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Factors associated with uncontrolled hypertension in an affluent, elderly population
John F Inciardi1, Kay McMahon, Barbara L Sauer
1Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, CA 94143, USA. jinciar@itsa.ucsf.edu
The Annals of Pharmacotherapy
|March 28, 2003
Summary
Uncontrolled hypertension is common in affluent elderly populations. Medication choice, insurance, and other health conditions significantly impact blood pressure control.
Area of Science:
- Cardiology
- Geriatrics
- Public Health
Background:
- Hypertension remains a prevalent health concern, even in well-resourced populations.
- Understanding factors contributing to uncontrolled hypertension is crucial for effective management.
Purpose of the Study:
- To investigate demographic, economic, and treatment-related factors associated with uncontrolled hypertension.
- To identify predictors of elevated blood pressure in an affluent, community-dwelling population.
Main Methods:
- Two home surveys conducted in 1995 and 1999 included 655 and 432 hypertensive patients, respectively.
- Data collected included medication history, demographics, socioeconomic status, and home blood pressure measurements.
- Multivariable logistic regression analyzed odds ratios for uncontrolled hypertension based on various factors.
Main Results:
- Over 60% of participants exhibited blood pressure above recommended levels in both surveys.
- Diuretic therapy and combination therapy with an angiotensin-converting enzyme inhibitor significantly reduced the odds of uncontrolled hypertension.
- Lack of prescription drug insurance and a history of arthritis were associated with increased odds of uncontrolled hypertension.
Conclusions:
- Uncontrolled hypertension is prevalent in affluent elderly individuals.
- Medication selection, comorbidities like arthritis, and insurance coverage are key determinants of blood pressure control.