Document Detail

Factors related to poor control of blood pressure with antihypertensive drug therapy.
MedLine Citation:
PMID:  12699136     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To study the associations of patient-related and perceived healthcare-related factors with the control of blood pressure. SUBJECTS: Physicians identified all of the hypertensive patients they saw during I week in 26 health centres. Out of 2,219 patients, 80% agreed to participate, 88% of which took antihypertensive medication. METHODS: In this cross-sectional questionnaire study, based on 82 opinion statements, 14 problem indices were formed using factor analysis. Logistic regression models were used to study the associations with blood pressure control. RESULTS: Eighty per cent of the men and 79% of the women had poor blood pressure control (BP > or = 140/90 mmHg). High levels of hopelessness towards hypertension (adjusted OR 2.16; 95% confidence interval (CI) 1.20-3.88) as well as medium and high levels of frustration with treatment (adjusted OR 1.50; 95% CI 1.04-2.18 and OR 1.83; 95% CI 0.98-3.44) were associated with poor control. The perceived tension with blood pressure measurement (adjusted OR 1.60; 95% CI 1.08-2.36) was similarly associated with poor control. Non-compliance in men, old age and monotherapy were also associated with poor blood pressure control. CONCLUSION: Hopelessness, frustration with treatment, and perceived tension with blood pressure measurement are associated with poor blood pressure control.
Erkki Jokisalo; Hannes Enlund; Pirjo Halonen; Jorma Takala; Esko Kumpusalo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Blood pressure     Volume:  12     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2003  
Date Detail:
Created Date:  2003-04-17     Completed Date:  2003-11-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  49-55     Citation Subset:  IM    
Department of Social Pharmacy, University of Kuopio, Finland.
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MeSH Terms
Age Factors
Antihypertensive Agents / administration & dosage,  therapeutic use*
Blood Pressure / drug effects*
Cross-Sectional Studies
Data Collection
Hypertension / drug therapy*,  psychology
Logistic Models
Middle Aged
Odds Ratio
Patient Compliance / psychology,  statistics & numerical data
Professional-Patient Relations
Risk Factors
Sex Factors
Time Factors
Reg. No./Substance:
0/Antihypertensive Agents
Comment In:
Blood Press. 2003;12(1):5-6   [PMID:  12699128 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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