ArticleAnnals of family medicine
Rates and Predictors of Uncontrolled Hypertension Among Hypertensive Homeless Adults Using New York City Shelter-Based Clinics.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- The global prevalence of uncontrolled hypertension: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Cardiovascular disease management and healthcare delivery for people experiencing homelessness: a scoping review.BMC health services research · 2024Article
- Surgical risks and care trends: A cross sectional study of people experiencing homelessness presenting at a free clinic care in Miami-Dade County.Surgery in practice and science · 2024Article
- Analysis of older adult blood pressure readings and hypertension treatment rates among the unsheltered population of Miami-Dade County.Aging medicine (Milton (N.S.W)) · 2023Article
- Article
- Homelessness, Race/Ethnicity, and Cardiovascular Disease: a State‑of‑the‑Evidence Summary and Structured Review of Race/Ethnicity Reporting.Current cardiovascular risk reports · 2023Article
- A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study.Frontiers in public health · 2023Article
- Diabetes care and its predictors among persons experiencing homelessness compared with domiciled adults with diabetes in New York City; An observational study.EClinicalMedicine · 2022Article
- Racial Differences in Prevalence of Cardiometabolic Morbidities Among Homeless Men.Journal of racial and ethnic health disparities · 2022Article
- Assessment of a Hotel-Based Protective Housing Program for Incidence of SARS-CoV-2 Infection and Management of Chronic Illness Among Persons Experiencing Homelessness.JAMA network open · 2021Article
- Prevalence, incidence, and outcomes across cardiovascular diseases in homeless individuals using national linked electronic health records.European heart journal · 2020Article
- Dedicated homeless clinics reduce inappropriate emergency department utilization.Journal of the American College of Emergency Physicians open · 2020Article
- Medical Comorbidities and Medication Use Among Homeless Adults Seeking Mental Health Treatment.Community mental health journal · 2020Article
- Disparities in Care and Mortality Among Homeless Adults Hospitalized for Cardiovascular Conditions.JAMA internal medicine · 2020Article
- Non-communicable Disease among Homeless Men in Nagoya, Japan: Relationship between Metabolic Abnormalities and Sociodemographic Backgrounds.Internal medicine (Tokyo, Japan) · 2020Article
- Access to Diabetes Care for Populations Experiencing Homelessness: an Integrated Review.Current diabetes reports · 2016Review
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe undertook a study to determine the rates, predictors, and barriers to blood pressure control among homeless and nonhomeless hypertensive adult patients from 10 New York City shelter-based clinics.
methodsThe study was a retrospective chart review of blood pressure measurements, sociodemographic characteristics, and factors associated with homelessness and hypertension extracted from the medical records of a random sample of hypertensive patients (N = 210) in 2014.
resultsMost patients were African American or Hispanic; 24.8% were female, and 84.3% were homeless for a mean duration of 3.07 years (SD = 5.04 years). Homeless adult patients were younger, had less insurance, and were more likely to be a current smoker and alcohol abuser. Of the 210 hypertensive patients, 40.1% of homeless and 33.3% of nonhomeless patients had uncontrolled blood pressure (P = .29) when compared with US rates for hypertensive adults, which range between 19.6% and 24.8%, respectively; 15.8% of homeless patients had stage 2 hypertension (P = .27). Homeless hypertensive patients with diabetes or multiple chronic diseases had better blood pressure control (P <.01). In logistic regression, lack of insurance was associated with inadequate blood pressure control (P <.05).
conclusionsThe high rate of uncontrolled hypertension among hypertensive homeless adults is alarming. We propose comprehensive approaches to improve social support, access to medical insurance, and medication adherence, the lack of which complicate blood pressure control, targeted health education, and life style modifications using mobile health strategies for this mobile population.
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