Saturday, July 12, 2003

This presentation is part of : High Risk Adult

The Meaning and Consequences of Hypertension for Individuals of African-Caribbean Origin: Perceptions of Primary Health Care (PHC) Services

Gina Marie Awoko Higginbottom, RN, RM, RHV, BA, (Hons), MA, Institute of General Practice and Primary Care, Institute of General Practice and Primary Care, University of Sheffield, Sheffield, South Yorkshire, United Kingdom
Learning Objective #1: Gain insight into the lived experience of hypertension in African-Caribbean people residing in the United Kingdom
Learning Objective #2: Acquire understanding of hypertension health beliefs and behaviors of African-Caribbean people in the United Kingdom

Hypertension is a major health problem for individuals of African-Caribbean origin in the U.K.(& globally.) Early diagnosis and treatment of hypertension is a national priority. This research is extremely pertinent and relevant to the contemporary policy agenda. Collaboration & partnership are key principles: a research consumer advisory is established. Research Objectives: ¨ To understand the meaning and consequences of hypertension for individuals of African Caribbean origin. ¨ To elicit knowledge and understanding of African-Caribbean individuals’ decision-making processes, risk perception, culturally specific health beliefs that mitigate against or enhance the early diagnosis and effective management of hypertension in (PHC). ¨ To identify and map out African-Caribbean individuals perceptions of prevention, diagnosis and management of hypertension in PHC. Design: This study draws upon the ethnographic tradition to elicit and describe the meaning and consequences of hypertension for individuals of African-Caribbean origin in England. Additionally, perceptions of PHC services are elicited. The sample is purposive. Population and sample: is purposive, participants are accessed are accessed via PHC records, community groups & associations. Methods: Data collection tools of focus groups, semi-structured interviews and structured vignettes (Greenhalgh 1998) are utilised. Data are systematically analysed with the aid of Atlas/ti, using Roper & Shapira’s (2000) framework for ethnographic analysis. Findings: A complex picture of health beliefs and behaviours is evidenced presented in five key themes. Implications: Knowledge generated will contribute to the PHC evidence base, assisting the development & configuration of culturally congruent services, contributing to the reduction of inequalities, early treatment & diagnosis of hypertension in PHC.

The term African-Caribbean origin is used to describe individuals and communities who have an ancestral link to the continent of Africa via the Caribbean. Self-assignation of ethnicity is an important dimension to the formation of identity and participants in the study are given the opportunity to self-assign ethnicity.

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Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003