This research was partially supported by a grant from the University of Illinois, College of Nursing, biomedical research support grant.
The Role of Black Churches in Supporting Compliance with Antihypertension Regimens
Version of Record online: 5 MAY 2007
Public Health Nursing
Volume 6, Issue 4, pages 212–217, December 1989
How to Cite
Smith, E. D. (1989), The Role of Black Churches in Supporting Compliance with Antihypertension Regimens. Public Health Nursing, 6: 212–217. doi: 10.1111/j.1525-1446.1989.tb00599.x
- Issue online: 5 MAY 2007
- Version of Record online: 5 MAY 2007
- Article received July 15. 1988. revised December 13. 1988. and accepted for publication April 18, 1989.
Although considerable gains have been made in hypertension control in the United States, the rate of control in blacks is lower than in whites. It has been asserted that this low control rate in blacks is due to lack of compliance. Using previously tested and new measures, as well as chart audit, this pilot study evaluated the specific role and effectiveness of the black church in promoting compliance with antihypertension regimens. A sample of 63 hypertensive subjects from two inner-city black churches participated; 33 were from a church that had a hypertension screening project and 30 were from one that did not. Clients from the church with the project did not score higher on a self-report compliance measure than those from the church without the project. Furthermore, no relationship was found between support and compliance and blood pressure control, although relationships were seen between age and compliance scores, and between following a doctor's advice and compliance scores. The church without a screening program was viewed by clients as more supportive than the one with the program.