| Predictors of hypertension control in a diverse general cardiology practice. | |
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MedLine Citation:
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PMID: 20695933 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Factors influencing hypertension (HTN) control in the United States are not well understood. The authors utilized a newly designed survey instrument to interview patients presenting to a diverse, general cardiology practice at a tertiary care center in order to identify factors associated with HTN control. The study was completed in 154 participants, and 121 (78.6%) had HTN. Of those, 111 (91.7%) had awareness of HTN, and 72 (59.5%) had HTN control, defined as <140/90 mm Hg. In a multivariate analysis, race/ethnicity was not associated with HTN control, but private insurance (odds ratio [OR] 3.40, 95% confidence interval [CI] 1.25-9.28), nonsmoker status (OR 4.36, CI 1.22-15.51), and number of medications used (OR 1.32, CI 1.12-1.56) were associated with HTN control. Correct recognition of systolic blood pressure goal and knowledge of one's current state of HTN control were also associated with control. In conclusion, in a general cardiology practice where patients had a high degree of healthcare access, race/ethnicity was not associated with HTN control, while type of insurance, nonsmoker status, and increased number of medications used were associated. In addition, 2 novel predictors of HTN control, recognition of systolic blood pressure goal and knowledge of HTN control, were identified that can be utilized in creating new HTN treatment interventions. |
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Authors:
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Adam D DeVore; Matthew Sorrentino; Morton F Arnsdorf; R Parker Ward; George L Bakris; Ron Blankstein |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of clinical hypertension (Greenwich, Conn.) Volume: 12 ISSN: 1751-7176 ISO Abbreviation: J Clin Hypertens (Greenwich) Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-10 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888554 Medline TA: J Clin Hypertens (Greenwich) Country: United States |
Other Details:
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Languages: eng Pagination: 570-7 Citation Subset: IM |
Affiliation:
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Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. adevore@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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ethnology Aged Antihypertensive Agents / therapeutic use Asian Americans / ethnology Awareness Blood Pressure* / physiology European Continental Ancestry Group / ethnology Female General Practitioners* Health Knowledge, Attitudes, Practice* Hispanic Americans / ethnology Humans Hypertension / drug therapy*, ethnology*, physiopathology Male Middle Aged Patient Education as Topic Predictive Value of Tests Retrospective Studies Systole / physiology |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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