Emerson E. Ea

Defense Date

7-5-2016

Graduation Date

Summer 1-1-2016

Availability

One-year Embargo

Submission Type

dissertation

Degree Name

PhD

Department

Nursing

School

School of Nursing

Committee Chair

Alison Colbert

Committee Member

Melanie Turk

Committee Member

Victoria Dickson

Keywords

cardiovascular health, Filipino Americans, Filipinos, health inequity, hypertension, hypertension self-care

Abstract

Hypertension (HTN) is a leading risk factor in the development of cardiovascular disease (CVD) and stroke—two major causes of mortality and morbidity in the United States (US)—across all racial and ethnic groups, including Filipino immigrants. The results of early and recent studies that explored HTN among Filipinos in the US have consistently revealed a prevalence rate that is highest among Asian Americans. There is also evidence in the literature that indicates this population’s sub-optimal control and management of HTN when compared with other Asian American subgroups. Despite this reported alarming information about HTN for this population, there is a noticeable lack of studies on HTN among Filipinos in the US, especially those that explore the unique factors that might influence how this group experience and manage this chronic illness. The purpose of this study was to explore self-care among Filipino immigrants (n=163) who have HTN, and its relationship to acculturation, acculturative stress, HTN self-efficacy, and patient activation using the Transactional Model of Stress and Coping (TMSC) as a theoretical framework. The study results revealed that HTN self-efficacy (=0.27, t(116)=3.045, p=0.003) and patient activation (=0.21, t(116)=2.292, p=.024) significantly contributed to the regression model that accounted for 29.5% of the variance in HTN self-care for this sample. Further, a test of mediation on the role of patient activation in the relationship between HTN self-care and patient activation was conducted. The results of the bias corrected estimate of the indirect effect revealed that patient activation had a mediating role between HTN self efficacy and HTN self care (B=.15; CI95% = .0356, .3239) for this sample. Findings from this study highlight the importance of addressing HTN self efficacy and patient activation in improving HTN self care that would not only improve individual health outcomes but could also potentially reduce health inequity for this population.

Format

PDF

Language

English

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