Health insurance status and hypertension monitoring and control in the United States.

Health insurance status and hypertension monitoring and control in the United States. Research Abstract Details 

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Health insurance status and hypertension monitoring and control in the United States. Abstract Text:

BACKGROUND: In this study, we examined whether insurance status (private, Medicare, Medicaid, no insurance) was associated with the odds of blood pressure (BP) monitoring and control. METHODS: We used data from the National Health and Nutrition Examination Surveys (NHANES) conducted in 1999 through 2002, defining hypertension as either self-report of elevated BP or an elevated BP value on examination. We conducted multivariate analyses adjusting for age, income, race/ethnicity, body mass index, and medical comorbidities. RESULTS: Among all hypertensive participants, only 58% of the uninsured had a BP check within 6 months, compared to 82% of the privately insured. Overall, uninsured individuals (adjusted odds ratio 0.63, 95% CI 0.44-0.92) were at lower odds of adequate BP control than the privately insured. Among treated participants, the uninsured were at lower odds of adequate control (adjusted OR 0.42, 95% CI 0.23-0.73) than the privately insured. Among participants who self-reported hypertension but were not taking antihypertensive medications, the odds of elevated BP did not differ by insurance status. No differences in BP control were observed for participants with Medicare or Medicaid compared to those with private insurance, in any comparisons. CONCLUSIONS: Lack of insurance is associated with lower rates of BP control among treated hypertensives, whereas the odds of elevated BP are similar among untreated hypertensives with different insurance status. Variation in BP control between the uninsured and privately insured with hypertension is likely related to differences in appropriate treatment intensification or adherence, rather than differences in rates of treatment initiation.

Health insurance status and hypertension monitoring and control in the United States. Publishing Authors By Initials

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Health insurance status and hypertension monitoring and control in the United States. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: American journal of hypertension : journal of the

VOLUME: 20

Page Numbers: 348-53

Journal Abbreviation: Am. J. Hypertens.

ISSN: 0895-7061

DAY: 3

MONTH: Apr

YEAR: 2007

Health insurance status and hypertension monitoring and control in the United States. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8803676

Health insurance status and hypertension monitoring and control in the United States. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

Chemical & Substance for Abstract: Health insurance status and hypertension monitoring and control in the United States. Information

Substance Name: Antihypertensive Agents

Registry Number: 0

Grant and Affiliation Information for Health insurance status and hypertension monitoring and control in the United States.

AFFILIATION: David Geffen School of Medicine, University of California, Los Angeles, California. kduru@mednet.ucla.edu

Country: United States

AGENCY: United States NCRR

GRANT: RR03026

ACRONYM: RR

MEDLINETA: Am J Hypertens

REFSOURCE: Am J Hypertens. 2007 Apr;20(4):347

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