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Factors Associated With Not Having a Healthcare Visit in the Past Year Among US Adults With Hypertension: Data From

Oluwasegun P Akinyelure1, Demetria Hubbard1, Swati Sakhuja1

  • 1Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

American Journal of Hypertension
|October 2, 2021
PubMed

Insights

Adults with hypertension who skip annual healthcare visits are less likely to have controlled blood pressure (BP). Lack of insurance, a usual healthcare source, smoking, and heavy alcohol use are linked to missed visits.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Health Services Research

Background:

  • Annual healthcare visits are crucial for managing hypertension.
  • Lack of regular medical attention is associated with poorer blood pressure control.

Purpose of the Study:

  • To identify factors associated with adults with hypertension not having a healthcare visit in the past year.
  • To understand the implications of missed healthcare visits on hypertension management.

Main Methods:

  • Analysis of data from the US National Health and Nutrition Examination Survey (2013-2018).
  • Inclusion of 5,985 US adults with hypertension, defined by blood pressure levels or medication use.
  • Self-reported data on healthcare visits within the past year.

Main Results:

  • 7.0% of US adults with hypertension reported no healthcare visit in the past year.
  • Those without visits were less likely to be aware of their hypertension, take medication, or have controlled blood pressure.
  • Factors associated with missed visits included lack of health insurance, no usual source of care, smoking, and heavy alcohol consumption.

Conclusions:

  • Interventions are needed to ensure all adults with hypertension attend annual healthcare visits.
  • Improving access to care and addressing socioeconomic factors may enhance hypertension management.
Abstract

Keywords:
blood pressureblood pressure controldoctor’s visithealthcare utilizationhealthcare visithypertension

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