Acculturation, Health Literacy, and Illness Perceptions of Hypertension among Hispanic Adults

J Transcult Nurs. 2015 Sep;26(4):386-94. doi: 10.1177/1043659614524785. Epub 2014 May 8.

Abstract

Purpose: Hypertension treatment rates are disproportionately lower among Hispanics compared to non-Hispanic Whites and non-Hispanic Blacks. The purpose of this study was to examine the relationship among acculturation, health literacy, and illness perceptions of hypertension among Hispanics.

Design: A cross-sectional correlational design was used, including 144 Hispanic adults with a self-reported diagnosis of hypertension.

Method: The instruments used included the Short Acculturation Scale for Hispanics, the Newest Vital Sign instrument to measure health literacy, and the Brief Illness Perception Questionnaire.

Results: Significant relationships were found among acculturation, health literacy, and several illness perceptions (consequences, control, symptoms, and emotions).

Conclusion: Acculturation and health literacy play an important role in illness perceptions of hypertension among Hispanics.

Implications: Findings could be helpful in the development of tailored health promotion interventions to improve hypertension management among Hispanic adults.

Keywords: Hispanics; acculturation; health literacy; hypertension; illness perceptions.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Cultural Characteristics
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hispanic or Latino
  • Humans
  • Hypertension / epidemiology*
  • Hypertension / ethnology
  • Hypertension / nursing
  • Illinois / epidemiology
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Surveys and Questionnaires
  • Transcultural Nursing
  • Young Adult