Jasjit S. Ahluwalia|Sally E. McNagny|Kimberly J. Rask
Correlates of Controlled Hypertension in Indigent, Inner-City Hypertensive Patients
Emory University|Emory University|Georgia Department of Public Health|Emory University
objective identify correlates controlled hypertension largely minority population treated hypertensive patients design casecontrol study setting urban public hospital patients consecutive sample patients aware diagnosis hypertension least 1 month previously filled antihypertensive prescription control patients systolic blood pressure sbp 140 mm hg diastolic blood pressure dbp 90 mm hg case patients sbp 180 mm hg dbp 110 mm hg measurements main results control subjects mean blood pressure bp 13080 mm hg case subjects mean bp 193106 mm hg baseline demographic characteristics 88 case 133 control subjects significantly different logistic regression model adjusting age gender race education owning telephone family income controlled hypertension associated regular source care odds ratio 793 95 confidence interval ci 386 1629 doctor previous 6 months 481 114 2031 reporting cost deterrent buying antihypertensive medication 363 159 828 insurance 215 102 452 compliant antihypertensive medication regimens borderline significance 196 099 388 secondary analysis found patients medicaid coverage significantly less likely uninsured report cost barrier purchasing antihypertensive medications seeing physician conclusions absence outofpocket expenditures medicaid medications physician care may contribute significantly bp control improved access regular source care increased sensitivity medication costs patients may lead improved bp control indigent innercity population