Self-care among Filipinos in the United States who have hypertension

Emerson E. Ea, Alison Colbert, Melanie Turk, Victoria Vaughan Dickson

Research output: Contribution to journalArticlepeer-review

Abstract

Background Despite the strong literature on the influence of self-care on hypertension (HTN) diagnosis, there is a notable lack of studies that explore self-care among Filipino immigrants in the United States (US) who have HTN. Aim To determine the levels of and relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care among first generation Filipino immigrants in the US who have HTN. Design A cross-sectional correlational design was used to determine the relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care using the Transactional Model of Stress and Coping. One hundred and sixty-three community-dwelling first-generation Filipino immigrants participated in the study. Methods Data on HTN self-care, acculturation, acculturative stress, HTN self-efficacy, and patient activation were collected. Results The study results revealed that HTN self-efficacy and patient activation significantly contributed to the regression model that accounted for 29.5% of the variance in HTN self-care for this sample. Further analysis revealed that patient activation had a mediating role between HTN self-efficacy and HTN self-care. Conclusions Findings from this study revealed that HTN self-efficacy and patient activation were associated with self-care behaviors associated with HTN management for this sample. Clinical relevance Findings from this study highlight the importance of addressing HTN self-efficacy and patient activation in improving HTN self-care for this population.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalApplied Nursing Research
Volume39
DOIs
StatePublished - Feb 2018

Keywords

  • Filipinos
  • Hypertension
  • Patient activation
  • Self-care
  • Self-efficacy

ASJC Scopus subject areas

  • Nursing(all)

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