Open AccessPredictors of Uncontrolled Hypertension in the Stroke Belt
Author(s) -
Dave Gaurav J.,
Bibeau Daniel L.,
Schulz Mark R.,
Aronson Robert E.,
Ivanov Louise L.,
Black Adina,
Spann LaPronda
Publication year - 2013
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12122
Subject(s) - medicine , blood pressure , logistic regression , stroke (engine) , demographics , psychological intervention , odds ratio , diastole , isolated systolic hypertension , odds , physical therapy , demography , mechanical engineering , psychiatry , sociology , engineering
Inadequate control of high systolic blood pressure in older adults has been largely attributable to poor control of overall hypertension ( HTN ). The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure ( JNC 7) guidelines emphasize the importance of controlling isolated systolic HTN in older adults. The study examined demographics, self‐reported health information, and clinical measures as predictors of uncontrolled HTN among individuals taking antihypertensive medications. The Community Initiative to Eliminate Stroke, a stroke risk factor screening and prevention project, collected data in two N orth C arolina counties. Statistical modeling of predictors included odds ratios (ORs) and logistic regression analyses. Of the 2663 participants, 43.5% and 22.8% had uncontrolled systolic and diastolic HTN, respectively. African A mericans were more likely to have uncontrolled systolic (60%) or diastolic HTN (70.9%) compared with whites (40% and 29.1%, respectively). Participants 55 years and older were more likely to have uncontrolled systolic HTN compared with younger individuals. Regression analyses showed that race ( OR, 1.239; P =.00), age (OR, 1.683; P =.00), and nonadherence with medications (OR, 2.593; P =.00) were significant predictors of uncontrolled systolic HTN . Future interventions should focus on improving management of isolated systolic HTN in older adults and A frican A mericans to increase overall control of HTN .