Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states

Latinos are at an increased risk of hypertension-related disparities. Biological, behavioral, cultural, and structural factors have been identified as underlying mechanisms driving these disparities. However, the influence of Latino settlement patterns on hypertension management practices has been rarely explored, particularly from a qualitative lens. Using data from semi-structured interviews conducted with Latinos with hypertension (n ​= ​26), we sought to develop a comprehensive understanding of the social and contextual factors influencing Latinos' hypertension management practices in new and established Latino destination states (Iowa and California, respectively). Participants described hypertension management as a complex phenomenon being influenced by factors at each level of the ecological model. However, some factors were more salient depending on place of residence. Specifically, while Latinos in Iowa were more likely to discuss how challenges of being an immigrant impacted their hypertension management, those in California had a preference to talk about how culture shapes the way they manage their hypertension. This study extends efforts to identify the underlying mechanisms driving Latinos' hypertension-related disparities. Results highlight the need to consider place of residence as a key contextual factor. Tailoring interventions to place may be necessary to effectively address Latinos’ hypertension-related needs.