ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Ethnic differences in blood pressure monitoring and control in south east London.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Clinical outcomes following COVID-19 infection in ethnic minority groups in the UK: a systematic review and meta-analysis.Public health · 2023Pooled it
- Guideline
- Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education.PloS one · 2015Trial
- Ethnic and socioeconomic inequalities in stroke risk factors and primary prevention: the South London Stroke Register cohort study 1995-2024.EClinicalMedicine · 2026Article
- Exploring Associations between Race/Ethnicity and Glaucoma Prevalence in a Multicenter Brazilian Study: The ELSA-Brasil.Ethnicity & disease · 2025Article
- Observational
- Spousal Concordance of Hypertension Among Middle-Aged and Older Heterosexual Couples Around the World: Evidence From Studies of Aging in the United States, England, China, and India.Journal of the American Heart Association · 2023Article
- Ethnic differences in multimorbidity after accounting for social-economic factors, findings from The Health Survey for England.European journal of public health · 2023Article
- Inequities in hypertension management: observational cross-sectional study in North East London using electronic health records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Observational
- Comorbidities and ethnic health disparities in the UK biobank.JAMIA open · 2022Article
- Ethnic inequities in multimorbidity among people with psychosis: a retrospective cohort study.Epidemiology and psychiatric sciences · 2022Article
- Ethnic differences in the severity and clinical management of type 2 diabetes at time of diagnosis: A cohort study in the UK Clinical Practice Research Datalink.Diabetes research and clinical practice · 2020Article
- Disparities in glycaemic control, monitoring, and treatment of type 2 diabetes in England: A retrospective cohort analysis.PLoS medicine · 2019Observational
- Cardiovascular Risk Factors and White Matter Hyperintensities: Difference in Susceptibility in South Asians Compared With Europeans.Journal of the American Heart Association · 2018Article
- Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV.Journal of immigrant and minority health · 2018Article
- The role of spoken language in cardiovascular health inequalities: a cross-sectional study of people with non-English language preference.BJGP open · 2018Article
- 2016 European Guidelines on cardiovascular disease prevention in clinical practice : The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts).International journal of behavioral medicine · 2017Article
- Prevalence and management of cardiovascular risk factors in Portuguese living in Portugal and Portuguese who migrated to Switzerland.BMC public health · 2015Article
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh blood pressure is the single most important risk factor worldwide for the development of cardiovascular disease, and has been shown to affect some ethnic minority groups disproportionately.
aimTo explore ethnic inequalities in blood pressure monitoring and control.
methodData from Lambeth DataNet was used, based on case records from GP practices in one inner-city London borough. Blood pressure monitoring and control was compared using Quality and Outcomes Framework (QOF) targets for patients with: diabetes, coronary heart disease, stroke, hypertension, and chronic kidney disease. The study controlled for age, sex, social deprivation, and clustering within GP practices.
resultsA total of 16 613 patients met the study criteria, with 5962 categorised as black/black British. Blood pressure monitoring was similar across ethnic groups and as good, if not better, for black patients compared to white. However, marked ethnic inequalities in blood pressure control were found, with black patients significantly less likely to achieve QOF targets than their white counterparts (odds ratio [OR] 0.73; 95% confidence interval [CI] = 0.64 to 0.82). Further inequalities were revealed in blood pressure control within disease groups and ethnic subgroups. In particular, blood pressure control was poor in African patients with diabetes (OR 0.63; 95% CI = 0.50 to 0.79) and Caribbean patients with coronary heart disease (OR 0.53; 95% CI = 0.37 to 0.77) when compared with white patients. DISCUSSION: While black patients with chronic conditions are equally likely to have their blood pressure monitored, their blood pressure control is consistently poorer than that of their white counterparts. This may have important implications for cardiovascular risk management in black patients.
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