Abstract
Background: African American (AA) women are disproportionately affected by hypertension and are less likely to adhere to their medication regimen when compared to White and Hispanic women. Very little is known about social factors associated with medication adherence among AA women. Spiritual well-being (SWB), religious well-being (RWB), and social determinants of health (SDOH) may be associated with self-efficacy for appropriate medication use (SEAM).
Purpose: The purpose of the study is to: (1) examine the relationships among SDOH, namely age, education level, household income, and marital and insurance status, and SWB and RWB; (2) examine the relationships between SDOH and SEAM; and (3) assess the potential associations of SWB and RWB with SEAM.
Methods: The study employed a cross-sectional correlational design. An online survey was used to collect data. A purposive sample of 187 AA women with hypertension diagnosis over 1 year was recruited. SWB and RWB were measured using the Spiritual Well-Being Scale, and SEAM was measured using the Self-Efficacy for Appropriate Medication Use Scale. SDOH were adopted from Healthy People 2030. Linear regression analysis was conducted to assess the adjusted association of SWB and RWB with SEAM, and p < .05 was considered significant.
Results: The women of the study were middle aged (M = 57.34 years, SD = 12.89) and had moderate SWB and RWB scores. Only age and education were positively associated with SEAM (p < .001 and p = .025, respectively). There was no association of SWB or RWB with SEAM.
Discussion and Conclusion: SWB and RWB scores did not predict SEAM in this sample of AA women with hypertension. However, this could be due to lack of power due to a small sample size. Older age and higher education level were associated with higher self-efficacy. Interventions to improve adherence to antihypertension drug treatments aimed at younger AA women with lower educational attainment could help in improving care and reducing disparities in health outcomes for this population.
Sigma Membership
Beta Theta at-Large
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
Quantitative Research
Keywords:
Medication Adherence, Spirituality, Self-Efficacy
Advisors
Annapoorna, Mary||Lee, Sohye||Fawaz, Mzayek||Woodbury-Moore, Christy
Degree
PhD
Degree Grantor
University of Memphis
Degree Year
2023
Recommended Citation
Augusta, Tracie L., "A correlational study on spiritual and religious well-being, social determinants of health, and self-efficacy for appropriate medication use among African American women with hypertension" (2023). Dissertations. 375.
https://www.sigmarepository.org/dissertations/375
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2023-05-18
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30316476; ProQuest document ID: 2796054458. The author still retains copyright.