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Hypertension control in a rural biracial community

Successes and failures of primary care

Bibliographic Data

ID11028670
AuthorsEdward H Wagner (0000-0001-5856-6021), CECIL SLOME, C L Carroll, JEANNE T WARNER, A Wayne Pittman, C Glenn Pickard, B O Williams, J C Cornoni-Huntley, Joan Cornoni‐Huntley
Year1980
Volume70
Issue1
Pages48-55
Publication date1980-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.70.1.48
PMID7350822
OpenAlexW2134166873
LanguageEN
Citations received8
References cited10

Through a total community survey and a medical record review, we examined hypertension awareness, treatment, and control in a biracial rural community rich in primary care resources. The overall prevalence of hypertension among the 2,939 respondents was 20.5 per cent; 82 per cent of hypertensives were aware of their condition; 68 per cent were on treatment; and 55 per cent were under control. Comparison of data sources revealed discrepancies and misconceptions about diagnosis and treatment. Nearly one-third of the population reported a history of hypertension despite the fact that most of them were untreated and were normotensive. Conversely, one-third of "undetected" hypertensives had notation of the diagnosis in their medical records. Discontinuation of treatment accounted for over one-half of aware but untreated hypertension. Misconceptions about therapy contributed to failures of control in the treated group. These findings suggest that difficulties in the transmission of information about hypertension contribute importantly to failures of control

Blood pressure · Discontinuation · Environmental health · Family medicine · Hypertension treatment · Medical care · Medical record · Population · Primary care · Demography · Health Sciences Research and Education · Internal Medicine · Medicine · Primary Care and Health Outcomes · Surgery · Pediatrics

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  • Hypertension and determinants of blood pressure with special reference to socioeconomic status in a rural south Indian community

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Unique citing works8
Citations per year0,18
Citation span1981 - 2001 (21)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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