Rate and Predictors of Blood Pressure Control in a Federal Qualified Health Center in Michigan: A Huge Concern?

Hypertension (HTN) is particularly burdensome in low‐income groups. Federal‐qualified health centers (FQHCs) provide care for low‐income and medically underserved populations. To assess the rates and predictors of blood pressure (BP) control in an FQHC in Michigan, a retrospective analysis of all pa...

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Bibliographic Details
Published in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2013-04, Vol.15 (4), p.254-263
Main Authors: Olomu, Adesuwa B., Gourineni, Venu, Huang, Jason L., Pandya, Nirzari, Efeovbokhan, Nephertiti, Samaraweera, Janaki, Parashar, Kamesh, Holmes‐Rovner, Margaret
Format: Article
Language:English
Subjects:
Adult
Ambulatory Care Facilities - statistics & numerical data
Antihypertensive Agents - therapeutic use
Blood Pressure - drug effects
Blood Pressure Monitoring, Ambulatory
Comorbidity
Coronary Artery Disease - epidemiology
Diabetes Mellitus - epidemiology
Female
Financing, Government
Humans
Hypertension - diagnosis
Hypertension - economics
Hypertension - epidemiology
Hypertension - therapy
Logistic Models
Male
Medically Uninsured
Michigan - epidemiology
Middle Aged
Original Paper
Original Papers
Outcome and Process Assessment, Health Care
Retrospective Studies
Risk Factors
Sex Factors
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Summary:Hypertension (HTN) is particularly burdensome in low‐income groups. Federal‐qualified health centers (FQHCs) provide care for low‐income and medically underserved populations. To assess the rates and predictors of blood pressure (BP) control in an FQHC in Michigan, a retrospective analysis of all patients with HTN, coronary artery disease, and/or diabetes mellitus (DM) seen between January 2006 and December 2008 was conducted. Of 212 patients identified, 154 had a history of HTN and 122 had DM. BP control was achieved in 38.2% of the entire cohort and in 31.1% of patients with DM. The mean age was lower in patients with controlled BP in both the total population (P=.05) and the DM subgroup (P=.02). A logistic regression model found only female sex (odds ratio, 2.27; P=.02) to be associated with BP control and a trend towards an association of age with uncontrolled BP (odds ratio, 0.97; P=.06). BP control in nondiabetics was 47.8% vs 31.1% in diabetic patients (P=.02). We found that patients who attended the FQHC had a lower rate of BP control compared with the national average. Our study revealed a male sex disparity and significantly lower rate of BP control among DM patients.
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.12067