ArticleJournal of the American Heart Association2016
Insurance Status Among Adults With Hypertension-The Impact of Underinsurance.
Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Community Health Workers Improve Linkage to Hypertension Care in Western Kenya.Journal of the American College of Cardiology · 2019Trial
- Healthcare insurance status and hypertension control before and after the Affordable Care Act.American journal of hypertension · 2026Article
- Healthcare Cost Coverage and Hypertension and Diabetes Care Step Movement: A Five-Year Follow-Up Study in a Malaysian Semi-Rural Community.Health science reports · 2025Article
- Racial Differences in Treatment Intensity at the End of Life Among Older Adults with Heart Failure: Evidence from the Health and Retirement Study.Journal of palliative medicine · 2024Article
- Social Determinants of Health and Incident Apparent Treatment-Resistant Hypertension Among White and Black US Adults: The REGARDS Study.Journal of the American Heart Association · 2024Article
- The association between the urinary chromium and blood pressure: a population-based study.BMC cardiovascular disorders · 2024Article
- Healthcare cost coverage inequality and its impact on hypertension and diabetes: A five-year follow-up study in a Malaysian rural community.Health science reports · 2024Article
- Digitally Based Blood Pressure Self-Monitoring Program That Promotes Hypertension Self-Management and Health Education Among Patients With Low-Income: Usability Study.JMIR human factors · 2023Article
- Article
- Ghana's Adherence to PASCAR's 10-Point Action Plan towards Hypertension Control: A Scoping Review.International journal of environmental research and public health · 2023Article
- Use and outcomes of antihypertensive medication treatment in the US hypertensive population: A gender comparison.Health promotion perspectives · 2023Article
- Trends and influence factors in the prevalence, awareness, treatment, and control of hypertension among US adults from 1999 to 2018.PloS one · 2023Article
- Racial and Ethnic Disparities in Hypertension: Barriers and Opportunities to Improve Blood Pressure Control.Current cardiology reports · 2023Review
- Hypertension screening, awareness, treatment, and control: a study of their prevalence and associated factors in a nationally representative sample from Nepal.Global health action · 2022Article
- Moving Beyond the Individual: Multilevel Solutions for Equitable Hypertension Control.Circulation. Cardiovascular quality and outcomes · 2022Article
- Factors Associated With Not Having a Healthcare Visit in the Past Year Among US Adults With Hypertension: Data From NHANES 2013-2018.American journal of hypertension · 2022Article
- Undiagnosed hypertension in Peru: analysis of associated factors and socioeconomic inequalities, 2019.Heliyon · 2021Article
- Health-related behaviors and health insurance status among US adults: Findings from the 2017 behavioral risk factor surveillance system.Preventive medicine · 2021Article
- Association of Medicaid Expansion With Rates of Utilization of Cardiovascular Therapies Among Medicaid Beneficiaries Between 2011 and 2018.Circulation. Cardiovascular quality and outcomes · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is a major risk factor for heart disease and stroke. Health insurance coverage affects hypertension treatment and control, but limited information is available for US adults with hypertension who are classified as underinsured. METHODS AND
resultsUsing Behavioral Risk Factor Surveillance System 2013 data, we identified adults with self-reported hypertension. On the basis of self-reported health insurance status and health care-related financial burdens, participants were categorized as uninsured, underinsured, or adequately insured. Proxies for health care received included whether they reported taking antihypertensive medications and whether they visited a doctor for a routine checkup in the past year. We assessed the association between health insurance status and health care received, adjusting for selected sociodemographic characteristics. Among 123 257 participants from 38 states and District of Columbia with self-reported hypertension, 12% were uninsured, 26% were underinsured, and 62% were adequately insured. In adjusted models using adequately insured participants as referent, both uninsured (adjusted odds ratio, 0.39; 95% CI, 0.35-0.43) and underinsured (0.83, 0.76-0.89) participants were less likely to report using antihypertensive medication than those of adequately insured participants. Similarly, adjusted odds ratio of visiting a doctor for routine checkup in the past year were 0.25 (0.23-0.28) for those who were uninsured and 0.78 (0.72-0.84) for those who were underinsured compared to those with adequate insurance.
conclusionsUninsured and underinsured participants with hypertension were less likely to report receiving care compared to those with adequate insurance coverage. Disparities in health care coverage may necessitate targeted interventions, even among people with health insurance.
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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.