Candace D. McNaughton|Terry A. Jacobson|Sunil Kripalani
Low literacy is associated with uncontrolled blood pressure in primary care patients with hypertension and heart disease
Vanderbilt University Medical Center|Emory University|Vanderbilt University Medical Center
evaluate association low literacy uncontrolled blood pressure bp associations medication adherencecrosssectional study 423 urban primary care patients hypertension coronary disease relationship low literacy rapid estimate adult literacy medicine 44 uncontrolled bp 14090 mmhg 13080 mmhg patients diabetes evaluated crude adjusted logistic regression relationships selfreported adherence refill adherence explored using adjusted linear logistic regressionoverall 192 45 subjects low literacy 227 529 uncontrolled bp adjusting age gender race employment education mental status selfreported adherence low literacy associated uncontrolled bp 175 95 ci 106287 lower selfreported adherence associated uncontrolled bp relationship refill adherence uncontrolled bp statistically significantlow literacy independently associated uncontrolled bpawareness relationships among patient literacy bp control medication adherence may guide healthcare providers communicate patients