Correlates of Controlled Hypertension in Indigent, Inner-City Hypertensive Patients
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To identify correlates of controlled hypertension in a largely minority population of treated hypertensive patients.
Urban, public hospital.
MEASUREMENTS AND MAIN RESULTS:
Control subjects had a mean blood pressure (BP) of 130/80 mm Hg and case subjects had a mean BP of 193/106 mm Hg. Baseline demographic characteristics between the 88 case and the 133 control subjects were not significantly different. In a logistic regression model, after adjusting for age, gender, race, education, owning a telephone, and family income, controlled hypertension was associated with having a regular source of care (odds ratio [OR] 7.93; 95% confidence interval [CI] 3.86, 16.29), having been to a doctor in the previous 6 months (OR 4.81; 1.14, 20.31), reporting that cost was not a deterrent to buying their antihypertensive medication (OR 3.63; 1.59, 8.28), and having insurance (OR 2.15; 1.02, 4.52). Being compliant with antihypertensive medication regimens was of borderline significance (OR 1.96; 0.99, 3.88). A secondary analysis found that patients with Medicaid coverage were significantly less likely than the uninsured to report cost as a barrier to purchasing antihypertensive medications and seeing a physician.
The absence of out-of-pocket expenditures under Medicaid for medications and physician care may contribute significantly to BP control. Improved access to a regular source of care and increased sensitivity to medication costs for all patients may lead to improved BP control in an indigent, inner-city population.
- Correlates of Controlled Hypertension in Indigent, Inner-City Hypertensive Patients
Journal of General Internal Medicine
Volume 12, Issue 1 , pp 7-14
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- inner-city patients
- access to care
- regular source of care
- Industry Sectors
- Author Affiliations
- 1. Department of Medicine, Emory University School of Medicine, Rollins School of Public Health, Atlanta, Ga., USA
- 2. Department of Health Policy and Management, Rollins School of Public Health, Atlanta, Ga., USA
- 3. Department of Epidemiology, Rollins School of Public Health, Atlanta, Ga., USA