Table 3. Blood pressure control and prescribing in hypertensive patients in US Medicare v English NHS by socioeconomic-position (> 65 years).
England | United States | |||||
Years of Education | ||||||
Low | Medium | High | Low | Medium | High | |
Systolic BP mean (SE) | 140.1 (0.73) | 142.1 (3.00) | 140.0 (1.11) | 136.7 (0.78) | 133.9 (1.24)† | 134.6 (1.05) |
Diastolic BP mean (SE) | 73.4 (0.41) | 75.6 (1.44) | 74.8 (0.64)† | 79.0 (0.42) | 78.3 (0.65) | 79.4 (0.57) |
BP <140/90 mmHg, % (SE) | 53.6 (1.94) | 47.8 (6.30) | 54.2 (3.03) | 56.8 (1.90) | 57.9 (2.83) | 61.5 (2.67) |
BP <150/90 mmHg, % (SE) | 71.8 (1.76) | 66.6 (6.20) | 73.1 (2.79) | 72.8 (1.71) | 73.6 (2.51) | 76.5 (2.35) |
Anti-hypertensive medication, % (SE) | 81.0 (1.48) | 80.0 (5.16) | 80.3 (2.45) | 90.3 (1.21) | 92.7 (1.87) | 92.8 (1.54) |
BP = Blood Pressure; SE = standard error; Values and significance testing controls for age and sex, body mass index, vascular co-morbidity and smoking (age controlled at 75, female sex, non-smoker, no co-morbidity and BMI = 28.8 – the English mean). Significance tests compare the medium and high SEP groups with the low within each country.
†p<0.05.