Socioeconomic Factors Influencing the Failure to Measure the Blood Pressure of Children During Clinical Examinations
Article first published online: 4 AUG 2011
© 2011 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 13, Issue 10, pages 767–773, October 2011
How to Cite
Kim, J. and Philips, P. (2011), Socioeconomic Factors Influencing the Failure to Measure the Blood Pressure of Children During Clinical Examinations. The Journal of Clinical Hypertension, 13: 767–773. doi: 10.1111/j.1751-7176.2011.00516.x
- Issue published online: 4 OCT 2011
- Article first published online: 4 AUG 2011
- Manuscript received: January 24, 2011; Revised: May 9, 2011; Accepted: May 13, 2011
J Clin Hypertens (Greenwich). 2011;13:767–773. ©2011 Wiley Periodicals, Inc.
The authors measured the percentage of children aged 6 through 17 whose blood pressure (BP) was not measured during recent nonemergency clinical examination and assessed the relative importance of health, ability-to-pay, language, and race-ethnic factors in determining whether BP was measured. Using a pooled dataset from the Medical Expenditure Panel Survey (MEPS) for 2006 and 2007, the authors calculated the percentage of children whose BP was not measured using a sample of children aged 6 through 17 and constructed a logistic regression model to estimate the relative importance of health, economic, and social factors in the examiner’s decision to measure BP. A total of 28.9% of children did not have their BP measured. Within this unmeasured group, 31% had a family history of hypertension, 9% had a family history of diabetes, and 5% had a body mass index ≥32 kg/m2. The logistic regression model of examiners’ decisions indicates that social and economic factors strongly compete with health factors in determining which children not to measure. While examiners place many children at risk for hypertension in the measured pool, they also place many at-risk children in the unmeasured pool for economic and social reasons.