| Autor: |
Richard V. Milani, Eboni G. Price-Haywood, Jeffrey H. Burton, Jonathan Wilt, Jonathan Entwisle, Carl J. Lavie |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Mayo Clinic proceedings. 97(8) |
| ISSN: |
1942-5546 |
| Popis: |
To investigate whether specific social determinants of health could be a "health barrier" toward achieving blood pressure (BP) control and to further evaluate any differences between Black patients and White patients.We conducted a retrospective cohort study of 3305 patients with elevated BP who were enrolled in a hypertension digital medicine program for at least 60 days and followed up for up to 1 year. Patients were managed virtually by a dedicated hypertension team who provided guideline-based medication management and lifestyle support to achieve goal BP.Compared with individuals without any health barriers, the addition of 1 barrier was associated with lower probability of control at 1 year from 0.73 to 0.60 and to 0.55 in those with 2 or more barriers. Health barriers were more prevalent in Black patients than in those who were White (44.6% [482 of 1081] vs 31.3% [674 of 2150]; P.001). There was no difference at all in BP control between Black individuals and those who were White if 2 or more barriers were present.Patient-related health barriers are associated with BP control. Black patients with poorly controlled hypertension have a higher prevalence of health barriers than their White counterparts. When 2 or more health barriers were present, there was no differences in BP control between White and Black individuals. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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