August 23, 2023Open Access

Behavioral Factors Associated with Blood Pressure Control in Hypertensive Adults 35 to 64 Years of Age at Risk of Future Stroke: A cross-sectional survey study

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Why the study?

Stroke incidence has increased in individuals under 64 years of age, and controlling hypertension to prevent stroke remains elusive under updated blood pressure guidelines.

Structured PICO

Population

304 adults, 35 to 64 years of age with an active diagnosis of hypertension, no prior history of stroke or transient ischemic attack (TIA), and under current primary care. 53.3% women, 83.0% white. Recruited from a northeast US healthcare system.

Outcome

Blood pressure control status, self-reported treatment compliance, beliefs, and behaviors (assessed via Hill-Bone Compliance to High Blood Pressure Therapy Scale and Cerebrovascular Attitudes and Beliefs Scale-Revised)patient reported

In a predominantly white, educated, and high-income cohort of hypertensive adults aged 35-64, 83% had uncontrolled blood pressure, with women showing lower medication compliance and lower perceived risk of future stroke.

Limitations

Survey-based study
Population from a metropolitan area in the Northeast USA and is predominantly white, educated, wealthy
Dichotomized into only two genders
Utilized the most recent clinic blood pressure recording and therefore do not have temporal or home blood pressure data

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Findings should not yet change practice; hypothesis-generating for sex-specific barriers to hypertension control.

Cite This Study

Masson et al. (2023) studied this question.

synapsesocial.com/papers/6a834feb9afa9c8d94b484d4 https://doi.org/10.1101/2023.08.21.23294394

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