Intergenerational Transmission of Chronic Illness Self-care: Results From the Caring for Hypertension in African American Families Study

Warren‐Findlow, Jan; Seymour, Rachel B.; Shenk, Dena

doi:10.1093/geront/gnq077

Cited by 23 publications

(22 citation statements)

References 38 publications

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“…Older adults who have larger social networks – and are likely to talk with their network members about health problems – have lower risks of undiagnosed and uncontrolled hypertension. These individuals may benefit from others’ advice, experiences, and expertise regarding accessing health care, getting preventative screenings, and managing disease (Perry and Pescosolido 2010; Warren-Findlow et al 2010). But for those who are unlikely to communicate about health, the risk of undiagnosed and uncontrolled hypertension increases with network size.…”

Section: Discussionmentioning

confidence: 99%

Social Network Resources and Management of Hypertension

2012

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Hypertension is one of the most prevalent chronic diseases among older adults, but rates of blood pressure control are low. In this paper, we explore the role of social network ties and network-based resources (e.g., information and support) in hypertension diagnosis and management. We use data from the National Social Life, Health, and Aging Project (NSHAP) to identify older adults with undiagnosed or uncontrolled hypertension. We find that network characteristics and emotional support are associated with hypertension diagnosis and control. Importantly, the risks of undiagnosed and uncontrolled hypertension are lower among those with larger social networks -- if they discuss health issues with their network members. When these lines of communication are closed, network size is associated with greater risk of undiagnosed and uncontrolled hypertension. Health care utilization partially mediates associations with diagnosis, but the benefits of network resources for hypertension control do not seem to stem from health-related behaviors.

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Section: Discussionmentioning

confidence: 99%

Social Network Resources and Management of Hypertension

2012

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“…Although more children may constitute additional challenges for young women with cancer, more adult children may constitute increased number of support resources for older women (Ashida et al, 2009;Lewis, 1999;Wong-Kim & Bloom, 2005). Future studies should investigate how the role of number of children in coping affect of cancer patients differs between older and younger women (Gallant, 2003;Warren-Findlow, Seymour, & Shenk, 2010).…”

Section: Discussionmentioning

confidence: 99%

I Am Proud and Hopeful: Age-Based Comparisons in Positive Coping Affect Among Women Who Use Online Peer-Support

Seçkin

2011

Journal of Psychosocial Oncology

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How do women who seek psychosocial support on the Internet by participating in cancer peer support groups respond to the process of coping with cancer? The current study examines whether older women with cancer have different perceptions about and are influenced to a different extent by online peer support than younger women. The study also explores age-based variations in outlook on coping with cancer as a result of using online support. Separate multivariate regression models estimated the effects of covariates on (1) positive coping affect (PCA) (2) positive coping affect-hopeful (PCA-H), and (3) positive coping affect-proud (PCA-P). A stratified analysis examined variations within age-based subsamples (≥51 and ≤50). Positive coping affect includes feeling proud about coping with cancer from a position of strength and empowerment rather than being a victim and being hopeful for a healthier future postdiagnosis. Online support was found to increase PCA significantly. This finding is consistent across age groups but was more pronounced for older patients. The only exception is that younger women perceive more benefit from using online support in terms of feeling proud. As severity of the symptoms increased, though the younger women increased the amount of time they were online, the older women increased the number of groups they participated in. The study concludes that the Internet might be particularly helpful for older adults who feel helpless to cope with cancer in old age. Online peer support services may help improve the patients' outlook on fighting with cancer and help them to feel more in control of their health.

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“…The purpose of CHAAF was twofold: one, to assess chronic illness self-care behaviors among African American adults with hypertension [34]; and two, to examine psychosocial factors that influence self-care adherence among this population, in particular family influences [35]. …”

Section: Methodsmentioning

confidence: 99%

The Association Between Self-Efficacy and Hypertension Self-Care Activities Among African American Adults

Seymour²,

2011

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Chronic disease management requires the individual to perform varying forms of self-care behaviors. Self-efficacy, a widely used psychosocial concept, is associated with the ability to manage chronic disease. In this study, we examine the association between self-efficacy to manage hypertension and six clinically prescribed hypertension self-care behaviors. We interviewed 190 African Americans with hypertension who resided in the greater metropolitan Charlotte area about their self-efficacy and their hypertension self-care activities. Logistic regression for correlated observations was used to model the relationship between self-efficacy and adherence to hypertension self-care behaviors. Since the hypertension self-care behavior outcomes were not rare occurrences, an odds ratio correction method was used to provide a more reliable measure of the prevalence ratio (PR). Over half (59%) of participants reported having good self-efficacy to manage their hypertension. Good self-efficacy was statistically significantly associated with increased prevalence of adherence to medication (PR = 1.23, 95% CI: 1.08, 1.32), eating a low-salt diet (PR = 1.64, 95% CI: 1.07–2.20), engaging in physical activity (PR = 1.27, 95% CI: 1.08–1.39), not smoking (PR = 1.10, 95% CI: 1.01–1.15), and practicing weight management techniques (PR = 1.63, 95% CI: 1.30–1.87). Hypertension self-efficacy is strongly associated with adherence to five of six prescribed self-care activities among African Americans with hypertension. Ensuring that African Americans feel confident that hypertension is a manageable condition and that they are knowledgeable about appropriate self-care behaviors are important factors in improving hypertension self-care and blood pressure control. Health practitioners should assess individuals’ self-care activities and direct them toward practical techniques to help boost their confidence in managing their blood pressure.

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Intergenerational Transmission of Chronic Illness Self-care: Results From the Caring for Hypertension in African American Families Study

Abstract: Interventions should consider targeting African American older adults to increase self-care knowledge and empower them as a primary influencer of hypertension self-care within the family.

Cited by 23 publications

References 38 publications

Social Network Resources and Management of Hypertension

Social Network Resources and Management of Hypertension

I Am Proud and Hopeful: Age-Based Comparisons in Positive Coping Affect Among Women Who Use Online Peer-Support

The Association Between Self-Efficacy and Hypertension Self-Care Activities Among African American Adults

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