title: Rate and predictors of blood pressure control in a federal qualified health center in Michigan: a huge concern?
abstract: Hypertension (HTN) is particularly burdensome in low-income groups. Federal-qualified health centers (FQHCs) provide care for low-income and medically underserved populations. To assess the rates and predictors of blood pressure (BP) control in an FQHC in Michigan, a retrospective analysis of all patients with HTN, coronary artery disease, and/or diabetes mellitus (DM) seen between January 2006 and December 2008 was conducted. Of 212 patients identified, 154 had a history of HTN and 122 had DM. BP control was achieved in 38.2% of the entire cohort and in 31.1% of patients with DM. The mean age was lower in patients with controlled BP in both the total population (P=.05) and the DM subgroup (P=.02). A logistic regression model found only female sex (odds ratio, 2.27; P=.02) to be associated with BP control and a trend towards an association of age with uncontrolled BP (odds ratio, 0.97; P=.06). BP control in nondiabetics was 47.8% vs 31.1% in diabetic patients (P=.02). We found that patients who attended the FQHC had a lower rate of BP control compared with the national average. Our study revealed a male sex disparity and significantly lower rate of BP control among DM patients.
authors.affiliation: College of Human Medicine, Michigan State University, East Lansing, MI, USA. ade.olomu@hc.msu.edu
authors.forename: Adesuwa B
authors.initials: AB
authors.lastname: Olomu
authors.forename: Venu
authors.initials: V
authors.lastname: Gourineni
authors.forename: Jason L
authors.initials: JL
authors.lastname: Huang
authors.forename: Nirzari
authors.initials: N
authors.lastname: Pandya
authors.forename: Nephertiti
authors.initials: N
authors.lastname: Efeovbokhan
authors.forename: Janaki
authors.initials: J
authors.lastname: Samaraweera
authors.forename: Kamesh
authors.initials: K
authors.lastname: Parashar
authors.forename: Margaret
authors.initials: M
authors.lastname: Holmes-Rovner
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D018660:Blood Pressure Monitoring, Ambulatory; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D005380:Financing, Government; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology / Q000628:therapy; D016015:Logistic Models; D008297:Male; D017057:Medically Uninsured; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors
chemical_list: D000959:Antihypertensive Agents
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