Chike C. Nwabuo|Sydney M. Dy|Kristina Weeks|J. Hunter Young
Factors Associated with Appointment Non-Adherence among African-Americans with Severe, Poorly Controlled Hypertension
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
missed appointments associated increased risk hospitalization mortality despite widespread prevalence little data exists regarding factors related appointment nonadherence among hypertensive africanamericansto investigate factors associated appointment nonadherence among africanamericans severe poorly controlled hypertensiona crosssectional survey 185 africanamericans admitted urban medical center maryland severe poorly controlled hypertension 19992004 categorical continuous variables compared using chisquare ttests adjusted multivariable logistic regression used assess correlates appointment nonadherenceappointment nonadherence primary outcome defined patientreport missing greater 3 appointments 10 lifetimetwenty percent participants n 37 reported missing 30 appointments patient characteristics independently associated higher odds appointment nonadherence included finishing high school odds ratio 323 95 confidence interval ci 133769 hypertension knowledge 120 95 ci 101142 lack insurance 602 95 ci 1831988 insurance medication coverage 508 95 ci 1052463 cost discharge medications 120 95 ci 101142 belief antihypertensive medications work 367 95 ci 116117 experience side effects 363 95 ci 1241062 medication nonadherence 1131 95 ci 3873310 substance abuse associated appointment nonadherence 105 95 ci 043257appointment nonadherence among africanamericans poorly controlled hypertension associated many markers inadequate access healthcare knowledge attitudes beliefs