L. Ebony Boulware|Kathryn A. Carson|Misty U. Troll|Neil R. Powe|Lisa A. Cooper
Perceived Susceptibility to Chronic Kidney Disease among High-risk Patients Seen in Primary Care Practices
Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
patients views risk development progression chronic kidney disease ckd poorly characterizedto assess perceived risk concern regarding ckd development progression among highrisk patients seen primary care identify predictors perceptions correlate perceptions adherence high blood pressure managementcrosssectional study 195 patients enrolled randomized controlled trial hypertension management 40 maryland primary care practiceswe assessed independent predictors sociodemographics health literacy clinical presence ckd comorbid conditions health behaviors perceived susceptibility assessed via questionnaire adherence assessed via hillbone blood pressure adherence scale multivariable analysesin hypertensive majority african american 63 population many participants uncontrolled blood pressure 44 diabetes 42 20 felt likely develop ckd one third 33 concerned developing ckd participants female low health literacy lower perceived susceptibility ckd compared males higher health literacy race diabetes also associated perceived susceptibility greater perceived susceptibility associated poorer blood pressure management adherence scoresmany highrisk patients low perceived susceptibility ckd poor blood pressure therapy adherence scores among greatest perceived susceptibility suggest fatalistic attitudes ckd findings confirmed larger studies interventions targeting patient perceptions ckd risk attitudes associated perceptions could impact adherence therapies health outcomes