{"id":47473,"date":"2000-10-12T00:00:00","date_gmt":"2000-10-12T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2000\/10\/12\/johns-hopkins-university-professor-says-high-bloodpressure-care-and-control-requires-different-approach-in-at-risk-urbanblack-men\/"},"modified":"2022-08-29T10:54:29","modified_gmt":"2022-08-29T15:54:29","slug":"johns-hopkins-university-professor-says-high-bloodpressure-care-and-control-requires-different-approach-in-at-risk-urbanblack-men","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2000\/10\/12\/johns-hopkins-university-professor-says-high-bloodpressure-care-and-control-requires-different-approach-in-at-risk-urbanblack-men\/","title":{"rendered":"Johns Hopkins University Professor Says High Blood\n\nPressure Care and Control Requires Different Approach in At-risk Urban\n\nBlack Men"},"content":{"rendered":"

Its estimated that one in four American adults has high blood pressure,<\/p>\n

yet nearly half are not in care, and only 27 percent have their blood pressures<\/p>\n

under control. In the at-risk group of young urban black men, the effects<\/p>\n

of high blood pressure can be more devastating as it tends to occur at<\/p>\n

a younger age and be more severe.<\/p>\n

Martha Hill, Ph.D., professor at the Johns Hopkins University School<\/p>\n

of Nursing in Baltimore, M.D., spoke Oct. 9 and 10 to University of Nebraska<\/p>\n

Medical Center and Nebraska Health System faculty and staff, and community<\/p>\n

groups, about her research and its implications. Dr. Hill is an expert<\/p>\n

in hypertension and is the 10th visiting nurse scholar for the UNMC College<\/p>\n

of Nursing and Nebraska Health System.<\/p>\n

The purpose of the visit, which is sponsored by UNMC and NHS, is to<\/p>\n

highlight the research work of a nurse scientist who has had an impact<\/p>\n

on the health of society and on public policy.<\/p>\n

Her research is really important and relevant in clinical implications<\/p>\n

for communities focused on diabetes and hypertension in vulnerable populations,<\/p>\n

said Ada Lindsey, Ph.D., dean of the UNMC College of Nursing.<\/p>\n

High blood pressure causes the heart to work harder, which increases<\/p>\n

the risk of heart attacks, strokes, kidney failure, damage to the eyes,<\/p>\n

congestive heart failure and arterosclerosis hardening of the arteries.<\/p>\n

The risk for heart attack or stroke increases with obesity, smoking, high<\/p>\n

blood cholesterol and diabetes, as well as with high blood pressure.<\/p>\n

Dr. Hill spoke about the need of identifying and understanding the barriers<\/p>\n

to high blood pressure care and control in young urban black men with high<\/p>\n

blood pressure.<\/p>\n

When Dr. Hill proposed to begin her research work in this area in 1992,<\/p>\n

she was greeted with skepticism. Skeptics said her target audience would<\/p>\n

be hard to reach, and not interested in their health or participating in<\/p>\n

research studies.<\/p>\n

It made me even more determined, she said. Barriers to high blood<\/p>\n

pressure care and control have been reported in the literature for 30 years.<\/p>\n

Few reports on barriers have focused on the young black man with high blood<\/p>\n

pressure. These young men are the age, sex and race group with the highest<\/p>\n

rates of early severe and complicated high blood pressure and the lowest<\/p>\n

rates of awareness, treatment and control.<\/p>\n

It is necessary to understand and address these barriers in order to<\/p>\n

ultimately reduce the racial and ethnic disparities in high blood pressure<\/p>\n

care and control. In an on-going study, she and her team recruited and<\/p>\n

are following 309 underserved, inner-city, hypertensive black men between<\/p>\n

the ages of 18 and 54.<\/p>\n

Dr. Hills research indicates a majority of the men encountered a variety<\/p>\n

of overwhelming obstacles to adequate blood pressure care and control,<\/p>\n

including economic, social and lifestyle obstacles. Her research uncovered<\/p>\n

a lack of knowledge about the seriousness of untreated high blood pressure;<\/p>\n

lack of health insurance; lack of a physician or a valued patient-provider<\/p>\n

relationship; and the high cost and complexity of treatment. Other barriers<\/p>\n

included unemployment, use of alcohol or illicit drugs, and social isolation.<\/p>\n

Through the study, researchers found education, individualized care,<\/p>\n

home visits — as well as compassion, commitment and concern — increased<\/p>\n

the number of men who took control of their high blood pressure. They found<\/p>\n

39 percent of the men who had high blood pressure controlled their blood<\/p>\n

pressure after two years.<\/p>\n

Dr. Hill also discovered changes that need to be made in the way health<\/p>\n

providers are trained, as well as how they deliver care.<\/p>\n

We cant sit in clinics and expect everyone is going to come, Dr.<\/p>\n

Hill said. If you dont move out of the clinics and connect with people<\/p>\n

in the context of their livesyou will not be successful. Were looking<\/p>\n

at it from our perspective.<\/p>\n

We need to reframe our approach. It needs to be considerate, convenient<\/p>\n

and customer-focused.<\/p>\n

Many of the research participants Dr. Hill works with have little or<\/p>\n

no experience with the health-care system.<\/p>\n

Many men didnt know how to call and get an appointment or had no tolerance<\/p>\n

waiting on hold. If you dont understand how the system works or have never<\/p>\n

been a part of it, how can you benefit from it? Blood pressure can be controlled<\/p>\n

in most people with comprehensive, continuous and culturally relevant health<\/p>\n

care, as well as compliance with health providers treatment recommendations,<\/p>\n

she said.<\/p>\n

Dr. Hill said the team also dispelled myths. The bonding of our health<\/p>\n

provider-patient relationship really helped refute the myth that this group<\/p>\n

doesnt care about their health and wont participate in studies. They<\/p>\n

are appreciative of the care they receive. They value the care and nurturing<\/p>\n

they receive in the study and are concerned about their health.<\/p>\n

Dr. Hill is director of the Center for Nursing Research at Johns Hopkins,<\/p>\n

and also holds faculty appointments in the School of Medicine and School<\/p>\n

of Hygiene and Public Health. She was the sixth woman and first non-physician<\/p>\n

to serve as president of the American Heart Association.<\/p>\n

She has published more than 100 papers and 34 abstracts, and contributed<\/p>\n

to 15 books. She has served on numerous panels and boards, including the<\/p>\n

World Health Organizations Patient Education Program. She currently is<\/p>\n

working on three research projects funded by the National Institutes of<\/p>\n

Health to improve care and control of hypertension and\/or diabetes in urban<\/p>\n

blacks.<\/p>\n

 <\/p>\n<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Its estimated that one in four American adults has high blood pressure, yet nearly half are not in care, and only 27 percent have their blood pressures under control. In the at-risk group of young urban black men, the effects of high blood pressure can be more devastating as it tends to occur at a […]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47473","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"\nJohns Hopkins University Professor Says High Blood Pressure Care and Control Requires Different Approach in 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