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April 19, 2013American Journal of HypertensionOpen Access

Home Blood Pressure Monitoring and Hypertension Status Among US Adults: The National Health and Nutrition Examination Survey (NHANES), 2009-2010

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Key result

Monthly or more frequent home blood pressure monitoring was reported by 14.5% of US adults, with higher frequency among those pharmacologically treated for hypertension (OR 3.96).

Population

6,001 noninstitutionalized US adults aged ≥18 years from the National Health and Nutrition Examination…

Design

Cross-sectional

Authors

YOYechiam OstchegaLBLewis E. BermanJHJayme Hughes

Discussion

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Overview

Low uptake signals need for better patient education; leaves open whether increasing frequency improves hypertension control.

Key Points

  • To evaluate national prevalence rates and determinants of home blood pressure monitoring (HBPM) in US adults across categories of hypertension awareness, treatment, and control.
  • Analyzed national-level, cross-sectional data from noninstitutionalized US adults aged ≥18 years (n = 6,001) in the 2009–2010 National Health and Nutrition Examination Survey (NHANES).
  • Assessed past-year and monthly HBPM frequency across sociodemographic groups, insurance coverage status, and clinical categories of hypertension.
  • Overall, 21.7% of participants reported past-year HBPM and 14.5% engaged in monthly or more frequent HBPM, with higher monthly usage among insured versus uninsured adults (16.1% vs. 8.4%; P < 0.05).
  • Among hypertensive adults, 36.6% performed monthly HBPM; multivariable-adjusted odds of frequent HBPM were higher in those aware (OR = 3.59), pharmacologically treated (OR = 3.96), and controlled (OR = 1.50) compared to unaware, untreated, and uncontrolled individuals.
  • Less than half of adults with aware, treated, or controlled hypertension engaged in monthly HBPM (41.9%, 43.5%, and 42.1%, respectively).

Study Design

Type

Cross-Sectional (n=6,001)

Multicenter

Yes

Structured PICO

P
Population
6,001 noninstitutionalized US adults aged ≥18 years from the National Health and Nutrition Examination Survey (NHANES), 2009-2010
I
Intervention
Home blood pressure monitoring (HBPM)
O
Outcome
Prevalence and frequency of home blood pressure monitoring (HBPM)

Main Result

Absolute Event Rate: 16.1% vs 8.4%

p-value: p=<0.05

Approximately 14.5% of US adults engage in monthly or more frequent home blood pressure monitoring, with higher rates among those aware of and treated for hypertension.

Cite This Study

Ostchega et al. (2013) conducted a cross-sectional in Hypertension (n=6,001). Home blood pressure monitoring (HBPM) vs. No HBPM was evaluated on Monthly or more frequent home blood pressure monitoring (health-care coverage vs no coverage) (p=<0.05). Monthly or more frequent home blood pressure monitoring was reported by 14.5% of US adults, with higher frequency among those pharmacologically treated for hypertension (OR 3.96).

synapsesocial.com/papers/6a0e4eca55003e511e78d41bhttps://doi.org/10.1093/ajh/hpt054
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Associated With Home Blood Pressure Monitoring Among US Adults: National Health and Nutrition Examination Survey, 2011–20142017 · 92 citations
  2. 2Home Blood Pressure Monitoring Among Adolescents and Young Adults, NHANES 2009–20142025 · 1 citations
  3. 3Home blood pressure monitoring among adults—American Heart Association Cardiovascular Health Consumer Survey, 20122017 · 22 citations
  4. 4Regular Use of a Home Blood Pressure Monitor by Hypertensive Adults—HealthStyles, 2005 and 20082012 · 23 citations
  5. 5How and why do patients use home blood pressure monitors?2008 · 38 citations