ArticleJournal of hypertension2014
Undiagnosed hypertension among young adults with regular primary care use.
Article in Journal of hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.
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Who cites it
79 citing papers in PubMed, 130 citations in OpenAlex.
- Knowledge of emerging hypertension challenges among tribal populations in India: An analytical study among medical and allied health professionals.Journal of family medicine and primary care · 2026Article
- Hypertension Prevalence, Diagnosis, and Management for Post-9/11 US Veterans.Journal of the American Heart Association · 2026Article
- Genetic predisposition to high blood pressure and out-of-office hypertension: Insights from a population sample in liechtenstein.PloS one · 2026Article
- Experiences of young adults with cardiovascular disease in using digital health: a protocol for a qualitative systematic review and meta-synthesis from the perspective of media affordances.Frontiers in cardiovascular medicine · 2026Article
- Article
- Home Blood Pressure Monitoring Among Adolescents and Young Adults, NHANES 2009-2014.American journal of hypertension · 2025Article
- Evidence of Overlapping Roles Between Clinics and Hospitals in Primary Care.Journal of Korean medical science · 2025Article
- Myocardical Infarction in Young Adults: Revisiting Risk Factors and Atherothrombotic Pathways.Medicina (Kaunas, Lithuania) · 2025Review
- Anxiety and hypertension in young and middle-aged adults: a longitudinal cohort study.Journal of public health (Oxford, England) · 2025Article
- Blood Pressure in Young Adults in Iowa.Journal of clinical hypertension (Greenwich, Conn.) · 2025Observational
- Trends in Hypertension Prevalence, Awareness, Treatment, and Control Among US Young Adults, 2003-2023.American journal of hypertension · 2025Article
- Delayed Treatment, Lasting Consequences: The Need for Early Hypertension Diagnosis and Management in Young Adults.American journal of hypertension · 2025Article
- Article
- Lessons Learned From COVID-19: Never Lower the Guard in Promoting Hypertension Awareness.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- High Blood Pressure Is Associated With Lower Brain Volume and Cortical Thickness in Healthy Young Adults.American journal of hypertension · 2024Article
- Examining the Hypertension Control Cascade in Adults With Uncontrolled Hypertension in the US.JAMA network open · 2024Article
- Risk factors of undiagnosed and uncontrolled hypertension in primary care patients with hypertension: a cross-sectional study.BMC primary care · 2024Article
- [Undiagnosed arterial hypertension in a Latin American country, 2019 to 2021].Archivos de cardiologia de Mexico · 2024Observational
- Real-World Evaluation of an Automated Algorithm to Detect Patients With Potentially Undiagnosed Hypertension Among Patients With Routine Care in Hawai'i.Journal of the American Heart Association · 2023Article
- Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta-analysis.Health science reports · 2023Article
19 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveYoung adults meeting hypertension diagnostic criteria have a lower prevalence of a hypertension diagnosis than middle-aged and older adults. The purpose of this study was to compare the rates of a new hypertension diagnosis for different age groups and identify predictors of delays in the initial diagnosis among young adults who regularly use primary care.
methodsA 4-year retrospective analysis included 14 970 patients, at least 18 years old, who met clinical criteria for an initial hypertension diagnosis in a large, Midwestern, academic practice from 2008 to 2011. Patients with a previous hypertension diagnosis or prior antihypertensive medication prescription were excluded. The probability of diagnosis at specific time points was estimated by Kaplan-Meier analysis. Cox proportional hazard models (hazard ratio; 95% confidence interval) were fit to identify predictors of delays to an initial diagnosis, with a subsequent subset analysis for young adults (18-39 years old).
resultsAfter 4 years, 56% of 18-24-year-olds received a diagnosis compared with 62% (25-31-year-olds), 68% (32-39-year-olds), and more than 70% (≥40-year-olds). After adjustment, 18-31-year-olds had a 33% slower rate of receiving a diagnosis (18-24 years hazard ratio 0.66, 0.53-0.83; 25-31 years hazard ratio 0.68, 0.58-0.79) compared with adults at least 60 years. Other predictors of a slower diagnosis rate among young adults were current tobacco use, white ethnicity, and non-English primary language. Young adults with diabetes, higher blood pressures, or a female provider had a faster diagnosis rate.
conclusionProvider and patient factors are critical determinants of poor hypertension diagnosis rates among young adults with regular primary care use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.