title: Awareness, treatment, and control of hypertension and hypercholesterolemia among insured residents of New York City, 2004.
abstract: BACKGROUND
  Health care access and sociodemographic characteristics may influence chronic disease management even among adults who have health insurance. The objective of this study was to examine awareness, treatment, and control of hypertension and hypercholesterolemia, by health care access and sociodemographic characteristics, among insured adults in New York City.
  
  
  METHODS
  Using data from the 2004 New York City Health and Nutrition Examination Survey, we investigated inequalities in the diagnosis and management of hypertension and hypercholesterolemia among insured adults aged 20 to 64 years (n = 1,334). We assessed differences in insurance type (public, private) and routine place of care (yes, no), by sociodemographic characteristics.
  
  
  RESULTS
  One in 10 participants with hypertension and 3 in 10 with hypercholesterolemia were unaware and untreated. Having a routine place of care was associated with treatment and control of hypertension and with awareness, treatment, and control of hypercholesterolemia, after adjusting for insurance type, age, sex, race/ethnicity, foreign birth, income, and education. Differences in systolic blood pressure and total cholesterol between people with versus without a routine place of care were 2 to 3 times the difference found between people with public versus private insurance. Few differences were associated with sociodemographic characteristics after adjusting for routine place of care and insurance type; however, male sex, younger age, Asian race, and foreign birth with short-term US residence reduced the odds of having a routine place of care. Neither income nor education predicted having a routine place of care.
  
  
  CONCLUSIONS
  Sociodemographic characteristics may influence chronic disease management among the insured through health care access factors such as having a routine place of care.
authors.affiliation: Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, McGavran-Greenberg Hall, Campus Box 7435, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7435, USA. qtnguyen@email.unc.edu
authors.forename: Quynh C
authors.initials: QC
authors.lastname: Nguyen
authors.forename: Elizabeth Needham
authors.initials: EN
authors.lastname: Waddell
authors.forename: James C
authors.initials: JC
authors.lastname: Thomas
authors.forename: Sara L
authors.initials: SL
authors.lastname: Huston
authors.forename: Bonnie D
authors.initials: BD
authors.lastname: Kerker
authors.forename: R Charon
authors.initials: RC
authors.lastname: Gwynn
mesh_terms: D000328:Adult; D000375:Aging; D000959:Antihypertensive Agents / Q000627:therapeutic use; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006937:Hypercholesterolemia / Q000453:epidemiology / Q000517:prevention & control*; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D016017:Odds Ratio; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents; D000960:Hypolipidemic Agents