Why the study?
Rural U.S. adults experience higher hypertension prevalence and CVD mortality than urban peers, prompting this study to estimate uncontrolled hypertension prevalence and associated factors among rural South Carolina Medicare beneficiaries.
Population
813 Medicare beneficiaries with diagnosed hypertension in Abbeville County, South Carolina
Comparison
Individual, behavioral, clinical, and contextual factors associated with uncontrolled hypertension
Design
Cross-sectional analysis of annual review data
Key result
Being overweight was associated with higher odds of uncontrolled hypertension compared to a healthy weight among rural Medicare beneficiaries (aOR 2.0; 95% CI 1.2-3.3; p=0.005).
Authors
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Association suggests weight management focus in rural elderly hypertension; hypothesis-generating and should not yet change practice.
Cross-Sectional (n=813)
No
Odds Ratio: 2 (95% CI 1.2–3.3)
p-value: p=0.005
There is a high burden of uncontrolled hypertension (76.3%) among Medicare beneficiaries in rural South Carolina, which is strongly associated with being overweight or obese.
Lartey et al. (2026) conducted a cross-sectional in Hypertension (n=813). Overweight vs. Healthy weight was evaluated on Uncontrolled hypertension (blood pressure ≥130/80 mmHg) (aOR 2.0, 95% CI 1.2-3.3, p=0.005). Being overweight was associated with higher odds of uncontrolled hypertension compared to a healthy weight among rural Medicare beneficiaries (aOR 2.0; 95% CI 1.2-3.3; p=0.005).