Nancy R. Kressin|Michelle B. Orner|Meredith Manze|Mark Glickman|Dan R. Berlowitz
Understanding Contributors to Racial Disparities in Blood Pressure Control
Boston University|VA Boston Healthcare System|Edith Nourse Rogers Memorial Veterans Hospital|Boston University|VA Boston Healthcare System|Edith Nourse Rogers Memorial Veterans Hospital|Boston University|VA Boston Healthcare System|Edith Nourse Rogers Memorial Veterans Hospital|Boston University|VA Boston Healthcare System|Edith Nourse Rogers Memorial Veterans Hospital|Boston University|VA Boston Healthcare System|Edith Nourse Rogers Memorial Veterans Hospital
background racial disparities blood pressure bp control well documented poorly understood prior studies included limited range potential explanatory factors examined comprehensive set putative factors related blood pressure control including patient clinical sociodemographic characteristics beliefs bp bp medications medication adherence experiences discrimination determine impact race bp control remains accounting factors methods results recruited 806 white black patients hypertension urban safetynet hospital questionnaire administered patients clinic visits electronic medical record bp data assessed array patient factors examined association patient factors bp control modeling function covariates using randomeffects logistic regression blacks indicated worse medication adherence discrimination concerns high bp bp medications compared whites accounting factors race longer significant predictor bp control conclusions results suggest equalizing patients health beliefs medication adherence experiences care could ameliorate disparities bp control additional attention must focus factors associated race identify ultimately intervene causes racial disparities bp outcomes