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. 1984 Mar;74(3):237–242. doi: 10.2105/ajph.74.3.237

The Edgecombe County High Blood Pressure Control Program: I. Correlates of uncontrolled hypertension at baseline.

E H Wagner, S A James, S A Beresford, D S Strogatz, R C Grimson, D G Kleinbaum, C A Williams, L M Cutchin, M A Ibrahim
PMCID: PMC1651467  PMID: 6696153

Abstract

To guide the planning of a multifacetted hypertension control program in Edgecombe County, North Carolina, a baseline survey of a stratified (by township) random sample of 1,000 households was conducted. All adults (greater than or equal to 18 years) were interviewed and had their blood pressures (BP) measured. Five hundred thirty-nine individuals, 27 per cent of the survey population, had diastolic BP greater than or equal to 90 mm Hg or were receiving anti-hypertensive drug therapy. The 539 hypertensives were divided into seven subgroups reflecting successive stages in the control of hypertension based on the awareness, treatment, and control of their hypertension. Unaware hypertensives were further subdivided into three groups according to the recency of their last BP check, and those aware but untreated were subdivided by whether they had previously received treatment. The seven subgroups of hypertensives were compared, separately for women and men, with respect to sociodemographic characteristics, health behaviors, and health status. In general, the progression from undetected hypertension to treatment and control appeared to be associated with being older, female, and White. This progression was further associated with greater educational levels and higher family incomes among women and increasing self-reported morbidity among men. The implications for intervention of these and other described associations are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alderman M. H., Schoenbaum E. E. Hypertension control among employed persons in New York City: 1973-75. Milbank Mem Fund Q Health Soc. 1976 Summer;54(3):367–377. [PubMed] [Google Scholar]
  2. Apostolides A. Y., Entwisle G., Ouellet R., Hebel J. R. Improving trend in hypertension control in a black inner city community. Am J Epidemiol. 1978 Feb;107(2):113–119. doi: 10.1093/oxfordjournals.aje.a112513. [DOI] [PubMed] [Google Scholar]
  3. Cummings K. M., Kirscht J. P., Binder L. R., Godley A. J. Determinants of drug treatment maintenance among hypertensive persons in inner city Detroit. Public Health Rep. 1982 Mar-Apr;97(2):99–106. [PMC free article] [PubMed] [Google Scholar]
  4. Cypress B. K. The role of ambulatory medical care in hypertension screening. Am J Public Health. 1979 Jan;69(1):19–24. doi: 10.2105/ajph.69.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gillum R. F., Neutra R. R., Stason W. B., Solomon H. S. Determinants of dropout rate among hypertensive patients in an urban clinic. J Community Health. 1979 Winter;5(2):94–100. doi: 10.1007/BF01324011. [DOI] [PubMed] [Google Scholar]
  6. Kasl S. V. A social-psychological perspective on successful community control of high blood pressure: a review. J Behav Med. 1978 Dec;1(4):347–381. doi: 10.1007/BF00846693. [DOI] [PubMed] [Google Scholar]
  7. Kochar M. S., Itskovitz H. D., Panagis C. Hypertension control among patients referred by a community blood pressure screening program. J Chronic Dis. 1979;32(7):493–497. doi: 10.1016/0021-9681(79)90110-3. [DOI] [PubMed] [Google Scholar]
  8. Smith E. O., Curb J. D., Hardy R. J., Hawkins C. M., Tyroler H. A. Clinic attendance in the hypertension detection and follow-up program. Hypertension. 1982 Sep-Oct;4(5):710–715. doi: 10.1161/01.hyp.4.5.710. [DOI] [PubMed] [Google Scholar]
  9. Stamler J., Stamler R., Riedlinger W. F., Algera G., Roberts R. H. Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975. JAMA. 1976 May 24;235(21):2299–2306. doi: 10.1001/jama.235.21.2299. [DOI] [PubMed] [Google Scholar]
  10. Taylor D. G., Aday L. A., Andersen R. A social indicator of access to medical care. J Health Soc Behav. 1975 Mar;16(1):39–49. [PubMed] [Google Scholar]
  11. Wagner E. H., Slome C., Carroll C. L., Warner J. T., Pittman A. W., Pickard C. G., Williams B. O., Cornoni-Huntley J. C. Hypertension control in a rural biracial community: successes and failures of primary care. Am J Public Health. 1980 Jan;70(1):48–55. doi: 10.2105/ajph.70.1.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Wagner E. H., Warner J. T., Slome C. Medical care use and hypertension. Med Care. 1980 Dec;18(12):1241–1250. doi: 10.1097/00005650-198012000-00009. [DOI] [PubMed] [Google Scholar]

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