Financial cost as an obstacle to hypertension therapy.
- 1 September 1986
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 76 (9), 1105-1108
- https://doi.org/10.2105/ajph.76.9.1105
Abstract
A home health interview, including blood pressure measurements, was conducted on 4,688 adults representing the noninstitutionalized population of Georgia. Subjects with diastolic blood pressure greater than or equal to 90 mm Hg or on antihypertensive medication were considered hypertensive. The prevalence of uncontrolled moderate or severe hypertension (diastolic greater than or equal to 105 mm Hg) was 1.9 per cent. With the exception of White women, all race-sex groups with uncontrolled moderate or severe hypertension reported substantially lower per capita income than their mild or controlled hypertensive counterparts. A larger percentage of the uncontrolled moderate to severe hypertensives on medication, as compared to their mild or controlled counterparts, reported economic barriers to pharmacologic and medical care on cost of medicines (36 per cent vs 22 per cent); refills (36 per cent vs 16 per cent); and office visits (26 per cent vs 16 per cent). Black women reported these barriers more than Whites. These findings suggest that costs of antihypertensive care may be an obstacle in blood pressure control for certain population subgroups.Keywords
This publication has 19 references indexed in Scilit:
- How free care reduced hypertension in the health insurance experimentPublished by American Medical Association (AMA) ,1985
- The Edgecombe County (NC) High Blood Pressure Control Program: II. Barriers to the use of medical care among hypertensives.American Journal of Public Health, 1984
- The Effect of Treatment on Mortality in Mild HypertensionNew England Journal of Medicine, 1982
- Treatment of mild hypertension: A five year controlled drug trialAmerican Journal Of Medicine, 1980
- MILD ESSENTIAL HYPERTENSION: BENEFIT OF TREATMENT: DISCUSSIONAnnals of the New York Academy of Sciences, 1978
- Congruence Between Panel and Recall Data in Longitudinal ResearchPublic Opinion Quarterly, 1978
- Alterations in canine myocardial excitability during ischemia.Circulation Research, 1977
- The hypertension detection and follow-up programPreventive Medicine, 1976
- Effects of Treatment on Morbidity in HypertensionCirculation, 1972
- The dropout problem in antihypertensive treatment: A pilot study of social and emotional factors influencing a patient's ability to follow antihypertensive treatmentJournal of Chronic Diseases, 1970