Evidence map›Paper›PMID 25121589›Full record

ArticlePloS one2014

Factors associated with appointment non-adherence among African-Americans with severe, poorly controlled hypertension.

Chike C Nwabuo, Sydney Morss Dy, Kristina Weeks, J Hunter Young

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Similar values, different expectations: How do patients and providers view 'health' and perceive the healthcare experience?Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chike C NwabuoDivision of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, United States of America.
Sydney Morss DyDepartment of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, United States of America; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, MD, United States of America.
Kristina WeeksDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, United States of America.
J Hunter YoungDivision of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, United States of America; Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, United States of America.

Funding

HYPERTENSION AMONG AFRICAN-AMERICANSK23RR016056 · NCRR · JOHNS HOPKINS UNIVERSITY · PI YOUNG, JEFFERY HUNTER · 2002 to 2006
$705k
NCRR NIH HHS K23 RR016056NCRR NIH HHS K23RR16056
6 · The paper itself

Abstract

backgroundMissed appointments are associated with an increased risk of hospitalization and mortality. Despite its widespread prevalence, little data exists regarding factors related to appointment non-adherence among hypertensive African-Americans.

objectiveTo investigate factors associated with appointment non-adherence among African-Americans with severe, poorly controlled hypertension. DESIGN AND

participantsA cross-sectional survey of 185 African-Americans admitted to an urban medical center in Maryland, with severe, poorly controlled hypertension from 1999-2004. Categorical and continuous variables were compared using chi-square and t-tests. Adjusted multivariable logistic regression was used to assess correlates of appointment non-adherence.

main outcome measuresAppointment non-adherence was the primary outcome and was defined as patient-report of missing greater than 3 appointments out of 10 during their lifetime.

resultsTwenty percent of participants (n = 37) reported missing more than 30% of their appointments. Patient characteristics independently associated with a higher odds of appointment non-adherence included not finishing high school (Odds ratio [OR]  = 3.23 95% confidence interval [CI] (1.33-7.69), hypertension knowledge ([OR]  = 1.20 95% CI: 1.01-1.42), lack of insurance ([OR]  = 6.02 95% CI: 1.83-19.88), insurance with no medication coverage ([OR]  = 5.08 95% CI: 1.05-24.63), cost of discharge medications ([OR]  = 1.20 95% CI: 1.01-1.42), belief that anti-hypertensive medications do not work ([OR]  = 3.67 95% CI: 1.16-11.7), experience of side effects ([OR]  = 3.63 95% CI: 1.24-10.62), medication non-adherence ([OR]  = 11.31 95% CI: 3.87-33.10). Substance abuse was not associated with appointment non-adherence ([OR]  = 1.05 95% CI: 0.43-2.57).

conclusionsAppointment non-adherence among African-Americans with poorly controlled hypertension was associated with many markers of inadequate access to healthcare, knowledge, attitudes and beliefs.

Indexed as

Patient ComplianceAppointments and SchedulesBlack or African AmericanCross-Sectional StudiesFemaleHumansHypertensionMaleMarylandMiddle Aged

Identifiers

PMID25121589
PMCPMC4133195

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.