ArticleBMC research notes2017
"They're younger… it's harder." Primary providers' perspectives on hypertension management in young adults: a multicenter qualitative study.
Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05370599 (Hypertension in Young Adults Trial), which is not on this map. Cited by 18 papers.
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.
Hypertension in Young Adults Trial
Who cites it
18 citing papers in PubMed.
- A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients.Journal of racial and ethnic health disparities · 2025Article
- Bridging gaps in risk factor control and adherence to recommended lifestyle among Non-Elderly hypertensive patients.Scientific reports · 2025Article
- Framing the Multi-Centre Qualitative Research Design as a Novel Methodology for Nursing and Healthcare Research: Reflections and A Methodological Discussion.Journal of advanced nursing · 2025Article
- Trends in Hypertension Prevalence, Awareness, Treatment, and Control Among US Young Adults, 2003-2023.American journal of hypertension · 2025Article
- Factors associated with medication adherence among young adults with hypertension.Clinical hypertension · 2025Article
- Risk factors of undiagnosed and uncontrolled hypertension in primary care patients with hypertension: a cross-sectional study.BMC primary care · 2024Article
- 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
- Effects of Blood Pressure According to Age on End-Stage Renal Disease Development in Patients With Diabetes: A Nationwide Population-Based Cohort Study.Hypertension (Dallas, Tex. : 1979) · 2022Article
- Approach to Hypertension in Adolescents and Young Adults.Current cardiology reports · 2022Review
- A Qualitative Study on Barriers to Treatment and Control of Hypertension Among Patients at Dessie Referral Hospital, Northeast Ethiopia, Ethiopia: Healthcare Workers' Perspective.Integrated blood pressure control · 2021Article
- Factors Associated with Awareness, Treatment, and Control Rate of Hypertension among Korean Young Adults Aged 30-49 Years.Korean circulation journal · 2020Article
- Variations in pulp volume between normotensive and hypertensive individuals on CBCT imaging.Clinical oral investigations · 2020Article
- Challenges and Opportunities for the Prevention and Treatment of Cardiovascular Disease Among Young Adults: Report From a National Heart, Lung, and Blood Institute Working Group.Journal of the American Heart Association · 2020Review
- Prescribing Patterns of Antihypertensive Medications in US Ambulatory Care Settings.Pharmacy (Basel, Switzerland) · 2019Article
- Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial.Contemporary clinical trials · 2019Article
- Use of antihypertensive medication after ischemic stroke in young adults and its association with long-term outcome.Annals of medicine · 2019Article
- Neurocognitive Function in Children with Primary Hypertension after Initiation of Antihypertensive Therapy.The Journal of pediatrics · 2018Observational
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundYoung adults (18-39 year-olds) have the lowest hypertension control rates among adults with hypertension in the United States. Unique barriers to hypertension management in young adults with primary care access compared to older adults have not been evaluated. Understanding these differences will inform the development of hypertension interventions tailored to young adults. The goals of this multicenter study were to explore primary care providers' perspectives on barriers to diagnosing, treating, and controlling hypertension among young adults with regular primary care.
methodsPrimary care providers (physicians and advanced practice providers) actively managing young adults with uncontrolled hypertension were recruited by the Wisconsin Research & Education Network (WREN), a statewide practice-based research network. Semi-structured qualitative interviews were conducted in three diverse Midwestern clinical practices (academic, rural, and urban clinics) using a semi-structured interview guide, and content analysis was performed.
resultsPrimary care providers identified unique barriers across standard hypertension healthcare delivery practices for young adults. Altered self-identity, greater blood pressure variability, and unintended consequences of medication initiation were critical hypertension control barriers among young adults. Gender differences among young adults were also noted as barriers to hypertension follow-up and antihypertensive medication initiation.
conclusionsTailored interventions addressing the unique barriers of young adults are needed to improve population hypertension control. Augmenting traditional clinic structure to support the "health identity" of young adults and self-management skills are promising next steps to improve hypertension healthcare delivery.
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