title: Predictors of hypertension control in a diverse general cardiology practice.
abstract: 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.
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. adevore@partners.org
authors.forename: Adam D
authors.initials: AD
authors.lastname: DeVore
authors.forename: Matthew
authors.initials: M
authors.lastname: Sorrentino
authors.forename: Morton F
authors.initials: MF
authors.lastname: Arnsdorf
authors.forename: R Parker
authors.initials: RP
authors.lastname: Ward
authors.forename: George L
authors.initials: GL
authors.lastname: Bakris
authors.forename: Ron
authors.initials: R
authors.lastname: Blankstein
mesh_terms: D001741:Black or African American / Q000208:ethnology; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001213:Asian / Q000208:ethnology; D001364:Awareness; D001794:Blood Pressure / Q000502:physiology; D005260:Female; D058005:General Practitioners; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000208:ethnology; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000208:ethnology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D013599:Systole / Q000502:physiology; D044465:White People / Q000208:ethnology
chemical_list: D000959:Antihypertensive Agents