Literature DB >> 34599797

Factors Associated With Not Having a Healthcare Visit in the Past Year Among US Adults With Hypertension: Data From NHANES 2013-2018.

Oluwasegun P Akinyelure1, Demetria Hubbard1, Swati Sakhuja1, Shakia T Hardy1, Suzanne Oparil2, Andrea L Cherrington2, Kristi Reynolds3, Gregory Wozniak4, Paul Muntner1.   

Abstract

BACKGROUND: Not having a healthcare visit in the past year has been associated with a higher likelihood of uncontrolled blood pressure (BP) among individuals with hypertension.
METHODS: We examined factors associated with not having a healthcare visit in the past year among US adults with hypertension using data from the US National Health and Nutrition Examination Survey 2013-2018 (n = 5,985). Hypertension was defined as systolic BP (SBP) ≥140 mm Hg, diastolic BP (DBP) ≥90 mm Hg, or antihypertensive medication use. Having a healthcare visit in the past year was self-reported.
RESULTS: Overall, 7.0% of US adults with hypertension reported not having a healthcare visit in the past year. Those without vs. with a healthcare visit in the past year were less likely to be aware they had hypertension (45.0% vs. 83.9%), to be taking antihypertensive medication (36.7% vs. 91.4%, among those who were aware they had hypertension), and to have controlled BP (SBP/DBP <140/90 mm Hg; 9.1% vs. 51.7%). After multivariable adjustment, not having a healthcare visit in the past year was more common among US adults without health insurance (prevalence ratio [PR]: 2.22; 95% confidence interval [CI] 1.68-2.95), without a usual source of healthcare (PR: 5.65; 95% CI 4.16-7.67), who smoked cigarettes (PR: 1.34; 95% CI 1.02-1.77), and with heavy vs. no alcohol consumption (PR: 1.55; 95% CI 1.16-2.08). Also, not having a healthcare visit in the past year was more common among those without diabetes or a history of atherosclerotic cardiovascular disease, and those not taking a statin.
CONCLUSIONS: Interventions should be considered to ensure all adults with hypertension have annual healthcare visits. © American Journal of Hypertension, Ltd 2021. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  blood pressure; blood pressure control; doctor’s visit; healthcare utilization; healthcare visit; hypertension

Mesh：

Substances：

Year:  2022        PMID： 34599797      PMCID： PMC8807150          DOI： 10.1093/ajh/hpab153

Source DB:  PubMed          Journal:  Am J Hypertens        ISSN： 0895-7061            Impact factor:   3.080


  22 in total

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2.  National Center for Health Statistics Data Presentation Standards for Proportions.

Authors:  Jennifer D Parker; Makram Talih; Donald J Malec; Vladislav Beresovsky; Margaret Carroll; Joe F Gonzalez; Brady E Hamilton; Deborah D Ingram; Kenneth Kochanek; Frances McCarty; Chris Moriarity; Iris Shimizu; Alexander Strashny; Brian W Ward
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3.  Potential US Population Impact of the 2017 ACC/AHA High Blood Pressure Guideline.

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4.  Risk factors for ischemic stroke subtypes: the Atherosclerosis Risk in Communities study.

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Journal:  Stroke       Date:  2006-08-24       Impact factor: 7.914

Review 5.  2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Authors:  Paul K Whelton; Robert M Carey; Wilbert S Aronow; Donald E Casey; Karen J Collins; Cheryl Dennison Himmelfarb; Sondra M DePalma; Samuel Gidding; Kenneth A Jamerson; Daniel W Jones; Eric J MacLaughlin; Paul Muntner; Bruce Ovbiagele; Sidney C Smith; Crystal C Spencer; Randall S Stafford; Sandra J Taler; Randal J Thomas; Kim A Williams; Jeff D Williamson; Jackson T Wright
Journal:  J Am Coll Cardiol       Date:  2017-11-13       Impact factor: 24.094

6.  A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.

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7.  Factors associated with hypertension awareness, treatment, and control in Dallas County, Texas.

Authors:  Ronald G Victor; David Leonard; Paul Hess; Deepa G Bhat; Jennifer Jones; Patrice A C Vaeth; Joseph Ravenell; Anne Freeman; Ruth P Wilson; Robert W Haley
Journal:  Arch Intern Med       Date:  2008-06-23

8.  Population-Attributable Risk for Cardiovascular Disease Associated With Hypertension in Black Adults.

Authors:  Donald Clark; Lisandro D Colantonio; Yuan-I Min; Michael E Hall; Hong Zhao; Robert J Mentz; Daichi Shimbo; Gbenga Ogedegbe; George Howard; Emily B Levitan; Daniel W Jones; Adolfo Correa; Paul Muntner
Journal:  JAMA Cardiol       Date:  2019-12-01       Impact factor: 14.676

Review 9.  Effect of alcohol on risk of coronary heart disease and stroke: causality, bias, or a bit of both?

Authors:  Jonathan R Emberson; Derrick A Bennett
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10.  Insurance Status Among Adults With Hypertension-The Impact of Underinsurance.

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  1 in total

1.  Blood Pressure Control Among Non-Hispanic Black Adults Is Lower Than Non-Hispanic White Adults Despite Similar Treatment With Antihypertensive Medication: NHANES 2013-2018.

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Journal:  Am J Hypertens       Date:  2022-06-16       Impact factor: 3.080
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