Format

Send to

Choose Destination
See comment in PubMed Commons below
J Natl Med Assoc. 2008 Jan;100(1):91-7.

Associations between home remedy use and a validated self-reported adherence measure in an urban African-American population with poorly controlled hypertension.

Author information

  • 1Division of General Internal Medicine, Johns Hopkins University School of Medicine, USA. tilburt.jon@mayo.edu

Abstract

OBJECTIVE:

To determine associations between home remedy use and self-reported adherence among urban African Americans with poorly controlled hypertension.

METHODS:

A cross-sectional structured interview of African Americans admitted to medical units for uncontrolled hypertension at an urban academic hospital from 1999-2004. Logistic regression was used to test associations between home remedy use and self-reported adherence.

RESULTS:

One-hundred-eighty-three of 272 participants completed the study (67%); 39 (21%) reported using home remedies for hypertension. In a multivariate model, home remedy use was independently associated with greater medication adherence (OR for nonadherence=0.32, 95% CI: 0.14-0.75; p<0.01) and dietary adherence (OR for changing diet=3.28, 95% CI: 1.10-9.81; p=0.03), but not lifestyle or appointment adherence. These associations remained strong while controlling for age; sex; employment status; and key covariates, including greater medication side effects (OR=4.31; 95% CI: 1.64-11.3; p<0.01), greater difficulty paying for medications (OR=2.94, 95% CI: 1.25-6.92; p=0.01) and longer duration of diagnosis (OR for log years=1.53; 95% CI: 1.02-2.33; p=0.045).

CONCLUSION:

Home remedy use may be a marker of positive self-care for some hypertensive African Americans and not a promoter of nonadherence.

PMID:
18277815
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk