Young Ho Kim|Taegyu Kim|Michael K. Paasche?Orlow|Adam J. Rose|Amresh Hanchate
Disparities in Hypertension Associated with Limited English Proficiency
Edith Nourse Rogers Memorial Veterans Hospital|Massachusetts General Hospital|Boston University|Boston University|Boston University
limited english proficiency lep associated poor health status worse outcomes examine disparities hypertension national health nutrition examination survey nhanes respondents lep versus adequate english proficiency retrospective analysis multiyear survey data adults 18 years age older participated nhanes survey period 20032012 defined participants lep anyone completed nhanes survey language english support interpreter using logistic regression estimated odds ratio undiagnosed uncontrolled hypertension systolic blood pressure sbp 140 mmhg diastolic blood pressure dbp 90 mmhg among lep participants relative adequate english proficiency adjusted sociodemographic acculturationrelated hypertensionrelated variables fourteen percent n 3269 participants limited english proficiency 124 n 2906 used spanish questionnaire 16 n 363 used interpreter complete survey another language lep higher odds elevated blood pressure physical examination adjusted odds ratio aor 147 107203 finding persisted among participants using interpreter aor 188 115306 among using spanish questionnaire aor 132 098180 subgroup analysis found majority uncontrolled hypertension concentrated among individuals known diagnosis hypertension aor 180 116281 rather undiagnosed hypertension aor 114 074175 interpreter use associated increased odds uncontrolled hypertension especially among patients medically managed hypertension aor 656 1303312 nationally representative sample participants lep likely poorly controlled hypertension adequate english proficiency lep important driver disparities hypertension management outcomes