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Understanding Contributors to Racial Disparities in Blood Pressure Control
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| Zeitschriftentitel: | Circulation: Cardiovascular Quality and Outcomes |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | Circulation: Cardiovascular Quality and Outcomes, 3, 2010, 2, S. 173-180 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Ovid Technologies (Wolters Kluwer Health)
|
| Schlagwörter: |
| author_facet |
Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan |
|---|---|
| author |
Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan |
| spellingShingle |
Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan Circulation: Cardiovascular Quality and Outcomes Understanding Contributors to Racial Disparities in Blood Pressure Control Cardiology and Cardiovascular Medicine |
| author_sort |
kressin, nancy r. |
| spelling |
Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan 1941-7713 1941-7705 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/circoutcomes.109.860841 <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Racial disparities in blood pressure (BP) control are well documented but poorly understood; prior studies have only included a limited range of potential explanatory factors. We examined a comprehensive set of putative factors related to blood pressure control, including patient clinical and sociodemographic characteristics, beliefs about BP and BP medications, medication adherence, and experiences of discrimination, to determine if the impact of race on BP control remains after accounting for such factors. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> We recruited 806 white and black patients with hypertension from an urban safety-net hospital. From a questionnaire administered to patients after their clinic visits, electronic medical record and BP data, we assessed an array of patient factors. We then examined the association of patient factors with BP control by modeling it as a function of the covariates using random-effects logistic regression. Blacks indicated worse medication adherence, more discrimination, and more concerns about high BP and BP medications, compared with whites. After accounting for all factors, race was no longer a significant predictor of BP control. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Results suggest that equalizing patients’ health beliefs, medication adherence, and experiences with care could ameliorate disparities in BP control. Additional attention must focus on the factors associated with race to identify, and ultimately intervene on, the causes of racial disparities in BP outcomes. </jats:p> Understanding Contributors to Racial Disparities in Blood Pressure Control Circulation: Cardiovascular Quality and Outcomes |
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| title |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_unstemmed |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_full |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_fullStr |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_full_unstemmed |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_short |
Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_sort |
understanding contributors to racial disparities in blood pressure control |
| topic |
Cardiology and Cardiovascular Medicine |
| url |
http://dx.doi.org/10.1161/circoutcomes.109.860841 |
| publishDate |
2010 |
| physical |
173-180 |
| description |
<jats:p>
<jats:bold>
<jats:italic>Background—</jats:italic>
</jats:bold>
Racial disparities in blood pressure (BP) control are well documented but poorly understood; prior studies have only included a limited range of potential explanatory factors. We examined a comprehensive set of putative factors related to blood pressure control, including patient clinical and sociodemographic characteristics, beliefs about BP and BP medications, medication adherence, and experiences of discrimination, to determine if the impact of race on BP control remains after accounting for such factors.
</jats:p>
<jats:p>
<jats:bold>
<jats:italic>Methods and Results—</jats:italic>
</jats:bold>
We recruited 806 white and black patients with hypertension from an urban safety-net hospital. From a questionnaire administered to patients after their clinic visits, electronic medical record and BP data, we assessed an array of patient factors. We then examined the association of patient factors with BP control by modeling it as a function of the covariates using random-effects logistic regression. Blacks indicated worse medication adherence, more discrimination, and more concerns about high BP and BP medications, compared with whites. After accounting for all factors, race was no longer a significant predictor of BP control.
</jats:p>
<jats:p>
<jats:bold>
<jats:italic>Conclusions—</jats:italic>
</jats:bold>
Results suggest that equalizing patients’ health beliefs, medication adherence, and experiences with care could ameliorate disparities in BP control. Additional attention must focus on the factors associated with race to identify, and ultimately intervene on, the causes of racial disparities in BP outcomes.
</jats:p> |
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| author | Kressin, Nancy R., Orner, Michelle B., Manze, Meredith, Glickman, Mark E., Berlowitz, Dan |
| author_facet | Kressin, Nancy R., Orner, Michelle B., Manze, Meredith, Glickman, Mark E., Berlowitz, Dan, Kressin, Nancy R., Orner, Michelle B., Manze, Meredith, Glickman, Mark E., Berlowitz, Dan |
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| description | <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Racial disparities in blood pressure (BP) control are well documented but poorly understood; prior studies have only included a limited range of potential explanatory factors. We examined a comprehensive set of putative factors related to blood pressure control, including patient clinical and sociodemographic characteristics, beliefs about BP and BP medications, medication adherence, and experiences of discrimination, to determine if the impact of race on BP control remains after accounting for such factors. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> We recruited 806 white and black patients with hypertension from an urban safety-net hospital. From a questionnaire administered to patients after their clinic visits, electronic medical record and BP data, we assessed an array of patient factors. We then examined the association of patient factors with BP control by modeling it as a function of the covariates using random-effects logistic regression. Blacks indicated worse medication adherence, more discrimination, and more concerns about high BP and BP medications, compared with whites. After accounting for all factors, race was no longer a significant predictor of BP control. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Results suggest that equalizing patients’ health beliefs, medication adherence, and experiences with care could ameliorate disparities in BP control. Additional attention must focus on the factors associated with race to identify, and ultimately intervene on, the causes of racial disparities in BP outcomes. </jats:p> |
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| spelling | Kressin, Nancy R. Orner, Michelle B. Manze, Meredith Glickman, Mark E. Berlowitz, Dan 1941-7713 1941-7705 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/circoutcomes.109.860841 <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Racial disparities in blood pressure (BP) control are well documented but poorly understood; prior studies have only included a limited range of potential explanatory factors. We examined a comprehensive set of putative factors related to blood pressure control, including patient clinical and sociodemographic characteristics, beliefs about BP and BP medications, medication adherence, and experiences of discrimination, to determine if the impact of race on BP control remains after accounting for such factors. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> We recruited 806 white and black patients with hypertension from an urban safety-net hospital. From a questionnaire administered to patients after their clinic visits, electronic medical record and BP data, we assessed an array of patient factors. We then examined the association of patient factors with BP control by modeling it as a function of the covariates using random-effects logistic regression. Blacks indicated worse medication adherence, more discrimination, and more concerns about high BP and BP medications, compared with whites. After accounting for all factors, race was no longer a significant predictor of BP control. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Results suggest that equalizing patients’ health beliefs, medication adherence, and experiences with care could ameliorate disparities in BP control. Additional attention must focus on the factors associated with race to identify, and ultimately intervene on, the causes of racial disparities in BP outcomes. </jats:p> Understanding Contributors to Racial Disparities in Blood Pressure Control Circulation: Cardiovascular Quality and Outcomes |
| spellingShingle | Kressin, Nancy R., Orner, Michelle B., Manze, Meredith, Glickman, Mark E., Berlowitz, Dan, Circulation: Cardiovascular Quality and Outcomes, Understanding Contributors to Racial Disparities in Blood Pressure Control, Cardiology and Cardiovascular Medicine |
| title | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_full | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_fullStr | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_full_unstemmed | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_short | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| title_sort | understanding contributors to racial disparities in blood pressure control |
| title_unstemmed | Understanding Contributors to Racial Disparities in Blood Pressure Control |
| topic | Cardiology and Cardiovascular Medicine |
| url | http://dx.doi.org/10.1161/circoutcomes.109.860841 |