Blacks had poorer HTN control compared with whites and Hispanics. Significant discrepancies in BP control between hypertensive patients with and without diabetes may be related to a lack of provider adherence to JNC 7 guidelines that define BP control in this population as <130/80. Further research is needed to understand racial disparities in BP control as well as factors influencing clinician's management of BP among patients with diabetes.
Detoxification is the entry point into the drug treatment system for many heroin and cocaine addicts. In this paper, we examine both socio-demographic predictors of utilization of long-term treatment and constructs based on theories of help-seeking. Data for this paper were collected from 279 heroin and cocaine dependent individuals, at entry into two detoxification programs and 30 or more days later, to determine their long-term treatment status in the 30 days following detoxification. We find that homeless individuals, those on parole, and those who have used drugs for fewer than 20 years are more likely than their counterparts to be in treatment. Even when an array of sociodemographic characteristics are controlled, constructs drawn from the theory of planned behavior (Ajzen, 1988) –viz. intention to enter treatment, behavioral beliefs favoring treatment, and perceived behavioral control (self-efficacy) contribute significantly to the prediction of treatment utilization.
The findings have implications for designing online health information resources and interventions appropriate for the populations they are likely to reach. Furthermore, the findings highlight the need for special efforts to ensure access to reliable health information for immigrant populations and those with low health literacy.
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