Antihypertensive medication nonadherence in black men

Direct and mediating effects of depressive symptoms, psychosocial stressors, and substance use

Crystal W. Cené, Cheryl Renee Dennison-Himmelfarb, Wizdom Powell Hammond, David Levine, Lee R Bone, Martha Hill

Research output: Contribution to journalArticle

Abstract

Black men suffer disproportionately from hypertension. Antihypertensive medication nonadherence is a major contributor to poor blood pressure control, yet few studies consider how psychosocial functioning may impact black men's medication adherence. The authors examined the direct and mediating pathways between depressive symptoms, psychosocial stressors, and substance use on antihypertensive medication nonadherence in 196 black men enrolled in a clinical trial to improve hypertension care and control. The authors found that greater depressive symptoms were associated with more medication nonadherence (β=0.05; standard error [SE], 0.01; P

Original languageEnglish (US)
Pages (from-to)201-209
Number of pages9
JournalJournal of clinical hypertension (Greenwich, Conn.)
Volume15
Issue number3
DOIs
StatePublished - Mar 2013

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Medication Adherence
Antihypertensive Agents
Depression
Hypertension
Clinical Trials
Blood Pressure

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

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AB - Black men suffer disproportionately from hypertension. Antihypertensive medication nonadherence is a major contributor to poor blood pressure control, yet few studies consider how psychosocial functioning may impact black men's medication adherence. The authors examined the direct and mediating pathways between depressive symptoms, psychosocial stressors, and substance use on antihypertensive medication nonadherence in 196 black men enrolled in a clinical trial to improve hypertension care and control. The authors found that greater depressive symptoms were associated with more medication nonadherence (β=0.05; standard error [SE], 0.01; P

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