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- W3217161842 abstract "Introduction: Despite improvements in treatment strategies, BP control continues to be a public health challenge. We determined the 20-year national trends for overtly uncontrolled BP (OUBP). Methods: In this serial cross-sectional study, we included adults with 3 consecutive BP measurements from the 1999-2018 National Health and Nutrition Examination Surveys. OUBP was defined as mean SBP≥160 or DBP≥100. We calculated crude, age-adjusted, and covariate-adjusted prevalence estimates using multivariable logistic regression, and determined the effect of covariates on OUBP trends. Results: Among 44,622 participants (mean age 47 years, 51% female, 69% White), 2,613 (4%) had OUBP. OUBP individuals in 2015-18 were more likely to be male, non-Hispanic Black, diabetic, and lack insurance compared to those from earlier cycles (Table). There was a decreasing trend in multivariable-adjusted OUBP prevalence from 6.0% in 1999-2002 to 3.0% in 2007-10 (p<0.001), followed by an insignificant increase to 3.4% in 2015-18 (Figure). Although the downward trend in OUBP persisted after multivariable adjustment, family income, education, and insurance coverage modestly attenuated the trend (change in slope [95% CI] from 1.3% [0.9-1.7] to 1.0% [0.7-1.4] decrease/year). Lack of insurance was increasingly associated with OUBP (OR [95% CI]; 1999-2002=1.19 [0.61, 2.30], 2007-2010=1.83 [1.19, 2.82], 2015-2018=2.70 [1.64, 4.45]). Conclusions: Although OUBP prevalence has overall significantly decreased, it has remained stagnant since 2011. Social determinants, including insurance, income, education, and race may be playing increasingly important roles in OUBP prevalence." @default.
- W3217161842 created "2021-12-06" @default.
- W3217161842 creator A5026725935 @default.
- W3217161842 creator A5060209978 @default.
- W3217161842 date "2021-11-16" @default.
- W3217161842 modified "2023-10-14" @default.
- W3217161842 title "Abstract 13424: Lack of Improvement in Prevalence of Overtly Uncontrolled Blood Pressure Over the Past Decade and Its Association With Social Determinants" @default.
- W3217161842 doi "https://doi.org/10.1161/circ.144.suppl_1.13424" @default.
- W3217161842 hasPublicationYear "2021" @default.
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