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May 23, 2017American Journal of HypertensionOpen Access

Hypertensive adults who received providers' recommendations to perform HBPM were significantly more likely to do so compared to those who did not receive recommendations (OR = 8.04, 95% CI = 6.56-9.86).

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Why the study?

What factors are associated with the frequency of home blood pressure monitoring among US adults?

Population

10,958 noninstitutionalized US adults 18 years and older from the National Health and Nutrition Examination…

Design

Cross-sectional

Authors

YOYechiam OstchegaGZGuangyu ZhangBKBrian K. Kit

Discussion

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Overview

Provider recommendations associated with higher HBPM uptake; cross-sectional data leaves open causality and requires prospective confirmation.

Key Points

  • This research aims to identify factors influencing home blood pressure monitoring (HBPM) among US adults during the years 2011-2014.
  • Analyzed cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) for 10,958 US adults aged 18 and older.
  • Examined associations between demographic, health-related factors, and HBPM frequency.
  • Employed multivariable logistic regression to assess the impact of health care provider recommendations on HBPM engagement.
  • Only 9.5% engaged in weekly HBPM; 75.3% did not engage at all.
  • Hypertensive individuals aware of their condition and receiving provider recommendations had a significantly higher chance of engaging in HBPM (OR = 8.04, 95% CI = 6.56-9.86).
  • Age, body mass index, health care visits, and ethnicity were positively correlated with HBPM frequency (P < 0.05).

Structured PICO

What factors are associated with the frequency of home blood pressure monitoring among US adults?

P
Population
10,958 noninstitutionalized US adults 18 years and older from the National Health and Nutrition Examination Survey (NHANES), years 2011-2014
O
Outcome
Frequency of home blood pressure monitoring (HBPM) and associated factors

Healthcare provider recommendations have a significant impact on increasing the frequency of home blood pressure monitoring among hypertensive adults.

Cite This Study

Ostchega et al. (2017) studied this question.

synapsesocial.com/papers/6a3302e558530ca2eee12176https://doi.org/10.1093/ajh/hpx101
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Also Consider

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

  1. 1Home Blood Pressure Monitoring and Hypertension Status Among US Adults: The National Health and Nutrition Examination Survey (NHANES), 2009-20102013 · 56 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. 5Factors Associated With Physician Recommendation of Home Blood Pressure Monitoring and Blood Pressure in the US Population2020 · 29 citations