We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Antihypertensive Medication Use: Implications for Inequities in Cardiovascular Risk and Opportunities for Intervention.
- Authors
LeBrón, Alana M.W.; Schulz, Amy J.; Mentz, Graciela; Gamboa, Cindy; Reyes, Angela
- Abstract
Antihypertensive medication use protects against adverse health effects of hypertension. Residents of low-income urban communities are disproportionately Black and Latino, and may experience heightened cardiovascular health risks due to reduced medication use. We estimate the odds of antihypertensive medication use by race/ethnicity and socioeconomic position. Data are from the Healthy Environments Partnership Community Survey, restricted to 377 hypertensive participants. Antihypertensive medication use was defined as people with hypertension who were taking antihypertensive medication. Racial/ethnic and socioeconomic differences in medication use were examined using multivariate logistic regression. Odds of antihypertensive medication use were lower for people with incomes 1.00-1.99 times the poverty level (OR=0.75, p=.05) compared with those ≥2.00 times poverty, and for Latinos (OR=0.48, p<.01) and Whites (OR=0.50, p<.01) compared with Blacks. Findings suggest a need to improve hypertension screening and treatment for residents of low-to moderate- income urban communities, with attention to subgroups who may have limited health care access.
- Subjects
AGE distribution; DRUG prescribing; HEALTH services accessibility; HEALTH status indicators; HYPERTENSION; ANTIHYPERTENSIVE agents; RACE; RESEARCH funding; SEX distribution; PHYSICIAN practice patterns; LOGISTIC regression analysis; SOCIOECONOMIC factors; HEALTH equity; HEALTH &; social status; DESCRIPTIVE statistics; ODDS ratio
- Publication
Journal of Health Care for the Poor & Underserved, 2018, Vol 29, Issue 1, p192
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2018.0013