Knowledge,attitudes, and beliefs related to hypertension and hyperlipidemia self-management among African-American men living in the southeastern United States |
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| Affiliation: | 1. CDC Foundation, Atlanta, GA, USA;2. National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA;3. National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention, Atlanta, GA, USA;1. Sections of Cardiovascular Research, Baylor College of Medicine, Houston, TX, USA;2. Department of Medicine, Baylor College of Medicine, Houston, TX, USA;3. Center for Cardiovascular Disease Prevention, Methodist DeBakey Heart and Vascular Center, Houston, TX, USA;4. Department of Psychology, University of Houston, Houston, TX, USA;5. Health Policy, Quality & Informatics Program, Michael E. DeBakey VA Medical Center Health Services Research & Development Center for Innovations, Houston, TX, USA;6. Michael E. DeBakey VA Medical Center, Houston, TX, USA;7. Center for Prevention and Wellness Research, Baptist Health Medical Group, Miami Beach, FL, USA;1. Komfo Anokye Teaching Hospital, P.O. Box 1934, Kumasi, Ghana;2. University of Utah, USA;3. Department of Child Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;4. Research and Development Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana;5. Eastern Regional Hospital, Koforidua, Ghana;6. Division of Public Health and Preventive Medicine, University of Utah, USA;7. Department of Pediatrics, Division of Inpatient Pediatrics, University of Utah, USA;1. Heart Institute, Hypertension Center of Excellence, Cedars-Sinai Medical Center, Los Angeles, California;2. Department of Biomathematics, University of California Los Angeles Medical Center, Los Angeles, California;3. Department of Biostatistics, School of Public Health, University of California Los Angeles, Los Angeles, California;1. School of Health Sciences “Dr. Francisco Battistini Casalta”, University of Oriente-Bolivar Nucleus, Venezuela;2. Scientific Society of Medical Students at the University of Oriente-Bolivar Nucleus, Venezuela |
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| Abstract: | ObjectivePerceptions of illness affect cardiovascular disease (CVD) self-management. This study explores knowledge, attitudes, and beliefs regarding hypertension and hyperlipidemia management among 34 African-American men with hypertension and/or hyperlipidemia, age 40–65, living in the Southeastern United States.MethodsIn-person focus groups were conducted using semi-structured interview questions informed by the Health Belief Model (HBM).ResultsParticipants had a high level of knowledge about hypertension self-management, but less about cholesterol self-management. Perceived severity of both conditions was acknowledged, though participants perceived hypertension as more severe. Barriers to self-management included medication side effects and unhealthy dietary patterns. Facilitators included social support, positive healthcare experiences, and the value placed on family. Cultural implications highlighted the importance of food in daily life and social settings. Participants expressed how notions of masculinity affected self-management—noting the impact of feelings of vulnerability and perceived lack of control stemming from diagnosis and treatment expectations.ConclusionsThe findings highlight gaps in knowledge of hyperlipidemia versus hypertension, and the impact of cultural context and perceptions on engagement in self-management behaviors.Practice implicationsPublic health practitioners and healthcare providers serving African-American men should address cultural factors and notions of masculinity which can hinder effective disease management among this population. |
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| Keywords: | African-American Men High blood pressure High cholesterol Knowledge Attitudes Southern United States |
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