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How Family, Community, and Work Structured High Blood Pressure Accounts: From African Americans in Washington State

^* To whom correspondence should be addressed. E-mail: dboutain{at}u.washington.edu.

	Abstract

High blood pressure is one of the most often researched, yet least understood health disparities among African Americans. This descriptive, critical discourse analysis examined how family and community demographics and paid and unpaid work structured participants’ accounts of high blood pressure experiences in Washington State. Thirty-seven urban-dwelling African American women (n = 17) and men (n = 20) in Washington State enrolled in the study from 2000-2001. Reports about stress, concerns, worry, loneliness, and paid and unpaid work were given in semistructured interviews. Analysis results are embedded within three major themes: (a) Aware, But Not Informed, (b) Negotiating Self, Kin and Community Health, and (c) Distant Lives, Distant Love. Knowledge of life factors influencing African Americans’ high blood pressure appraisals will help develop context-specific health programs focused on their concerns.

First published on April 18, 2008, doi:10.1177/0898010108315187

Journal of Holistic Nursing 2008;26:173.

A more recent version of this article appeared on September 1, 2008


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				J. Y. Taylor Commentary on "How Family, Community, and Work Structured High Blood Pressure Accounts: From African Americans in Washington State" J Holist Nurs, September 1, 2008; 26(3): 183 - 184. [PDF]