Social determinants of health influential to medication adherence in Hispanic women with cardiovascular disease

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dc.contributor.advisorRichmond, Misty
dc.contributor.committeeMemberJennifer Woo
dc.contributor.committeeMemberColleen Halverson
dc.creatorReid, Amelia P 1955-
dc.creator.orcid0000-0001-9543-3244
dc.date.accessioned2024-02-08T21:13:31Z
dc.date.available2024-02-08T21:13:31Z
dc.date.created2023-12
dc.date.issuedDecember 2023
dc.date.submittedDecember 2023
dc.date.updated2024-02-08T21:13:31Z
dc.description.abstractABSTRACT AMY REID SOCIAL DETERMINANTS OF HEALTH INFLUENTIAL TO MEDICATION ADHERENCE IN HISPANIC WOMEN WITH CARDIOVASCULAR DISEASE The purpose of this study was to investigate the relationship between social determinants of health (socioeconomic-related, patient-related, treatment-related, condition-related, and health system-related factors) and medication adherence in Hispanic women with cardiovascular disease (CVD). The World Health Organization (WHO) Dimensions of Adherence Model postulates that medication adherence is influenced by factors in those five dimensions. A predictive correlational design was used to collect data on the dimensions in this framework. Medication adherence was measured using the Medication Adherence Report Scale (MARS-5). Patient-provider communication was evaluated using the Patient-Centered Communication for Cancer Care (PCC-Ca), and the Short Acculturation Scale for Hispanics (SASH) was used to measure acculturation. The data was analyzed using descriptive statistics, hierarchical linear regression, and one-way ANOVA. The first regression model included patient-provider communication and acculturation as predictors. Step 1 of the regression was significant, F (2,80 = 7.09, p = .001) and explained 15% of variance in medication adherence. Only patient-provider communication contributed significantly to the model (β = .385, p = <.001). After entry of the demographic variables in Step 2, the model was found to be significant, F (11,71) = 4.42, p = <.001) and that the total variance explained by the model was 40%. Patient/provider communication (β = .329, p =.004) and retired employment status (β =.422, p=>001) were found to contribute significantly to the model. There was no significant difference in medication adherence between first, second, and third generation groups (F (2,81) = .418, p = .659). Tukey’s HSD Test for multiple comparisons found that the mean value for medication adherence was not significantly different between first, second, and third generation groups. Assessment of social determinants of health as they relate to medication adherence is essential in the management of CVD. Assessment of the influence of social determinants of health on medication adherence is essential in the management of CVD. Nurses can play a valuable role in promoting adherence by collaborating with other members of the health care team and community partners to assess social determinants of health and develop strategies and programs to promote adherence behaviors. More research is needed to understand the causality of medication non-adherence in this, and other populations of patients diagnosed with chronic disease. Keywords: medication adherence, social determinants of health, cardiovascular disease Hispanic women
dc.format.mimetypeapplication/pdf
dc.identifier.uri
dc.identifier.urihttps://hdl.handle.net/11274/15734
dc.language.isoEnglish
dc.subjectHispanic women aged 40 and above who are prescribed medications for treatment of cardiovascular disease
dc.subject.otherSocial determinants of health
dc.subject.otherCardiovascular disease
dc.subject.otherHispanic women
dc.subject.otherMedication adherence
dc.titleSocial determinants of health influential to medication adherence in Hispanic women with cardiovascular disease
dc.typeThesis
dc.type.materialtext
thesis.degree.collegeCollege of Nursing
thesis.degree.departmentNursing
thesis.degree.disciplineNursing Science
thesis.degree.grantorTexas Woman's University
thesis.degree.nameDoctor of Philosophy
thesis.degree.programAPA 7th edition
thesis.degree.schoolTexas Woman's University

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