Table 3.
Provision of New Antihypertensive Medication for Adult Patients Who Presented with Blood Pressure ≥140/90 mmHg by Sociodemographic Factors and Hypertension Stage
| Community Health Centers (N = 789) | Private Practice (N = 3,633) | |||||
|---|---|---|---|---|---|---|
| Total Visits with BP ≥140/90 mmHg | New Medication Prescribed (%, SE) | Adjusted OR (95% CI) | Total Visits with BP ≥140/90 mmHg | New Medication Prescribed (%, SE) | Adjusted ORc (95% CI) | |
| Type of insurance | ||||||
| Private | 304 | 17.4% (3.6) | Ref | 2,263 | 17.3% (1.0) | Ref |
| Medicareb | 407 | 10.9% (3.4) | 0.6 (0.2–1.4) | 934 | 14.2% (1.5) | 1.0 (0.7–1.3) |
| Medicaid only | 456 | 20.8% (4.6) | 1.0 (0.5–1.8) | 167 | 9.0% (2.4) | 0.3 (0.1–0.6)a |
| Other | 622 | 24.3% (3.0) | 1.1 (0.6–2.0) | 269 | 18.8% (3.1) | 0.8 (0.5–1.3) |
| Demographics | ||||||
| Age (per 10 years) | 1.0 (0.8–1.3) | 0.9 (0.8–1.0) | ||||
| Female | 1,060 | 16.3% (2.5) | 0.7 (0.4–1.1) | 2,032 | 15.1% (1.0) | 0.9 (0.7–1.1) |
| Male | 729 | 21.4% (3.5) | Ref | 1,601 | 17.6% (1.1) | Ref |
| Race | ||||||
| White | 857 | 19.1% (2.3) | Ref | 2,964 | 15.6% (0.9) | Ref |
| Black | 723 | 23.9% (3.7) | 1.8 (1.0–3.1) | 522 | 18.2% (1.9) | 1.2 (0.8–1.7) |
| Other | 209 | 9.8% (3.3) | 0.7 (0.3–1.1) | 147 | 19.4% (5.1) | 1.3 (0.6–2.8) |
| Region | ||||||
| Northeast | 383 | 19.2% (3.5) | Ref | 510 | 14.0 (2.2) | Ref |
| Midwest | 368 | 27.2% (6.7) | 1.5 (0.6–3.5) | 1,142 | 15.4% (1.6) | 1.2 (0.8–1.9) |
| South | 595 | 15.1% (2.5) | 0.7 (0.4–1.2) | 1,414 | 17.3% (1.2) | 1.4 (0.9–2.2) |
| West | 443 | 17.5% (2.6) | 0.8 (0.4–1.5) | 567 | 16.2% (1.7) | 1.1 (0.7–1.9) |
| Blood pressure | ||||||
| Systolic (per 10 mmHg) | 1.3 (1.2–1.7) | 2,598 | 12.5% (0.8) | Ref | ||
| Diastolic (per 5 mmHg) | 1.1 (1.0–2.9) | 1,035 | 25.3% (2.0) | 2.4 (1.0–1.1) | ||
p‐value <.05.
Includes Medicare patients also covered by Medicaid, but excludes those who also have private insurance.
Adjusted for type of insurance, age, gender, race, geographic region, percent poverty in patient's zip code, hypertension listed as a reason for the visit, hypertension stage, number of BP medications currently taking, number of comorbid conditions, history of diabetes, history of ischemic heart disease, history of congestive heart failure, number of comorbid conditions, number of visits in the previous 12 months, number of nonmedication treatment or services provided, and percent poverty in patient's zip code.