Original Research ARTICLE

Front. Public Health, 05 December 2013 | doi: 10.3389/fpubh.2013.00066

The association between trust in health care providers and medication adherence among Black women with hypertension

  • 1School of Nursing, University of North Carolina at Charlotte, Charlotte, NC, USA
  • 2Department of Cardiovascular Sciences, Brody School of Medicine, East Carolina Heart Institute, East Carolina University, Greenville, NC, USA

Background: Black women have the highest prevalence of hypertension in the world. Reasons for this disparity are poorly understood. The historical legacy of medical maltreatment of Blacks in the U.S. provides some insight into distrust in the medical profession, refusal of treatment, and poor adherence to treatment regimens.

Methods: Black women (N = 80) who were prescribed antihypertensive medications were recruited from urban communities in North Carolina. Study participants completed the Trust in Physician and Hill-Bone Compliance to High Blood Pressure Therapy questionnaires. An exact discrete-event model was used to examine the relationship between trust and medication adherence.

Results: Mean age of study participants was 48 ± 9.2 years. The majority of participants (67%) were actively employed and 30% had incomes at or below the federal poverty level. Increasing levels of trust in the health care provider was independently associated with greater medication adherence (PTrend = 0.015).

Conclusion: Black women with hypertension who trusted their health care providers were more likely to be adherent with their prescribed antihypertensive medications than those who did not trust their health care providers. Findings suggest that trusting relationships between Black women and health care providers are important to decreasing disparate rates of hypertension.

Keywords: trust, medication adherence, Black women, hypertension, health care provider

Citation: Abel WM and Efird JT (2013) The association between trust in health care providers and medication adherence among Black women with hypertension. Front. Public Health 1:66. doi: 10.3389/fpubh.2013.00066

Received: 03 September 2013; Paper pending published: 25 September 2013;
Accepted: 21 November 2013; Published online: 05 December 2013.

Edited by:

Jie Hu, University of North Carolina at Greensboro, USA

Reviewed by:

Setor K. Kunutsor, University of Cambridge, UK
Jinbing Bai, University of North Carolina at Chapel Hill, USA
Melanie M. Adams, Keene State College, USA

Copyright: © 2013 Abel and Efird. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Willie M. Abel, School of Nursing, The University of North Carolina at Charlotte, 9201 University City Blvd, #444F CHHS Bldg, Charlotte, NC 28223-0001, USA e-mail: wmabel@uncc.edu

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