Table 3.
Adjusted odds ratios and 95% confidence intervals for factors associated with adherence to hypertension management counseling and medication
| Diet change | Reduce sodium | Exercise | Reduce alcohol | Take medication to control hypertension | |
|---|---|---|---|---|---|
| Sample size | (n = 1425) | (n = 1750) | (n = 1663) | (n = 890) | (n = 2275) |
| OR (95% CI) | OR (95% CI) | ||||
| Race/ethnicity (ref: non‐Hispanic White) | |||||
| Hispanic/Latino | 1.64 (0.57,4.69) | 0.96 (0.29,3.20) | 1.32 (0.64,2.72) | 1.55 (0.29,8.25) | 0.62 (0.30,1.29) |
| Non‐Hispanic African American | 1.13 (0.54,2.38) | 1.81 (0.83,3.93) | 3.52*** (1.92,6.46) | 1.04 (0.27,4.02) | 1.46 (0.76,2.81) |
| Non‐Hispanic Asian American | – | 0.76 (0.14,4.10) | 2.93* (1.13,7.55) | – | 1.02 (0.30,3.52) |
| Non‐Hispanic American Indian/Alaska Native | 0.82 (0.29,2.34) | 0.59 (0.14,2.42) | 2.11 (0.89,5.00) | 0.84 (0.17,4.21) | 0.50* (0.25,0.98) |
| Non‐Hispanic other | 1.23 (0.28,5.42) | 3.56 (0.59,21.52) | 8.97** (2.02,39.92) | – | 0.74 (0.14,4.03) |
| Predisposing determinants | |||||
| Age (ref: 18‐44) | |||||
| 45‐64 y | 1.74 (0.93,3.25) | 0.75 (0.36,1.56) | 0.81 (0.44,1.53) | 1.14 (0.29,4.55) | 4.92*** (2.75,8.79) |
| 65+ y | 2.59 (0.89,7.60) | 0.81 (0.23,2.87) | 1.04 (0.42,2.57) | 1.21 (0.08,17.61) | 10.41*** (4.72,22.95) |
| Male (vs female) | 1.32 (0.72,2.40) | 0.93 (0.45,1.92) | 1.21 (0.79,1.86) | 0.92 (0.28,3.01) | 1.19 (0.81,1.74) |
| US born (vs not) | 1.72 (0.59,5.03) | 0.22* (0.06,0.83) | 0.83 (0.42,1.66) | 1.76 (0.40,7.85) | 0.43** (0.23,0.82) |
| High school graduate (vs less) | 0.76 (0.39,1.48) | 0.88 (0.42,1.86) | 0.73 (0.44,1.21) | 0.64 (0.18,2.32) | 0.87 (0.56,1.34) |
| Employed (vs not) | 1.83 (0.94,3.56) | 0.58 (0.29,1.17) | 0.75 (0.48,1.15) | 1.29 (0.47,3.50) | 1.11 (0.74,1.65) |
| Enabling determinants | |||||
| Currently insured (vs not) | 0.90 (0.43,1.88) | 0.63 (0.21,1.91) | 1.31 (0.76,2.25) | 0.54 (0.16,1.85) | 1.10 (0.65,1.86) |
| Unmet medical need in past year (vs not) | 1.16 (0.37,3.64) | 1.48 (0.35,6.20) | 0.83 (0.35,1.97) | 2.88 (0.66,12.58) | 0.61 (0.32,1.17) |
| Delayed medical care in past year (vs not) | 1.09 (0.47,2.55) | 0.38** (0.19,0.79) | 1.51 (0.70,3.25) | 5.92* (1.41,24.93) | 0.58 (0.24,1.41) |
| Need determinants | |||||
| Self‐reported fair/poor health status (vs better) | 1.23 (0.70,2.15) | 0.73 (0.30,1.76) | 0.34*** (0.20,0.56) | 0.65 (0.18,2.27) | 1.45 (0.81,2.58) |
| Hypercholesterolemia | 0.62 (0.38,1.04) | 1.04 (0.56,1.95) | 0.78 (0.51,1.17) | 1.02 (0.34,3.01) | 1.25 (0.77,2.02) |
| Diabetes | 1.85* (1.01,3.41) | 0.83 (0.41,1.67) | 1.25 (0.78,1.99) | 0.76 (0.26,2.20) | 1.69 (0.93,3.07) |
| Cardiovascular disease | 0.32*** (0.18,0.55) | 3.37* (1.32,8.59) | 0.84 (0.48,1.49) | 1.12 (0.29,4.30) | 1.14 (0.61,2.13) |
| Body mass index (ref: BMI 0‐24.99) | |||||
| Overweight (BMI 25.0‐29.99) | 1.69 (0.72,3.99) | 2.33 (0.99,5.50) | 0.48 (0.21,1.12) | 1.56 (0.36,6.65) | 2.24** (1.22,4.11) |
| Obese (BMI 30.0 or higher) | 2.40* (1.00,5.74) | 2.16 (0.89,5.20) | 0.56 (0.25,1.25) | 5.58** (1.52,20.57) | 3.83*** (2.30,6.38) |
| Current smoker | 1.07 (0.60,1.89) | 0.48 (0.23,1.02) | 0.58* (0.34,0.97) | 0.88 (0.25,3.09) | 0.72 (0.47,1.11) |
–, Indicated every patient in this category reported positively to adhering to these provider recommendations.
BMI, body mass index.
*P < 0.05.
**P < 0.01.
***P < 0.001.