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Factors Associated With Hypertension Awareness, Treatment, and Control in Dallas County, Texas

Factors Associated With Hypertension Awareness, Treatment, and Control in Dallas County, Texas ORIGINAL INVESTIGATION Factors Associated With Hypertension Awareness, Treatment, and Control in Dallas County, Texas Ronald G. Victor, MD; David Leonard, PhD; Paul Hess, MD; Deepa G. Bhat, ME; Jennifer Jones, PhD; Patrice A. C. Vaeth, DrPH; Joseph Ravenell, MD, MS; Anne Freeman, MSPH; Ruth P. Wilson, PhD; Robert W. Haley, MD Background: Hypertension (HTN) control rates in the regular physician, with aORs (95% CIs) of 3.81 (2.86-5.07) United States remain lower in black than white persons, forawareness,8.36(5.95-11.74)fortreatment,and5.23(3.30- particularly before 65 years of age. Potential sociocul- 8.29) for control. Among untreated hypertensive subjects, tural factors have not been sufficiently addressed. lack of perceived need for a regular physician was associ- ated with perceived good health (aOR [95% CI], 2.2 [1.2- Methods: We analyzed data from structured interviews 4.0]),malegender(aOR[95%CI],2.4[1.4-4.1]),andblack and blood pressure measurements in a population-based race/ethnicity (aOR [95% CI], 2.1 [1.0-4.4]). The HTN sampleof1514hypertensive(1194non-Hispanicblackand outcomes were unrelated to perceived racism or lay beliefs 320non-Hispanicwhite)subjectsaged18to64yearsinDal- about the causes, consequences, and treatment of HTN. las County, Texas, from 2000 to 2002 to identify sociocul- tural factors associated with low rates of HTN control. We Conclusions: Among young to middle-aged hyperten- calculatedadjustedoddsratios(aORs)and95%confidence sive subjects, a perception of good health and the lack intervals http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Factors Associated With Hypertension Awareness, Treatment, and Control in Dallas County, Texas

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Publisher
American Medical Association
Copyright
Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinte.168.12.1285
pmid
18574085
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION Factors Associated With Hypertension Awareness, Treatment, and Control in Dallas County, Texas Ronald G. Victor, MD; David Leonard, PhD; Paul Hess, MD; Deepa G. Bhat, ME; Jennifer Jones, PhD; Patrice A. C. Vaeth, DrPH; Joseph Ravenell, MD, MS; Anne Freeman, MSPH; Ruth P. Wilson, PhD; Robert W. Haley, MD Background: Hypertension (HTN) control rates in the regular physician, with aORs (95% CIs) of 3.81 (2.86-5.07) United States remain lower in black than white persons, forawareness,8.36(5.95-11.74)fortreatment,and5.23(3.30- particularly before 65 years of age. Potential sociocul- 8.29) for control. Among untreated hypertensive subjects, tural factors have not been sufficiently addressed. lack of perceived need for a regular physician was associ- ated with perceived good health (aOR [95% CI], 2.2 [1.2- Methods: We analyzed data from structured interviews 4.0]),malegender(aOR[95%CI],2.4[1.4-4.1]),andblack and blood pressure measurements in a population-based race/ethnicity (aOR [95% CI], 2.1 [1.0-4.4]). The HTN sampleof1514hypertensive(1194non-Hispanicblackand outcomes were unrelated to perceived racism or lay beliefs 320non-Hispanicwhite)subjectsaged18to64yearsinDal- about the causes, consequences, and treatment of HTN. las County, Texas, from 2000 to 2002 to identify sociocul- tural factors associated with low rates of HTN control. We Conclusions: Among young to middle-aged hyperten- calculatedadjustedoddsratios(aORs)and95%confidence sive subjects, a perception of good health and the lack intervals

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 23, 2008

References