Accounting for racial bias and social determinants of health in a model of hypertension control.

ABSTRACT:

Background

Hypertension control remains a critical problem and most of the existing literature views it from a clinical perspective, overlooking the role of sociodemographic factors. This study aims to identify patients with not well-controlled hypertension using readily available demographic and socioeconomic features and elucidate important predictive variables.

Methods

In this retrospective cohort study, records from 1/1/2012 to 1/1/2020 at the Boston Medical Center were used. Patients with either a hypertension diagnosis or related records (≥ 130 mmHg systolic or ≥ 90 mmHg diastolic, n = 164,041) were selected. Models were developed to predict which patients had uncontrolled hypertension defined as systolic blood pressure (SBP) records exceeding 160 mmHg.

Results

SUBMITTER: Hu Y 

PROVIDER: S-EPMC11792567 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature