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Am J Public Health. 1998 Nov;88(11):1696-9.

Hypertension control and access to medical care in the inner city.

Author information

  • 1Division of Epidemiology, Medical College of Wisconsin, Milwaukee 53226, USA. jkotchen@post.its.mcw.edu

Abstract

OBJECTIVES:

This study assessed hypertension control among high-risk African Americans.

METHODS:

We interviewed 583 African Americans aged 18 years and older residing in 438 randomly selected inner-city households.

RESULTS:

Forty-two percent of the respondents were hypertensive. Blood pressure was uncontrolled in 74% of hypertensive persons, although 64% of hypertensive persons reported having seen a physician within the previous 3 months. Hypertension control was associated with female gender and higher socioeconomic strata but not with public versus private sources of medical care.

CONCLUSIONS:

Hypertension control is inadequate in this population, although health care services are used frequently. Hypertension control efforts should focus on the effectiveness of health care delivery.

PMID:
9807539
[PubMed - indexed for MEDLINE]
PMCID:
PMC1508561
Free PMC Article
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