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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1994 Jan;86(1):20–25.

Race: an explanation of patient compliance--fact or fiction?

D E Daniels 1, A A René 1, V R Daniels 1
PMCID: PMC2607646  PMID: 8151719

Abstract

This article describes a retrospective study that examines the relationship between patient compliance and race among diagnosed hypertensives in the National Health and Nutrition Examination Survey (NHANES II). The study reviewed and analyzed the compliance of 403 blacks diagnosed with hypertension. Patient compliance was measured using the frequency that patients took their hypertensive medicine. Bivariate analysis revealed a statistically significant relationship with patient compliance (dependent) and the independent variables (age, education, gender, and smoking). Multiple regression for the black population revealed that the age of the person accounted for the most explained variance. As age increased among blacks, so did compliance. The results may suggest the need to target school-aged blacks early in order to increase the awareness and importance of monitoring one's blood pressure. The results also may indicate that race is not a marker for other characteristics (income, education, etc) that might be used to explain the difference in the prevalence of hypertension among blacks compared with whites.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. GOLDRING W., CHASIS H. ANTIHYPERTENSIVE DRUG THERAPY; AN APPRAISAL. Arch Intern Med. 1965 May;115:523–525. doi: 10.1001/archinte.1960.03860170005002. [DOI] [PubMed] [Google Scholar]
  2. Ghali J. K., Kadakia S., Cooper R., Ferlinz J. Precipitating factors leading to decompensation of heart failure. Traits among urban blacks. Arch Intern Med. 1988 Sep;148(9):2013–2016. [PubMed] [Google Scholar]
  3. HAMILTON M., THOMPSON E. M., WISNIEWSKI T. K. THE ROLE OF BLOOD-PRESSURE CONTROL IN PREVENTING COMPLICATIONS OF HYPERTENSION. Lancet. 1964 Feb 1;1(7327):235–238. doi: 10.1016/s0140-6736(64)92344-x. [DOI] [PubMed] [Google Scholar]
  4. Kannel W. B., Wolf P. A., Verter J., McNamara P. M. Epidemiologic assessment of the role of blood pressure in stroke. The Framingham study. JAMA. 1970 Oct 12;214(2):301–310. [PubMed] [Google Scholar]
  5. McKevitt P. M., Jones J. F., Lane D. A., Marion R. R. The elderly on dialysis: some considerations in compliance. Am J Kidney Dis. 1990 Oct;16(4):346–350. doi: 10.1016/s0272-6386(12)80017-5. [DOI] [PubMed] [Google Scholar]
  6. Sprafka J. M., Folsom A. R., Burke G. L., Edlavitch S. A. Prevalence of cardiovascular disease risk factors in blacks and whites: the Minnesota Heart Survey. Am J Public Health. 1988 Dec;78(12):1546–1549. doi: 10.2105/ajph.78.12.1546. [DOI] [PMC free article] [PubMed] [Google Scholar]

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