Date of Conferral
8-6-2026
Date of Award
August 2026
Degree
Ph.D.
School
Health Sciences
Advisor
Shawnte Elbert
Abstract
In this qualitative phenomenological study, the beliefs and lived experiences of midlife, low-income Black women with hypertension were explored, concentrating on understanding how social determinants of health influence effects adherence to diet, physical activity and stress management. Social determinants of health and how health beliefs shape adherence to behaviors were examined. The study was guided by a dual theory approach of the social cognitive theory and theory of planned behavior. Six women, identified as Black, between the ages 40-60, diagnosed with hypertension and living in Atlanta, Georgia, participated in the study. Data was analyzed using Moustakas’ phenomenological analysis and revealed four themes: (a) managing hypertension as a daily balancing act; (b) structural barriers limiting consistent adherence; (c) stress, risk, and emotional strain as persistent influence; (d) social support as a source of motivation and accountability. The phenomenological data described participants’ willingness to adhere to healthy lifestyle practices through dietary practices and physical activity while challenged with limitations of resources, time, and access to healthy foods. This study may contribute to positive social change by increasing awareness of culturally tailored interventions and increasing health literacy to support midlife Black women in managing hypertension through nonpharmacological strategies
Recommended Citation
Feagins, Beth, "The Lived Experiences of Midlife Black Women in Atlanta Managing Hypertension Through Nonpharmacological Interventions" (2026). Walden Dissertations and Doctoral Studies. 20561.
https://scholarworks.waldenu.edu/dissertations/20561
