评估初级保健提供者访问和西班牙裔患者高血压之间的关系:一个横截面研究
Catalina Yepez1, Kimberly McKeirnan2,3, Megan Undeberg4
1Pharmacotherapy Department, Washington State University College of Pharmacy and Pharmaceutical Sciences, 200 University Parkway, Yakima, WA, 98901, USA.
Journal of health, population, and nutrition
|November 19, 2025
概括
拥有初级保健医生 (PCP) 与西班牙裔/拉丁裔成年人更好地控制血压有关. 社区健康博览会可以帮助与PCP联系个人,以有效管理高血压.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 健康差异 在健康上的差异
背景情况:
- 获得初级保健医生 (PCP) 对于管理诸如高血压等慢性疾病至关重要.
- 有限的PCP接入不成比例地影响着服务不足的人群,可能导致失控的血压 (BP).
- 这项研究调查了PCP状态和不受控制的BP之间的关联,主要在西班牙裔/拉丁裔社区健康交易会人口中.
研究的目的:
- 为了确定PCP是否与西班牙裔/拉丁裔成年人控制血压 (BP) 有关.
- 确定影响贫困社区血压控制的因素.
- 为改善高血压管理和减少健康差异的战略提供信息.
主要方法:
- 在华盛顿州雅基马县的社区健康博览会上进行了横截面研究.
- 从218名参与者 (≥18岁) 收集了关于血压,PCP状态,保险,人口统计和高血压诊断的数据.
- 不控制的血压定义为静脉压≥140mmHg或静脉压≥90mmHg;分析经过调整以使用强大的Poisson回归来对混因素进行调整,由定向非循环图 (DAG) 告知.
主要成果:
- 33%的参与者有不受控制的血压; 84%的参与者是西班牙裔, 63%是女性.
- 没有PCP的个体有明显更高的不受控制的血压 (59%对42%,p=0.002).
- 在完全调整后,PCP与不受控制的高血压的较低患病率独立相关 (PR=0.54;95% CI:0.35-0.85,p=0.007).
结论:
- 与PCP的一致关系独立地与更好的血压控制有关.
- 在服务不足的社区扩大PCP接入,可以改善高血压管理,减少差距.
- 社区健康博览会对于识别患有失控血压的个体和促进初级保健联系是有价值的.
相关概念视频
01:28Factors affecting Blood pressure
6.3K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
6.3K
01:25Errors occurring during blood pressure monitoring
1.3K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.3K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
794
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
794
01:15Assessment of blood pressure in brachial artery(one-step method)
1.1K
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
1.1K
01:28Special considerations while measuring blood pressure
1.1K
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
1.1K
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
451
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
451