{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T04:08:50Z","timestamp":1754194130264,"version":"3.40.5"},"reference-count":60,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["T32NR011147\u201006A1"],"award-info":[{"award-number":["T32NR011147\u201006A1"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG059297\u201002"],"award-info":[{"award-number":["P30AG059297\u201002"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim and objectives<\/jats:title><jats:p>To describe the (a) prevalence and perceptions of cardiovascular disease and related health conditions in African Americans with osteoarthritis pain, (b) their knowledge of cardiovascular safety of commonly prescribed analgesics for osteoarthritis and (c) frequency of high\u2010risk analgesic use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>African Americans have more disabling osteoarthritis pain and an excessive burden of cardiovascular disease than any other US racial group. However, minimal research has investigated the relationship between chronic pain and cardiovascular disease and subsequent medication knowledge and use in African Americans. Consolidated Criteria for Reporting Qualitative and Srengthening the Reporting of Observational studies in Epidemiology checklists were followed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A descriptive, secondary mixed\u2010methods analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 110 African American adults (50\u201394\u00a0years and older) completed surveys and individual qualitative interviews. Data were analysed using descriptive statistics, chi\u2010square or Fisher's exact test, <jats:italic>t<\/jats:italic> test, Mann\u2013Whitney <jats:italic>U<\/jats:italic> and a qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hypertension was the most common cardiovascular condition reported, and African Americans with hypertension reported greater pain than those without. The survey questions revealed that most participants did not possess accurate knowledge about the appropriateness of analgesics in heart failure and other cardiovascular\u2010related diseases; however, during the interviews, some did acknowledge a general understanding of the negative effects of some medications. Still, many older adults were taking nonsteroidal anti\u2010inflammatory drugs despite having hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was evidence of multimorbidity in our sample; based on our data, chronic osteoarthritis pain and hypertension are two highly comorbid conditions, suggesting a possible syndemic. More disparate is the lack of knowledge that African Americans possess as it relates to safe use of analgesic medications when cardiovascular disease is present.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Chronic pain and cardiovascular\u2010related diseases are common and often co\u2010occur and should be evaluated in all older adults, particularly African Americans. Both issues are important to manage, including the safe and appropriate use of medications, to prevent adverse effects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15292","type":"journal-article","created":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T01:41:25Z","timestamp":1587087685000},"page":"2675-2690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Chronic pain, cardiovascular health and related medication use in ageing African Americans with osteoarthritis"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8934-1335","authenticated-orcid":false,"given":"Staja Q.","family":"Booker","sequence":"first","affiliation":[{"name":"College of Nursing The University of Florida Gainesville FL USA"},{"name":"Pain Research and Intervention Center of Excellence (PRICE) The University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5115-3256","authenticated-orcid":false,"given":"Virginia G.","family":"Content","sequence":"additional","affiliation":[{"name":"Pain Research and Intervention Center of Excellence (PRICE) The University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S192252"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780290816"},{"volume-title":". Life check life's simple 7","author":"American Heart Association","key":"e_1_2_11_4_1"},{"volume-title":"Osteoarthritis may raise heart disease risk","author":"Arthritis Foundation","key":"e_1_2_11_5_1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0652-8"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-27"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.2015.998593"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6539a2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6609e1"},{"key":"e_1_2_11_11_1","first-page":"99","volume-title":"Black culture and experience: Contemporary issues","author":"Booker S. Q.","year":"2015"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840719884560"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pny260"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200503000-00006"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.62.4.556"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000534"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204763"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38620"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15112433"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4349"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000359"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/536962"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000385"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487315610663"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0000000000000021"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204388"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.10.027"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"issue":"7","key":"e_1_2_11_32_1","first-page":"1126","article-title":"Safe pharmacologic treatment behaviors for osteoarthritis pain in African Americans with hypertension, and renal and cardiac disease","volume":"98","author":"Johnson J.","year":"2006","journal-title":"Journal of the National Medical Association"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky098"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-148"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215534"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21768"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000000443"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30402-6"},{"volume-title":"Pain management and the opioid epidemic: Balancing societal and individual benefits and risks of prescription opioid use","year":"2017","author":"National Academies of Sciences, Engineering, and Medicine","key":"e_1_2_11_40_1"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-150"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt.13.48"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2017.07.008"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41927-019-0081-8"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2012.09.001"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22092"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.04.052"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12145"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000890"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7657329"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30003-X"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.04.002"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep39672"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-017-0635-7"},{"issue":"6","key":"e_1_2_11_58_1","first-page":"e13","article-title":"2017 ACC\/AHA\/A APA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults","volume":"71","author":"Whelton P. K.","year":"2018","journal-title":"Hypertension"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1151-2"},{"issue":"4","key":"e_1_2_11_60_1","first-page":"431","article-title":"Prescribing patterns in the treatment of hypertension among underserved African American elderly","volume":"24","author":"Yazdanshenas H.","year":"2014","journal-title":"Ethnicity & Disease"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14302"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.15292","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15292","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.15292","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T10:42:26Z","timestamp":1693996946000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.15292"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,5]]},"references-count":60,"journal-issue":{"issue":"13-14","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/jocn.15292"],"URL":"https:\/\/doi.org\/10.1111\/jocn.15292","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"type":"print","value":"0962-1067"},{"type":"electronic","value":"1365-2702"}],"subject":[],"published":{"date-parts":[[2020,5,5]]},"assertion":[{"value":"2019-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}