnosis and undertreatment.
  • To explore issues related to access of care and poor adherence to therapy in hypertensive patients.
  • To introduce cross-cultural interviewing frameworks to improve hypertension management in Hispanic patients.

Main Methods:

  • Review of literature on barriers to hypertension care.
  • Discussion of patient-specific and physician-specific factors.
  • Introduction and explanation of the ETHNIC and ADHERE interviewing frameworks.

Main Results:

  • Identified numerous patient and physician barriers impacting hypertension diagnosis and treatment.
  • Highlighted challenges in accessing care and maintaining therapeutic adherence.
  • Presented ETHNIC and ADHERE as complementary tools for culturally sensitive hypertension management.

Conclusions:

  • Addressing patient and physician barriers is crucial for improving hypertension control.
  • Culturally sensitive approaches, such as ETHNIC and ADHERE, can enhance clinical assessment and treatment.
  • Improved management strategies are needed to reduce cardiovascular disease burden in at-risk populations.

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