Document Detail


Trust in physicians and blood pressure control in blacks and whites being treated for hypertension in the REGARDS study.
MedLine Citation:
PMID:  20828103     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Among persons treated for hypertension, Blacks are more likely to have uncontrolled blood pressure compared to Whites. Few studies have focused on trust in physicians as a potential contributor to this disparity in blood pressure (BP) control. The primary objective of this study was to assess the relationship between trust in physicians and blood pressure control among Blacks and Whites being treated for hypertension.
DESIGN: Cross-sectional analysis of baseline data collected from the REasons for Geographic And Racial Differences in Stroke cohort, a US national, population-based cohort study. Participants were recruited by telephone from 2003-2007, completed a telephone survey, and had BP measured during an in-home visit.
PARTICIPANTS: 2843 Black and White adults aged > 45 years with treated hypertension.
MAIN OUTCOME MEASURES: Uncontrolled blood pressure was defined as systolic blood pressure > 140 mm Hg or diastolic blood pressure > 90 mm Hg. For participants with diabetes, renal disease, or self-reported previous myocardial infarction, uncontrolled blood pressure was defined as systolic blood pressure > 130 mm Hg or diastolic blood pressure > 80 mm Hg.
RESULTS: Trust in physicians was not associated with uncontrolled blood pressure in either unadjusted (odd ratio [OR] 1.07; 95% confidence interval [CI) 0.92, 1.25) or adjusted analyses (OR 0.97; 0.83, 1.14). Both Black race (OR 1.58; 1.36, 1.84) and imperfect medication adherence (OR 1.56; 1.31,1.86) were associated with higher odds of uncontrolled blood pressure.
CONCLUSIONS: Trust in physicians was not related to blood pressure control among Blacks and Whites with treated hypertension in this sample. The racial disparity in blood pressure control was not completely explained by trust in physicians or medication adherence, and a better understanding of the mechanisms leading to this disparity is needed.
Authors:
Raegan W Durant; Leslie A McClure; Jewell H Halanych; Cora E Lewis; Ronald J Prineas; Stephen P Glasser; Monika M Safford
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Ethnicity & disease     Volume:  20     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-10     Completed Date:  2010-11-02     Revised Date:  2013-07-31    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  282-9     Citation Subset:  IM    
Affiliation:
Division of Preventive Medicine; University of Alabama at Birmingham, Birmingham, AL 35294, USA. rdurant@mail.dopm.uab.edu
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MeSH Terms
Descriptor/Qualifier:
African Americans / psychology*
Aged
Attitude of Health Personnel / ethnology
Chi-Square Distribution
Cross-Sectional Studies
European Continental Ancestry Group / psychology*
Female
Health Status Indicators
Humans
Hypertension / ethnology*
Logistic Models
Longitudinal Studies
Male
Middle Aged
Physician-Patient Relations*
Questionnaires
Risk Factors
Treatment Outcome
Trust*
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01 HL080477/HL/NHLBI NIH HHS; R01 HL080477-02S1/HL/NHLBI NIH HHS; U01 NS041588/NS/NINDS NIH HHS; U01 NS041588/NS/NINDS NIH HHS; U01 NS041588-09S1/NS/NINDS NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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