| Trust in physicians and blood pressure control in blacks and whites being treated for hypertension in the REGARDS study. | |
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MedLine Citation:
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PMID: 20828103 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Ethnicity & disease Volume: 20 ISSN: 1049-510X ISO Abbreviation: Ethn Dis Publication Date: 2010 |
Date Detail:
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Created Date: 2010-09-10 Completed Date: 2010-11-02 Revised Date: 2011-07-26 |
Medline Journal Info:
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Nlm Unique ID: 9109034 Medline TA: Ethn Dis Country: United States |
Other Details:
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Languages: eng Pagination: 282-9 Citation Subset: IM |
Affiliation:
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Division of Preventive Medicine; University of Alabama at Birmingham, Birmingham, AL 35294, USA. rdurant@mail.dopm.uab.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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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:
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R01 HL080477-02S1/HL/NHLBI NIH HHS; U01 NS041588/NS/NINDS NIH HHS; U01 NS041588-09S1/NS/NINDS NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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