Enhancing adherence of antihypertensive regimens in hypertensive African-Americans: Current and future prospects

Lisa M. Lewis, Chinwe Ogedegbe, Gbenga Ogedegbe

Research output: Contribution to journalReview article

Abstract

Patient adherence to antihypertensive medication is an important strategy for blood pressure control in hypertensive patients. However, rates of antihypertensive medication adherence among hypertensive African-Americans are unacceptably low. This article examines the current understanding of patient, clinical, provider and healthcare system factors associated with medication adherence in hypertensive African-Americans. Studies demonstrated that patient and clinical factors, such as self-efficacy and depression, are consistently associated with medication adherence in hypertensive African-Americans patients. Provider communication shows promise as a correlate of medication adherence, but more research on provider and healthcare system factors are still needed. The authors recommend that interventions targeted at increasing medication adherence among hypertensive African-Americans focus on self-efficacy. It is also imperative that clinicians screen hypertensive patients for depression and treat, if necessary.

Original languageEnglish (US)
Pages (from-to)1375-1380
Number of pages6
JournalExpert Review of Cardiovascular Therapy
Volume10
Issue number11
DOIs
StatePublished - Nov 2012

Keywords

  • African-American
  • cardiovascular
  • disparities
  • hypertension
  • medication adherence

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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