Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states

Latinos are at an increased risk of hypertension-related disparities. Biological, behavioral, cultural, and structural factors have been identified as underlying mechanisms driving these disparities. However, the influence of Latino settlement patterns on hypertension management practices has been r...

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Main Authors: Adriana Maldonado, Barbara Baquero, Rima A. Afifi, Richard M. Hoffman, Helena H. Laroche, David O. Garcia, Paul A. Gilbert
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321523000343
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author Adriana Maldonado
Barbara Baquero
Rima A. Afifi
Richard M. Hoffman
Helena H. Laroche
David O. Garcia
Paul A. Gilbert
author_facet Adriana Maldonado
Barbara Baquero
Rima A. Afifi
Richard M. Hoffman
Helena H. Laroche
David O. Garcia
Paul A. Gilbert
author_sort Adriana Maldonado
collection DOAJ
description Latinos are at an increased risk of hypertension-related disparities. Biological, behavioral, cultural, and structural factors have been identified as underlying mechanisms driving these disparities. However, the influence of Latino settlement patterns on hypertension management practices has been rarely explored, particularly from a qualitative lens. Using data from semi-structured interviews conducted with Latinos with hypertension (n ​= ​26), we sought to develop a comprehensive understanding of the social and contextual factors influencing Latinos' hypertension management practices in new and established Latino destination states (Iowa and California, respectively). Participants described hypertension management as a complex phenomenon being influenced by factors at each level of the ecological model. However, some factors were more salient depending on place of residence. Specifically, while Latinos in Iowa were more likely to discuss how challenges of being an immigrant impacted their hypertension management, those in California had a preference to talk about how culture shapes the way they manage their hypertension. This study extends efforts to identify the underlying mechanisms driving Latinos' hypertension-related disparities. Results highlight the need to consider place of residence as a key contextual factor. Tailoring interventions to place may be necessary to effectively address Latinos’ hypertension-related needs.
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spelling doaj.art-3ea533027e644ca18032f409fee45a352023-07-01T04:36:04ZengElsevierSSM: Qualitative Research in Health2667-32152023-06-013100250Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination statesAdriana Maldonado0Barbara Baquero1Rima A. Afifi2Richard M. Hoffman3Helena H. Laroche4David O. Garcia5Paul A. Gilbert6Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, 85724, USA; Corresponding author.School of Public Health Health, Systems and Population Health, University of Washington, Seattle, WA, 98195, USACollege of Public Health, Department of Community and Behavioral Health, University of Iowa, Iowa City, IA, 52242, USARoy J. and Lucille A. Carver College of Medicine, Department of Internal Medicine, University of Iowa, Iowa City, IA, 52242, USAChildren's Mercy Kansas City and University of Missouri- Kansas City, Department of Pediatrics, Kansas City, MO, 64108, USAMel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, 85724, USACollege of Public Health, Department of Community and Behavioral Health, University of Iowa, Iowa City, IA, 52242, USALatinos are at an increased risk of hypertension-related disparities. Biological, behavioral, cultural, and structural factors have been identified as underlying mechanisms driving these disparities. However, the influence of Latino settlement patterns on hypertension management practices has been rarely explored, particularly from a qualitative lens. Using data from semi-structured interviews conducted with Latinos with hypertension (n ​= ​26), we sought to develop a comprehensive understanding of the social and contextual factors influencing Latinos' hypertension management practices in new and established Latino destination states (Iowa and California, respectively). Participants described hypertension management as a complex phenomenon being influenced by factors at each level of the ecological model. However, some factors were more salient depending on place of residence. Specifically, while Latinos in Iowa were more likely to discuss how challenges of being an immigrant impacted their hypertension management, those in California had a preference to talk about how culture shapes the way they manage their hypertension. This study extends efforts to identify the underlying mechanisms driving Latinos' hypertension-related disparities. Results highlight the need to consider place of residence as a key contextual factor. Tailoring interventions to place may be necessary to effectively address Latinos’ hypertension-related needs.http://www.sciencedirect.com/science/article/pii/S2667321523000343Hypertension managementNew and established Latino destination statesCardiovascular diseaseHypertension-related disparities
spellingShingle Adriana Maldonado
Barbara Baquero
Rima A. Afifi
Richard M. Hoffman
Helena H. Laroche
David O. Garcia
Paul A. Gilbert
Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
SSM: Qualitative Research in Health
Hypertension management
New and established Latino destination states
Cardiovascular disease
Hypertension-related disparities
title Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
title_full Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
title_fullStr Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
title_full_unstemmed Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
title_short Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states
title_sort hypertension management among latinos a qualitative investigation comparing latinos experiences in established and new latino destination states
topic Hypertension management
New and established Latino destination states
Cardiovascular disease
Hypertension-related disparities
url http://www.sciencedirect.com/science/article/pii/S2667321523000343
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