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March 12, 2019Journal of Clinical HypertensionOpen Access

Exploring racial/ethnic disparities in hypertension care among patients served by health centers in the United States

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Why the study?

Racial and ethnic minorities have higher rates of hypertension and related morbidity and mortality compared to whites, prompting evaluation of care and outcome disparities among health center patients.

Are there racial/ethnic disparities in hypertension management and outcomes among patients served by US health centers?

Population

Patients from the 2014 Health Center Patient Survey

Comparison

Hypertension care and outcomes across racial and ethnic minority groups vs whites

Design

Survey-based cross-sectional study using multilevel logistic regression

Authors

ASAlek SripipatanaHealth Resources and Services AdministrationNPNadereh PouratU.S. National Science FoundationWZWeihao ZhouNorthwestern Polytechnical University

Discussion

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Implication

Disparities in hypertension ED visits persist despite counseling; hypothesis-generating for targeted strategies to close medication gaps in American Indian/Alaska Natives.

Structured PICO

Are there racial/ethnic disparities in hypertension management and outcomes among patients served by US health centers?

P
Population
Patients with hypertension served by Health Resources and Services Administration-funded health centers in the United States
C
Comparator
White patients
O
Outcome
Hypertension management (counseling, adherence, management plan receipt, medication taking) and hypertension outcomes (high blood pressure at last visit, confidence in self-management, hypertension-related ED episodes or hospitalizations in the past year)patient reported

Despite successes in hypertension management counseling for racial/ethnic minorities at US health centers, significant disparities remain in adverse hypertension outcomes such as ED visits.

Cite This Study

Sripipatana et al. (2019) studied this question.

synapsesocial.com/papers/6a83a3966eaad3b729ee7531https://doi.org/10.1111/jch.13504

Topics

Hypertension management
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Also Consider

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

  1. 1Racial and Ethnic Differences in Blood Pressure2006 · 62 citations
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  3. 3Reducing Racial and Ethnic Disparities in Hypertension Prevention and Control: What Will It Take to Translate Research into Practice and Policy?2014 · 122 citations
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  5. 5The Relevancy of Community‐Based Methods: Using Diet within Native American and Alaska Native Adult Populations as an Example2012 · 20 citations