@article{ref1,
title="Trying to make things right: adherence work in high-poverty, African American neighborhoods",
journal="Qualitative health research",
year="2014",
author="Senteio, Charles and Veinot, Tiffany",
volume="24",
number="12",
pages="1745-1756",
abstract="Adherence to treatment recommendations for chronic diseases is notoriously low across all patient populations. But African American patients, who are more likely to live in low-income neighborhoods and to have multiple chronic conditions, are even less likely to follow medical recommendations. Yet we know little about their contextually embedded, adherence-related experiences. We interviewed individuals (n = 37) with at least two of the following conditions: hypertension, diabetes, and chronic kidney disease. Using an &quot;invisible work&quot; theoretical framework, we outline the adherence work that arose in patients' common life circumstances. We found five types: constantly searching for better care, stretching medications, eating what I know, keeping myself alive, and trying to make it right. Adherence work was effortful, challenging, and addressed external contingencies present in high-poverty African American neighborhoods. This work was invisible within the health care system because participants lacked ongoing, trusting relationships with providers and rarely discussed challenges with them.<p /><p>Language: en</p>",
language="en",
issn="1049-7323",
doi="10.1177/1049732314549027",
url="http://dx.doi.org/10.1177/1049732314549027"
}