Hypertension control in a rural biracial community: successes and failures of primary care.

Wagner, Edward H.; Slome, Cecil; Carroll, C L; Warner, Jeanne T.; Pittman, A. W.; Pickard, C. Glenn; Williams, B O; Cornoni‐Huntley, Joan

doi:10.2105/ajph.70.1.48

Cited by 20 publications

(4 citation statements)

References 11 publications

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“…Respondent's report of a musculoskeletal disorders was confirmed by GP standards, according to Hughes et al (1993)[ 31 ]. Reijneveld (2000) [ 32 ] and Wagner [ 33 ] also showed self-report use of prescription drugs to be fairly accurate in general, and among ethnic minority groups. Only in case of the mental domain, some underestimation of disease and treatment could result from ethnicity-related reluctance to report.…”

Section: Discussionmentioning

confidence: 99%

Underutilization of prescribed drugs use among first generation elderly immigrants in the Netherlands

Denktaş

Koopmans

Birnie

et al. 2010

BMC Health Serv Res

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BackgroundIn developed countries, health care utilization among immigrant groups differs where the dominant interpretation is unjustified overutilization due to lack of acculturation. We investigated utilization of prescribed drugs in native Dutch and various groups of immigrant elderly.MethodsCross-sectional study using data from the survey "Social Position, Health and Well-being of Elderly Immigrants" (the Netherlands, 2003). Ethnicity-matched interviewers conducted the survey among first generation immigrants aged 55 years and older. Outcome measure is self-reported use of prescribed drugs. Utilization is explained by need, and by enabling and predisposing factors, in particular acculturation; analysis is conducted by multiple logistic regression.ResultsThe study population consisted of immigrants from Turkey (n = 307), Morocco (n = 284), Surinam (n = 308) and the Netherlands Antilles (n = 300), and a native Dutch reference group (n = 304). Prevalence of diabetes mellitus (DM), COPD and musculoskeletal disorders was relatively high among immigrant elderly. Drug utilization in especially Turkish and Moroccan elderly with DM and COPD was relatively low. Drugs use for non-mental chronic diseases was explained by more chronic conditions (OR 2.64), higher age (OR 1.03), and modern attitudes on male-female roles (OR 0.74) and religiosity (OR 0.89). Ethnicity specific effects remained only among Turkish elderly (OR 0.42). Drugs use for mental health problems was explained by more chronic conditions (OR 1.43), better mental health (OR 0.95) and modern attitudes on family values (OR 0.59). Ethnicity specific effects remained only among Moroccan (OR 0.19) and Antillean elderly (OR 0.31). Explanation of underutilization of drugs among diseased with diabetes and musculoskeletal disorders are found in number of chronic diseases (OR 0.74 and OR 0.78) and regarding diabetes also in language proficiency (OR 0.66) and modern attitudes on male-female roles (OR 1.69).ConclusionsNeed and predisposing factors (acculturation) are the strongest determinants for drugs utilization among elderly immigrants. Significant drugs underutilization exists among migrants with diabetes and musculoskeletal disorders.

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Section: Discussionmentioning

confidence: 99%

Underutilization of prescribed drugs use among first generation elderly immigrants in the Netherlands

Denktaş

Koopmans

Birnie

et al. 2010

BMC Health Serv Res

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“…Perhaps related to their increased morbidity, the formerly treated women had a relatively high prevalence of cigarette smoking, a finding consistent with a recent report from the HDFP indicating an association between cigarette smoking and failure to remain in active treatment. 9 A more detailed analysis of factors contributing to the discontinuation of therapy seems warranted.…”

Section: Discussionmentioning

confidence: 99%

The Edgecombe County High Blood Pressure Control Program: I. Correlates of uncontrolled hypertension at baseline.

Wagner¹,

James²,

Beresford³

et al. 1984

Am J Public Health

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“…Of the 3,064 adults identified through this process, 2,939 agreed to participate in the survey. Additional information about the study population and the survey has been published elsewhere 15,16 …”

Section: Methodsmentioning

confidence: 99%

Correlates of Postural Hypotension in a Community Sample of Elderly Blacks and Whites

Strogatz

Keenan

Barnett

et al. 1991

J American Geriatrics Society

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Postural hypotension is thought to be prevalent among the elderly, but few community-based studies of this condition have been conducted. In addition, little is known about postural hypotension in blacks despite well documented racial differences in hypertension and stroke. Data on 659 elderly (greater than or equal to 60 years of age) participants in a survey of two rural, biracial townships were analyzed to describe the frequency and correlates of postural hypotension. Twelve percent of the 659 adults experienced a drop of 10 mmHg or greater in systolic blood pressure on going from sitting to standing (supine measures were not available). This degree of postural hypotension was twice as common for whites as for blacks (14.5% vs 7.5%, P = 0.01). Postural hypotension was associated with elevated sitting blood pressure and showed positive but statistically non-significant relationships with anti-hypertensive medications and leanness. The association between race and postural hypotension persisted after adjusting for these and other risk factors (OR = 2.2, 95% CI:1.2,4.0).

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Hypertension control in a rural biracial community: successes and failures of primary care.

Cited by 20 publications

References 11 publications

Underutilization of prescribed drugs use among first generation elderly immigrants in the Netherlands

Underutilization of prescribed drugs use among first generation elderly immigrants in the Netherlands

The Edgecombe County High Blood Pressure Control Program: I. Correlates of uncontrolled hypertension at baseline.

Correlates of Postural Hypotension in a Community Sample of Elderly Blacks and Whites

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