Rate and Predictors of Blood Pressure Control in a Federal Qualified Health Center in Michigan: A Huge Concern?
Article first published online: 1 FEB 2013
© 2013 Wiley Periodicals, Inc
The Journal of Clinical Hypertension
Volume 15, Issue 4, pages 254–263, April 2013
How to Cite
J Clin Hypertens (Greenwich). 2013;00:00–00. © 2013 Wiley Periodicals, Inc.
- Issue published online: 3 APR 2013
- Article first published online: 1 FEB 2013
- Manuscript Accepted: 13 DEC 2012
- Manuscript Revised: 4 DEC 2012
- Manuscript Received: 20 JUL 2012
Hypertension (HTN) is particularly burdensome in low-income groups. Federal-qualified health centers (FQHCs) provide care for low-income and medically underserved populations. To assess the rates and predictors of blood pressure (BP) control in an FQHC in Michigan, a retrospective analysis of all patients with HTN, coronary artery disease, and/or diabetes mellitus (DM) seen between January 2006 and December 2008 was conducted. Of 212 patients identified, 154 had a history of HTN and 122 had DM. BP control was achieved in 38.2% of the entire cohort and in 31.1% of patients with DM. The mean age was lower in patients with controlled BP in both the total population (P=.05) and the DM subgroup (P=.02). A logistic regression model found only female sex (odds ratio, 2.27; P=.02) to be associated with BP control and a trend towards an association of age with uncontrolled BP (odds ratio, 0.97; P=.06). BP control in nondiabetics was 47.8% vs 31.1% in diabetic patients (P=.02). We found that patients who attended the FQHC had a lower rate of BP control compared with the national average. Our study revealed a male sex disparity and significantly lower rate of BP control among DM patients.