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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Format: | Article |
Language: | English |
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Elsevier
2023-06-01
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Series: | SSM: Qualitative Research in Health |
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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. |
first_indexed | 2024-03-13T02:09:54Z |
format | Article |
id | doaj.art-3ea533027e644ca18032f409fee45a35 |
institution | Directory Open Access Journal |
issn | 2667-3215 |
language | English |
last_indexed | 2024-03-13T02:09:54Z |
publishDate | 2023-06-01 |
publisher | Elsevier |
record_format | Article |
series | SSM: Qualitative Research in Health |
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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