Health care fragmentation and blood pressure control among adults taking antihypertensive medication.

ABSTRACT:

Objectives

To determine the association of fragmented ambulatory health care with uncontrolled blood pressure (BP) and apparent treatment-resistant hypertension (aTRH) among older adults taking antihypertensive medication, overall and by race and gender.

Study design

Cross-sectional study using data from 2868 REasons for Geographic And Racial Differences in Stroke (REGARDS) study participants 66 years and older who completed a study examination in 2013-2016, had Medicare fee-for-service coverage, and were taking antihypertensive medication.

Methods

We used logistic regression to analyze the association of fragmented health care with uncontrolled BP and aTRH. Fragmented health care was operationalized as a reversed Bice-Boxerman Index score in the 75th percentile or hi

SUBMITTER: Colvin CL 

PROVIDER: S-EPMC9358913 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature