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Intergenerational Influence on Hypertension Prevention and Management: A Discursive Paper
Brenda Owusu1, Diana Baptiste2, Zaily Santiesteban1
1University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA.
Family dynamics significantly impact hypertension management in Black older adults, influencing health behaviors and treatment adherence. Understanding these intergenerational relationships is key for effective care and prevention strategies.
Area of Science:
- Gerontology
- Public Health
- Health Disparities
Background:
- Hypertension disproportionately affects Black older adults due to socioeconomic factors and healthcare access barriers.
- Family relationships and intergenerational interactions are understudied influences on hypertension management in this demographic.
Purpose of the Study:
- To explore intergenerational factors influencing hypertension prevention and management among Black older adults.
- To examine how family dynamics impact health behaviors, knowledge transfer, and treatment adherence.
Main Methods:
- Discursive paper utilizing the Transtheoretical Model of Change and Self-Determination Theory.
- Literature search of PubMed, Scopus, and Google Scholar (2015-2025).
Main Results:
- Family plays a crucial role in transmitting health knowledge, caregiving, and emotional support.
- Identified barriers and facilitators include cultural beliefs, community resources, and intergenerational role modeling.
Conclusions:
- Family-centered approaches are essential for nurses managing hypertension in Black older adults.
- Integrating intergenerational insights can improve adherence and prevention, guiding clinical practice and nursing education.
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