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Barriers and facilitators to self-measured blood pressure monitoring among US-resettled Arab refugees with hypertension: a qualitative study.
- Source :
- BMC Primary Care; 11/30/2023, Vol. 24 Issue 1, p1-12, 12p
- Publication Year :
- 2023
-
Abstract
- Background: Minoritized communities including refugees are at an increased risk of poorly controlled hypertension. Evidence indicates that self-measured blood pressure monitoring (SMBP) is an effective method to improve blood pressure control in patients with hypertension. However, it has not been studied among refugee populations. The objective of this study is to examine barriers and facilitators to SMBP among Arab refugees resettled in the United States (US) with diagnosed hypertension. Methods: A total of 109 participants were recruited through a Federally Qualified Health Center system that is a major provider of healthcare to refugees in San Diego, California. Participants completed a questionnaire and were interviewed using in-depth, semi-structured interviews. Interviews were transcribed and translated, and data were coded using inductive thematic analysis and organized based on the theory of care-seeking behavior. Results: Several barriers to engaging in effective SMBP monitoring were identified. Clinical and sociodemographic barriers included reliance on public monitors and poor hypertension literacy. Psychosocial barriers of affect, norms, and habits included fear and anxiety from hypertension, cultural stigma of illness, and conditional SMBP with symptoms, respectively. Utility psychosocial barriers included lack of SMBP prioritization in treatment and perceived inaccuracy of home monitors. Family members' support with home monitoring served as an important facilitator to SMBP. Conclusions: There are several barriers to effective SMBP among the US-resettled Arab refugee population that may reflect unique cultural and care-seeking behaviors. Tailored public health and clinical interventions are needed to support refugee patients and providers to improve hypertension self-management behaviors for this unique population. [ABSTRACT FROM AUTHOR]
- Subjects :
- HYPERTENSION
HEALTH services accessibility
PSYCHOLOGY of refugees
ARABS
HOME care services
RESEARCH methodology
HELP-seeking behavior
INTERVIEWING
QUALITATIVE research
CONCEPTUAL structures
AMBULATORY blood pressure monitoring
RESEARCH funding
THEMATIC analysis
SOCIODEMOGRAPHIC factors
HEALTH self-care
Subjects
Details
- Language :
- English
- ISSN :
- 27314553
- Volume :
- 24
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Primary Care
- Publication Type :
- Academic Journal
- Accession number :
- 173923524
- Full Text :
- https://doi.org/10.1186/s12875-023-02215-1