Barriers to hypertension care and control in young urban black men.

Abstract:

:Barriers to high blood pressure (HBP) care and control have been reported in the literature for > 30 years. Few reports on barriers, however, have focused on the young black man with HBP, the age/sex/race group with the highest rates of early severe and complicated HBP and the lowest rates of awareness, treatment, and control. In a randomized clinical trial of comprehensive care for hypertensive young urban black men, factors potentially associated with care and control were assessed at baseline for the 309 enrolled men. A majority of the men encountered a variety of barriers including economic, social, and lifestyle obstacles to adequate BP care and control, including no current HBP care (49%), risk of alcoholism (62%), use of illicit drugs (45%), social isolation (47%), unemployment (40%), and lack of health insurance (51%). Having health insurance (odds ratio = 7.20, P = .00) and a negative urine drug screen (odds ratio = .56, P = .04) were significant predictors of being in HBP care. Low alcoholism risk and employment were identified as significant predictors of compliance with HBP medication-taking behavior. Men currently using illicit drugs were 2.64 times less likely to have controlled BP compared with their counterparts who did not use illicit drugs, and men currently taking HBP medication were 63 times more likely have controlled BP compared with men not taking HBP medication. Comprehensive interventions are needed to address socioeconomic and lifestyle issues as well as other barriers to care and treatment, if HBP care is to be salient and effective in this high risk group.

journal_name

Am J Hypertens

authors

Hill MN,Bone LR,Kim MT,Miller DJ,Dennison CR,Levine DM

doi

10.1016/s0895-7061(99)00121-1

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

951-8

issue

10 Pt 1

eissn

0895-7061

issn

1941-7225

pii

S0895706199001211

journal_volume

12

pub_type

临床试验,杂志文章,随机对照试验
  • Ethnic differences in the identification of left ventricular hypertrophy in the hypertensive patient.

    abstract::Left ventricular hypertrophy (LVH) is more prevalent in black than white hypertensives, but this difference is greater when identified by electrocardiography (ECG) than by echocardiography. We evaluated the proposal that current ECG criteria for LVH are less specific, and therefore, less useful, in blacks than whites....

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(99)00027-8

    authors: Chapman JN,Mayet J,Chang CL,Foale RA,Thom SA,Poulter NR

    更新日期:1999-05-01 00:00:00

  • Temporary treatment with AT1 receptor blocker, valsartan, from early stage of hypertension prevented vascular remodeling.

    abstract:BACKGROUND:The present study examined the inhibitory action of temporary treatment with an angiotensin type 1 (AT(1)) receptor blocker (ARB) on vascular remodeling using hypertensive mice with overexpression of the human renin (hRN) and angiotensinogen (hANG) genes. METHODS:hRN/hANG transgenic mice (hRN/hANG-Tg) were ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2011.6

    authors: Inaba S,Iwai M,Furuno M,Kanno H,Senba I,Okayama H,Mogi M,Higaki J,Horiuchi M

    更新日期:2011-05-01 00:00:00

  • Ramipril in the treatment of hypertension and proteinuria in children with chronic kidney diseases.

    abstract:BACKGROUND:Angiotensin-converting enzyme inhibitors are the drugs of choice in renal hypertension. The efficacy and safety of ramipril in adults has been proved; however, data on effectiveness of ramipril in children are few. The aim of the present study was to investigate the effect of ramipril on blood pressure (BP) ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/j.amjhyper.2004.01.008

    authors: Seeman T,Dusek J,Vondrák K,Flögelová H,Geier P,Janda J

    更新日期:2004-05-01 00:00:00

  • Time to First Cigarette and the Risk of Hypertension: A Nationwide Representative Study in Korea.

    abstract:BACKGROUND:Although previous studies have explored the effect of smoking on blood pressure, little is still known about the role of time to first cigarette (TTFC)-an indicator of nicotine dependence-in hypertension. Therefore, we evaluated this association using representative nationwide data. METHODS:Current daily sm...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpy170

    authors: Bae J,Yi YH,Kim YJ,Lee JG,Tak YJ,Lee SH,Hwang HR,Lee SY,Cho YH,Ro EJ

    更新日期:2019-01-15 00:00:00

  • Reversal of one-kidney, one-clip hypertension in rats. Effects on myocardial Na+, K(+)-ATPase, arterial Na(+)-K+ pump, arterial membrane potential, and plasma Na(+)-K+ pump inhibitory activity.

    abstract::We have previously reported that myocardial microsomal Na+,K(+)-ATPase activity, arterial wall ouabain-sensitive 86Rb uptake, and arterial smooth muscle cell membrane potentials are decreased and plasma Na(+)-K+ pump inhibitory activity is increased in rats during the fifth week of one-kidney, one-clip hypertension. W...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Pamnani MB,Bryant HJ,Clough DL,Haddy FJ

    更新日期:1991-10-01 00:00:00

  • Long-Term Changes in Blood Pressure After Pediatric Kidney Transplantation.

    abstract:BACKGROUND:Hypertension presents high prevalence rates following kidney transplantation (Tx). The aims of the present study were to investigate the prevalence and possible risk factors for hypertension and blood pressure (BP) control over time after pediatric kidney Tx, as well as to assess possible effects of hyperten...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpv192

    authors: Stabouli S,Printza N,Dotis J,Gkogka C,Kollios K,Kotsis V,Papachristou F

    更新日期:2016-07-01 00:00:00

  • Myocardial collagen and mechanics after preventing hypertrophy in hypertensive rats.

    abstract::To determine if a remodeling of the collagen matrix would occur in the absence of hypertrophy and cell necrosis and if such a remodeling could alter active and passive stiffness of the intact myocardium, five rats with genetic hypertension (SHR) were treated (SHRT) with hydralazine for 32 weeks, beginning at four week...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/2.9.675

    authors: Narayan S,Janicki JS,Shroff SG,Pick R,Weber KT

    更新日期:1989-09-01 00:00:00

  • GOSR2 Lys67Arg is associated with hypertension in whites.

    abstract:BACKGROUND:Hypertension is a risk factor for coronary heart disease (CHD), but the causes of hypertension remain largely unknown. Genetic variation is thought to contribute to the etiology of hypertension. We tested a single-nucleotide polymorphism (SNP) (Lys67Arg, rs197922) in the Golgi SNAP Receptor Complex Member 2 ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2008.336

    authors: Meyer TE,Shiffman D,Morrison AC,Rowland CM,Louie JZ,Bare LA,Ross DA,Arellano AR,Chasman DI,Ridker PM,Pankow JS,Coresh J,Malloy MJ,Kane JP,Ellis SG,Devlin JJ,Boerwinkle E

    更新日期:2009-02-01 00:00:00

  • Alteration of beta-adrenoceptor function in hypertensive patients with different degrees of left ventricular hypertrophy.

    abstract::Previous assessment of beta-adrenoceptor function has shown alterations in essential hypertension (EH). In the present study, we compared lymphocyte beta-adrenoceptor density (Bmax) and adenylate cyclase (AC) activity stimulated by l-isoproterenol, Gpp(NH)p, Gpp(NH)p + l-isoproterenol, and forskolin in 46 patients wit...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/5.6.266

    authors: Yurenev AP,Parfyonova EV,Krasnikova TL,Aripova NA

    更新日期:1992-06-01 00:00:00

  • Association of Maternal Plasma Folate and Cardiometabolic Risk Factors in Pregnancy with Elevated Blood Pressure of Offspring in Childhood.

    abstract:BACKGROUND:The prevalence of childhood elevated blood pressure (BP) has increased in the United States, particularly among African Americans. The influence of maternal plasma folate levels, alone or in combination with maternal cardiometabolic risk factors (hypertensive disorders, diabetes, and prepregnancy obesity), o...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpx003

    authors: Wang H,Mueller NT,Li J,Sun N,Huo Y,Ren F,Wang X

    更新日期:2017-05-01 00:00:00

  • Patient Barriers and Facilitators to Ambulatory and Home Blood Pressure Monitoring: A Qualitative Study.

    abstract:BACKGROUND:Guidelines recommend that patients with newly elevated office blood pressure undergo ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM) to rule-out white coat hypertension before being diagnosed with hypertension. We explored patients' perspectives of the barriers and facili...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpy062

    authors: Carter EJ,Moise N,Alcántara C,Sullivan AM,Kronish IM

    更新日期:2018-07-16 00:00:00

  • How to explain the differences between renin angiotensin system modulators.

    abstract::Angiotensin II (Ang II) plays important roles in the development of cardiovascular diseases including hypertension, renal diseases, cardiac hypertrophy, congestive heart failure, and ischemic heart disease. Angiotensin II exerts classic hemodynamic and renal effects, but it is also a local biologically active mediator...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjhyper.2005.05.005

    authors: Levy BI

    更新日期:2005-09-01 00:00:00

  • Altering therapy of type II diabetes mellitus from insulin to tolazamide increases blood pressure in spite of weight loss.

    abstract::In a retrospective study we investigated the effects of altering treatment of type II diabetes mellitus from insulin to tolazamide on weight and blood pressure. In 17 patients, weight decreased from 136 +/- 6 to 131 +/- 6% of ideal body weight (P = .01). Even though weight loss occurred, mean systolic blood pressure i...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/0895-7061(95)00046-R

    authors: Schmitt JK,Johns SB

    更新日期:1995-05-01 00:00:00

  • Does evidence-based medicine suggest that physicians should not be measuring blood pressure in the hypertensive patient?

    abstract::The most common reason for an outpatient physician visit is for the diagnosis and treatment of hypertension. The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC) VII, which is increasingly evidence-based, advises the clinician to use studies of the mean response...

    journal_title:American journal of hypertension

    pub_type: 社论,评审

    doi:10.1016/j.amjhyper.2003.12.007

    authors: Graves JW,Sheps SG

    更新日期:2004-04-01 00:00:00

  • Serum vitamin D insufficiency is related to blood pressure in diabetic pregnancy.

    abstract:BACKGROUND:Vitamin D deficiency in pregnancy has been associated with an increased risk of preeclampsia. However, the association between serum vitamin D and blood pressure in pregnant women has been scarcely evaluated, particularly in women with a high risk of developing hypertensive disorders of pregnancy. We sought ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpu043

    authors: Weinert LS,Reichelt AJ,Schmitt LR,Boff R,Oppermann ML,Camargo JL,Silveiro SP

    更新日期:2014-10-01 00:00:00

  • G-6A polymorphism of angiotensinogen gene modulates the effect of blood pressure on carotid intima-media thickness. The Bogalusa Heart Study.

    abstract:BACKGROUND:The adverse association between blood pressure and carotid artery intima-media thickness (IMT), a surrogate measure of subclinical atherosclerosis, is well-known. However, whether the G-6A polymorphism of the angiotensinogen (AGT) gene, a candidate gene of hypertension and vascular remodeling, modulates this...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/j.amjhyper.2007.06.001

    authors: Bhuiyan AR,Chen W,Srinivasan SR,Rice J,Mock N,Tang R,Bond MG,Boerwinkle E,Berenson GS

    更新日期:2007-10-01 00:00:00

  • Reversible posterior leukoencephalopathy secondary to indinavir-induced hypertensive crisis: a case report.

    abstract::Reversible posterior leukoencephalopathy syndrome (RPLS) is an uncommon entity related to multiple and different pathologies, the most common being hypertensive crisis. It is believed to be secondary to the breakdown on the blood-brain barrier. At the beginning, it is undistinguishable from other leukoencephalopathies...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(02)02264-1

    authors: Giner V,Fernández C,Esteban MJ,Galindo MJ,Forner MJ,Guix J,Redón J

    更新日期:2002-05-01 00:00:00

  • Prolonged effects of short-term fosinopril on blood pressure and vascular morphology and function in rats.

    abstract::The aim of this study was to evaluate the delayed effects of an angiotensin converting enzyme (ACE) inhibitor on blood pressure and on structural and functional alterations in mesenteric small resistance arteries of spontaneously hypertensive rats (SHR). The ACE inhibitor fosinopril (25 mg/kg/day) was administered acc...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(97)00166-0

    authors: Rizzoni D,Castellano M,Porteri E,Bettoni G,Muiesan ML,Cinelli A,Zulli R,Rosei EA

    更新日期:1997-09-01 00:00:00

  • Blood pressure, brain structure, and cognition: opposite associations in men and women.

    abstract:BACKGROUND:Research on associations between blood pressure, brain structure, and cognitive function has produced somewhat inconsistent results. In part, this may be due to differences in age ranges studied and because of sex differences in physiology and/or exposure to risk factors, which may lead to different time cou...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/hpu120

    authors: Cherbuin N,Mortby ME,Janke AL,Sachdev PS,Abhayaratna WP,Anstey KJ

    更新日期:2015-02-01 00:00:00

  • Effects of a human-derived sodium transport inhibitor on in vitro vascular reactivity.

    abstract::Concentrations of sodium-transport inhibitors (STI) which block the sodium-potassium-ATPase pump are increased in the plasma and urine of volume-expanded and low-renin hypertensive humans and animals. To evaluate the physiologic relevance of STI to blood-pressure-raising mechanisms, we have examined the in vitro prope...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/2.10.754

    authors: Weber MA,Weiler E,Gonick HC,Prins BA,Purdy RE

    更新日期:1989-10-01 00:00:00

  • Effect of dietary sodium on insulin sensitivity in older, obese, sedentary hypertensives.

    abstract::Increased dietary sodium intake has been associated with an increase in blood pressure as well as a decrease in insulin-mediated glucose disposal in young healthy adults. The purpose of this study was to determine whether dietary sodium intake is associated with changes in oral glucose tolerance, insulin sensitivity, ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(97)00159-3

    authors: Dengel DR,Mayuga RS,Kairis GM,Goldberg AP,Weir MR

    更新日期:1997-09-01 00:00:00

  • Antihypertensive drug treatment and fibrinolytic function.

    abstract::Thromboembolic complications such as ischemic stroke and myocardial infarction are significantly more frequent in patients with arterial hypertension. From the available intervention studies, it appears that pharmacologic treatment of hypertension-at least with diuretics and beta-blockers-may more effectively protect ...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/s0895-7061(97)00496-2

    authors: Lottermoser K,Weisser B,Hertfelder HJ,Wöstmann B,Vetter H,Düsing R

    更新日期:1998-03-01 00:00:00

  • Methods and devices for measuring arterial compliance in humans.

    abstract::This review analyses methods and devices used worldwide to evaluate the arterial stiffness. Three main methodologies are based upon analysis of pulse transit time, of wave contour of the arterial pulse, and of direct measurement of arterial geometry and pressure, corresponding to regional, systemic and local determina...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/s0895-7061(02)02962-x

    authors: Pannier BM,Avolio AP,Hoeks A,Mancia G,Takazawa K

    更新日期:2002-08-01 00:00:00

  • Comparison of arterial assessments in low and high vascular disease risk groups.

    abstract:BACKGROUND:An increasing number of arterial function assessments are available, including small and large arterial elasticity (SAE/C2, LAE/C1), endothelial function as measured by flow mediated dilation (FMD), carotid intima-medial thickness (IMT), ankle brachial index (ABI), pulse pressure (PP), and pulse wave velocit...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/j.amjhyper.2003.10.009

    authors: Wilson AM,O'Neal D,Nelson CL,Prior DL,Best JD,Jenkins AJ

    更新日期:2004-04-01 00:00:00

  • Hyperinsulinemia, insulin resistance, and hyperglycemia: contributing factors in the pathogenesis of hypertension and atherosclerosis.

    abstract::Subtle abnormalities of carbohydrate metabolism and overt diabetes mellitus are both associated with a substantial increase in the prevalence of hypertension and the accelerated development of atherosclerosis. Hypertension is also a presumed independent risk factor for atherosclerosis, although some of the atherogenic...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1093/ajh/6.7.260s

    authors: Sowers JR,Standley PR,Ram JL,Jacober S,Simpson L,Rose K

    更新日期:1993-07-01 00:00:00

  • Inflammatory activation and left ventricular mass in essential hypertension.

    abstract:BACKGROUND:Inflammation is an independent risk factor for high blood pressure, and as a consequence inflammatory cytokines could be related with left ventricular hypertrophy (LVH). We sought to assess the association and predictive role of different cytokine levels with LVH in a group of patients with essential hyperte...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2008.369

    authors: Roselló-Lletí E,Rivera M,Martínez-Dolz L,González Juanatey JR,Cortés R,Jordán A,Morillas P,Lauwers C,Calabuig JR,Antorrena I,de Rivas B,Portolés M,Bertomeu V

    更新日期:2009-04-01 00:00:00

  • Improvement in metabolic risk factors for coronary heart disease associated with cilazapril treatment.

    abstract::Patients with hypertension tend to be glucose intolerant, hyperinsulinemic, and dyslipedemic. Since all of these changes increase risk of coronary heart disease (CHD), it is important to know what effect antihypertensive treatment has on these variables. The current open-labelled, uncontrolled study was initiated in o...

    journal_title:American journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1093/ajh/5.8.506

    authors: Shieh SM,Sheu WH,Shen DD,Fuh MM,Jeng CY,Jeng JR,Chen YD,Reaven GM

    更新日期:1992-08-01 00:00:00

  • Ambulatory blood pressure monitoring: how reproducible is it?

    abstract::We tested the reproducibility of ambulatory blood pressure monitoring (ABPM) by the use of agreement plots. Thirty-two normotensive volunteers underwent ABPM on four separate days (interval 28 days), on the same typical weekday. Sleeping time was restricted to the ABPM nighttime subperiod from 11:00 PM to 7:00 AM. Twe...

    journal_title:American journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0895-7061(97)00126-x

    authors: Musso NR,Vergassola C,Barone C,Lotti G

    更新日期:1997-08-01 00:00:00

  • Angiotensin II regulates cytochrome P-450 steroid hydroxylase enzyme expression in human adrenal glomerulosa cells.

    abstract::We have examined the regulation of cytochrome P-450 side chain cleavage enzyme (P-450SCC) and P-45011 beta (18) hydroxylase (P-450(11) beta) enzyme expression by angiotensin II (AII), the major regulator of aldosterone biosynthesis, in cultured human adrenal glomerulosa cells. We also examined the effect of lipoxygena...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1093/ajh/5.11.800

    authors: Natarajan R,Yang H,Hall PF,Nadler J

    更新日期:1992-11-01 00:00:00

  • The essence of effective treatment and compliance is simplicity.

    abstract::In recent years, several international bodies of experts have established extensive guidelines for the prevention and treatment of coronary heart disease (CHD) that clearly define the importance of altering patients' lifestyles and administering therapeutic agents that positively affect disease progression. However, s...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/s0895-7061(99)00160-0

    authors: Erhardt LR

    更新日期:1999-10-01 00:00:00