Daily experiences of women diagnosed with systemic arterial hypertension living in Mexico City
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Abstract
Introduction: The high prevalence of systemic arterial hypertension is a health issue worldwide. It is necessary to deepen, from a critical perspective, on the underlying aspects related to the lack of control and the complexity of this phenomenon within the context of poverty.
Objective: To analyze from a critical perspective the experiences and meanings of 3 women suffering from systemic arterial hypertension living in a context of poverty and agricultural labor in Mexico City.
Methodology: This is an ethnographic study with a 2 year follow up on three women suffering from systemic arterial hypertension. Observations and in depth as well as informal interviews were carried out. The interviews were analyzed from the critical phenomenology perspective.
Results: The following categories were identified: beginning and ailments; and daily experience of the illness. The results showed the complex interactions reflecting the tensions derived from living in a context of poverty and somatic culture.
Discussion and conclusions: The findings show the synergy of the context-related factors which contribute to the somatic culture and lack of health attention in which the presence of ailments, illnesses, and gender inequality is normalized. The experience of the illness was highly influenced by the economic situation as well as by gender.
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(1) Organización Mundial de la Salud. Ginebra: OMS; © 2021. Mas de 700 millones de personas con hipertensión sin tratar. https://bit.ly/3ZI8vT0
(2) Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: A systematic analysis of population-based studies from 90 countries. Circulation. 2016; 134(6): 441-50. https://doi.org/10.1161/CIRCULATIONAHA.115.018912
(3) Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease
Study 2010. Lancet. 2012; 380(9859): 2224-60. https://doi.org/10.1016/S0140-6736(12)61766-8
(4) Zhou D, Xi B, Zhao M, Wang L, Veeranki SP. Uncontrolled hypertension increases risk of allcause and cardiovascular disease mortality in US adults: The NHANES III Linked Mortality Study. Sci Rep. 2018; 8: 9418. https://doi.org/10.1038/s41598-018-27377-2
(5) Conn VS, Ruppar TM, Chase JA, Enriquez M, Cooper PS. Interventions to improve medication adherence in hypertensive patients: Systematic review and meta-analysis. Curr Hypertens Rep. 2015; 17: 94. https://doi.org/10.1007/s11906-015-0606-5
(6) Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: A systematic review and meta-analysis. Medicine. 2017; 96(4):e5641. https://doi.org/10.1097/MD.0000000000005641
(7) Elliot WJ. What factors contribute to the inadequate control of elevated blood pressure? J Clin Hypertens. 2008; 10(Suppl. 1): 20-6. https://doi.org/10.1111/j.1524-6175.2007.08028.x
(8) Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, BautistaArredondo S, Colchero MA, et al. Encuesta Nacional de Salud y Nutrición 2020 sobre Covid19: resultados nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública; 2021.
(9) Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Romero-Martínez M, MojicaCuevas J, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2018-19: Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública; 2020. https://bit.ly/3BFXb0h
(10) Campos-Nonato I, Hernández-Barrera L, Pedroza-Tobías A, Medina C, Barquera S. Hipertensión arterial en adultos mexicanos: prevalencia, diagnóstico y tipo de tratamiento. Ensanut MC 2016. Salud pública Méx. 2018; 60(3): 233-43. https://doi.org/10.21149/8813
(11) Anderson LJ, Nuckols TK, Coles C, Le MM, Schnipper JL, Shane R, et al. A systematic overview of systematic reviews evaluating medication adherence interventions. Am J HealthSyst Pharm. 2020; 77(2): 138-47. https://doi.org/10.1093/ajhp/zxz284
(12) Van der Laan DM, Elders PJM, Boons CCLM,. Beckeringh JJ, Nijpels G, Hugtenburg JG. Factors associated with antihypertensive medication non-adherence: A systematic review. J Hum Hypertens. 2017; (31): 687-94. https://doi.org/10.1038/jhh.2017.48
(13) Vooradi S, Mateti UV. A systemic review on lifestyle interventions to reduce blood pressure. J Health Res Rev Dev Ctries. 2016; 3(1):1-5. https://doi.org/10.4103/2394-2010.173558
(14) Pinho S, Cruz M, Ferreira F, Ramalho A, Sampaio R. Improving medication adherence in hypertensive patients: A scoping review. Prev Med. 2021; 146: e106467 1-12. https://doi.org/10.1016/j.ypmed.2021.106467
(15) Tinsel I, Buchholz A, Vach W, Siegel A, Dürk T, Buchholz A, et al. Shared decision-making in antihypertensive therapy: A cluster randomised controlled trial. BMC Fam Pract. 2013; 14: e135. https://doi.org/10.1186/1471-2296-14-135
(16) Fletcher BR, Hinton L, Hartmann-Boyce J, Roberts NW, Bobrovitz N, McManus RJ. Selfmonitoring blood pressure in hypertension, patient and provider perspectives: A systematic review and thematic synthesis. Patient Educ Couns. 2016; 99(2): 210-9. https://doi.org/10.1016/j.pec.2015.08.026
(17) Tam HL, Wong EML, Cheung K, Chung SF. Effectiveness of text messaging interventions on blood pressure control among patients with hypertension: Systematic review of randomized controlled trials. JMIR Mhealth Uhealth. 2021; 9(9): e24527. https://doi.org/10.2196/24527
(18) Leon N, Surender R, Bobrow K, Muller J, Farmer A. Improving treatment adherence for blood pressure lowering via mobile phone SMS-messages in South Africa: A qualitative evaluation of the SMS-text Adherence SuppoRt (StAR) trial. BMC Fam Pract. 2015; 16: e:80.
https://doi.org/10.1186/s12875-015-0289-7
(19) Bengtsson U, Kjellgren K, Hallberg I, Lindwall M, Taft C. Improved blood pressure control using an interactive mobile phone support system. J Clin Hypertens. 2016; 18(2): 101-8. https://doi.org/10.1111/jch.12682
(20) Taylor KD, Adedokun A, Awobusuyi O, Adeniran P, Onyia E, Ogedegbe G. Explanatory models of hypertension among Nigerian patients at a University Teaching Hospital. Ethn Health. 2012; 17(6): 615-29. https://doi.org/10.1080/13557858.2013.771151
(21) Shamsi A, Dehghan-Nayeri N, Esmaeili M. Living with hypertension: A qualitative research. Int J Community Based Nurs Midwifery. 2017; 5(3): 219-30. https://bit.ly/3TnQUgI
(22) Lasco G, Mendoza J, Renedo A, Seguin ML, Palafox B, Palileo-Villanueva LM et al. Nasa dugo (‘It’s in the blood’): Lay conceptions of hypertension in the Philippines. BMJ Glob Health. 2020; 5: e002295. https://doi.org/10.1136/bmjgh-2020-002295
(23) Lackland DT. Racial differences in hypertension: Implications for high blood pressure management. Am J Med Sci. 2014; 348(2): 135-8.
https://doi.org/10.1097/MAJ.0000000000000308
(24) Buckley L, Labonville S, Barr J. A systematic review of beliefs about hypertension and its treatment among African Americans. Curr Hypertens Rep. 2016; 18: 52. https://doi.org/10.1007/s11906-016-0662-5
(25) Shiyanbola OO, Brown CM, Ward EC. “I did not want to take that medicine”: AfricanAmericans’ reasons for diabetes medication nonadherence and perceived solutions for enhancing adherence. Patient Prefer Adherence. 2018; 12: 409-21. https://doi.org/10.2147/PPA.S152146
(26) Gracey M, King M. Indigenous health part 1: Determinants and disease patterns. Lancet. 2009; 374(9683): 65-75. https://doi.org/10.1016/S0140-6736(09)60914-4
(27) Rosenthal T. The effect of migration on hypertension and other cardiovascular risk factors: A review. J Am Soc Hypertens. 2014; 8(3): 171-91. https://doi.org/10.1016/j.jash.2013.12.007
(28) Akinlua JT, Meakin R, Freemantle N. Beliefs about hypertension among Nigerian immigrants to the United Kingdom: A qualitative study. PLoS One. 2017; 12(7): e0181909. https://doi.org/10.1371/journal.pone.0181909
(29) Bokhour BG, Cohn ES, Cortés DE, Solomon JL, Fix GM, Elwy AR, et al. The role of patients’ explanatory models and daily-lived experience in hypertension self-management. J Gen Intern Med. 2012; 27(12): 1626-34. https://doi.org/10.1007/s11606-012-2141-2
(30) Beune EJAJ, Haafkens JA, Schuster JS, Bindels PJE. ‘Under pressure’: How Ghanaian, African-Surinamese and Dutch patients explain hypertension. J Hum Hypertens. 2006; 20: 946-55. https://doi.org/10.1038/sj.jhh.1002094
(31) Martínez A. Genes, enfermedades y determinismos. En: Martínez-Hernáez A. Antropología médica: Teorías sobre la cultura, el poder y la enfermedad. Barcelona: Antrophos; 2008.
(32) Good BJ. La antropología médica y el problema de la creencia. En: Good B. Medicina, racionalidad y experiencia. Barcelona: Ballaterra; 2003.
(33) Stanford Enciclopedy Phylosophy. Phenmenology. Stanford: SEP; 2013. https://stanford.io/3qP4n3U
(34) Desjarlais R, Throop J. Phenomenological approaches in anthropology. Annu. Rev. Anthropol. 2011. 40: 87-102. https://doi.org/10.1146/annurev-anthro-092010-153345
(35) Das V, Das RK. Chapter 3 How the body speaks: Illness and the lifeworld among the urban poor. In: Biehl J, Good BJ, Kleinman A. Subjectivity. Etnographic investigations. California: University of California; 2007. pp. 66-97. https://doi.org/10.1525/california/9780520247925.003.0004
(36) Kleinman A, Eisenberg L, Good B. Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Ann Intern Med Clin Cases. 1978; 88(2): 251-8. https://doi.org/10.7326/0003-4819-88-2-251
(37) Guber R. La etnografía: Método, campo y reflexividad. Buenos Aires: Siglo Veintiuno XXI Editores; 2016. https://bit.ly/3duuVnW
(38) Meyer S, Ward P. ‘How to’ Use social theory within and throughout qualitative research in healthcare contexts. Sociol Compass. 2014; 8(5): 525-39. https://doi.org/10.1111/soc4.12155
(39) Mattingly C. Defrosting concepts, destabilizing doxa: Critical phenomenology and the perplexing particular. Anthropological Theory. 2019; 19(4): 415-39. https://doi.org/10.1177/1463499619828568
(40) Ortega-Olivares M. Pueblos originarios, autoridades locales y autonomía al sur del Distrito Federal. Nueva Antropol. 2010; 23(73): 87-117. https://bit.ly/3A4vGvB
(41) Romero-Tovar MT. Antropología y pueblos originarios de la Ciudad de México:. Las primeras reflexiones. Argumentos. 2009; (59): 45-65. https://bit.ly/41fIzPg
(42) Portal MA. El desarrollo urbano y su impacto en los pueblos originarios en la Ciudad de México. Alteridades. 2013; 23(46): 53-64. https://bit.ly/3DGJvn1
(43) Congreso de la Ciudad de México. Decreto por el que se expide la Ley de Derechos de los Pueblos y Barrios Originarios y Comunidades Indígenas residentes en la Ciudad de México. CDMX: Gaceta Oficial de la Ciudad de México; 2019. https://bit.ly/40exEEm
(44) Ochoa-López F. La organización social en el Pueblo de San Luis Tlaxialtemalco, Delegación Xochimilco, Distrito Federal, base para un desarrollo regional. [Tesis]. CDMX: UNAMFacultad de Estudios Superiores Aragón; 2008. https://bit.ly/3S1OJhA
(45) Boltanski L. Los usos sociales del cuerpo (segunda parte). Argentina: Ediciones Periferia; 1975. https://bit.ly/3qW5qyV
(46) Horowitz CR, Tuzzio L, Rojas M, Monteith SA, Sisk JE. How do urban African Americans and Latinos view the influence of diet on hypertension?. J Health Care Poor Underserved. 2004; 15(4): 631-44. https://doi.org/10.1353/hpu.2004.0061
(47) Bertoni AG, Foy CG, Hunter JC, Quandt SA, Vitolins MZ, Whitt-Glover MC. A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status. J Health Care Poor Underserved.
; 22(4): 1205-20. https://doi.org/10.1353/hpu.2011.0142
(48) Świątoniowska-Lonc N, Polański J, Tański W, Jankowska-Polańska B. Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC Health Serv Res. 2020; 20: 1046.
https://doi.org/10.1186/s12913-020-05912-0
(49) Swain S, Hariharan M, Rana S, Chivukula U, Thomas M. Doctor-patient communication: Impact on adherence and prognosis among patients with primary hypertension. Psychol Stud. 2015; 60(1): 25-32. https://doi.org/10.1007/s12646-014-0291-5
(50) Kretchy I, Owusu-Daaku FT, Danquah SA, Asampong E. A psychosocial perspective of medication side effects, experiences, coping approaches and implications for adherence in hypertension management. Clin Hypertens. 2015; 21: 19. https://doi.org/10.1186/s40885-015-0028-3
(51) Tan CS, Hassali MA, Neoh CF, Saleem F. A qualitative exploration of hypertensive patients’ perception towards quality use of medication and hypertension management at the community level. Pharmacy Prac (Granada). 2017; 15(4): 1074. https://doi.org/10.18549/PharmPract.2017.04.1074
(52) Cuidados y desigualdades en México: una lectura conceptual. En: OXFAM México. Trabajos de cuidados y desigualdad. CDMX: OXFAM México; 2019. pp. 19-64. https://bit.ly/3S3s8RL
(53.)Rodríguez-Enríquez C. Economía del cuidado y desigualdad en América Latina: avances recientes y desafíos pendientes. En: Carrasco-Bengoa C, Díaz-Corral C (editoras). Economía feminista: desafíos, propuestas, alianzas. Barcelona: Entrepueblos/Entrepobles/Entrepobos/Herriarte; 2017. pp. 143-66. https://bit.ly/3r2WpE9
(54) Altiner A. Patients’ concepts of hypertension: New insights support the need for more shared decision making independent of cultural background. BMJ. 2012; 345: e4688. https://doi.org/10.1136/bmj.e4688
(55) Arah OA, Westert GP, Hurst J, Klazinga NS. A conceptual framework for the OECD Health Care Quality Indicators Project. Int J Qual Health Care. 2006; 18(Suppl. 1): 5-13. https://doi.org/10.1093/intqhc/mzl024
(56) Schuster J, Beune E, Stronks K. Metaphorical constructions of hypertension among three ethnic groups in the Netherlands. Ethn Health. 2011; 16(6): 583-600. https://doi.org/10.1080/13557858.2011.594996
(57) Higginbottom G. “I didn’t tell them. Well, they never ask”. Lay understandings of hypertension and their impact on chronic disease management: Implications for nursing practice in primary care. J Res Nurs. 2008; 13(2): 89-99. https://doi.org/10.1177/1744987108088636
(58) Tepichin-Valle AM. Desigualdades de género y pobreza femenina. En: Tepichin-Valle AM. Género en Contextos de pobreza. México, D.F.: El Colegio de México; 2011. pp. 11-34. https://bit.ly/40EtOo0
(59) Tepichin-Valle AM. La actividad económica de las mujeres: espacio por excelencia para explorar el vínculo entre género y pobreza. Estud. sociol. 2013; 31(supl.): 143-66. https://bit.ly/3Nj4pgZ
(60) Marshall IJ, Wolfe CDA, McKevitt C. Lay perspectives on hypertension and drug adherence: Systematic review of qualitative research. BMJ. 2012; 345: e3953. https://doi.org/10.1136/bmj.e3953
(61) Cramer JA, Roy A, Burrell A, Fairchild CJ, Fuldeore MJ, Ollendorf DA, et al. Medication compliance and persistence: Terminology and definitions. Value Health. 2008; 11(1): 44-47. https://doi.org/10.1111/j.1524-4733.2007.00213.x
(62) Gast A, Mathes T. Medication adherence influencing factors - an (updated) overview of systematic reviews. Syst Rev. 2019; 8: 112. https://doi.org/10.1186/s13643-019-1014-8
(63) Secretaría de Salud. Estado de la enfermería en México 2018. CDMX: SSA; 2018. https://bit.ly/2UDYesB
(64) Organización Panamericana de la Salud / Organización Mundial de la Salud. Ampliación del rol de las enfermeras y enfermeros en la atención primaria de salud. Washington, D.C.: OPS; 2018. https://bit.ly/2uAdU5d
(65) Himmelfarb CRD, Commodore-Mensah Y, Hill MN. Expanding the role of nurses to improve hypertension care and control globally. Ann Glob Health. 2016; 82(2): 243-53.https://doi.org/10.1016/j.aogh.2016.02.003
(66) Hannan JA, Commodore-Mensah Y, Tokieda N, Smith AP, Gawlik KS, Murakami L, et al. Improving hypertension control and cardiovascular health: An urgent call to action for nursing. Worldviews Evid Based Nurs. 2022; 19(1): 6-15. https://doi.org/10.1111/wvn.12560
(67) Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: Randomized controlled trial. Fam Pract. 2014; 31(2): 172-9. https://doi.org/10.1093/fampra/cmt074
(68) Hebert PL, Sisk JE, Tuzzio L, Casabianca JM, Pogue VA, Wang JJ, et al. Nurse-led disease management for hypertension control in a diverse urban community: A randomized trial. J Gen Intern Med. 2012; 27(6): 630-9. https://doi.org/10.1007/s11606-011-1924-1
(69) Drevenhorn E, Bengtson A, Allen JK, Säljö R, Kjellgren KI. Counselling on lifestyle factors in hypertension care after training on the stages of change model. Eur J Cardiovasc Nurs. 2007; 6(1): 46-53. https://doi.org/10.1016/j.ejcnurse.2006.03.007
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