Evidence map›Paper›PMID 34599797›Full record

ArticleAmerican journal of hypertension2022

Factors Associated With Not Having a Healthcare Visit in the Past Year Among US Adults With Hypertension: Data From NHANES 2013-2018.

Oluwasegun P Akinyelure, Demetria Hubbard, Swati Sakhuja, Shakia T Hardy, Suzanne Oparil, Andrea L Cherrington, Kristi Reynolds, Gregory Wozniak, Paul Muntner

Abstract read
In one paragraph

Article in American journal of hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

9 authors.

Oluwasegun P AkinyelureDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Demetria HubbardDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Swati SakhujaDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Shakia T HardyDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Suzanne OparilDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Andrea L CherringtonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kristi ReynoldsDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Gregory WozniakAmerican Medical Association, Chicago, Illinois, USA.
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

Evaluating novel approaches for estimating awake and sleep blood pressureR01HL139716 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, SHIMBO, DAICHI · 2018 to 2021
$3.4M
NHLBI NIH HHS R01 HL139716
6 · The paper itself

Abstract

backgroundNot having a healthcare visit in the past year has been associated with a higher likelihood of uncontrolled blood pressure (BP) among individuals with hypertension.

methodsWe examined factors associated with not having a healthcare visit in the past year among US adults with hypertension using data from the US National Health and Nutrition Examination Survey 2013-2018 (n = 5,985). Hypertension was defined as systolic BP (SBP) ≥140 mm Hg, diastolic BP (DBP) ≥90 mm Hg, or antihypertensive medication use. Having a healthcare visit in the past year was self-reported.

resultsOverall, 7.0% of US adults with hypertension reported not having a healthcare visit in the past year. Those without vs. with a healthcare visit in the past year were less likely to be aware they had hypertension (45.0% vs. 83.9%), to be taking antihypertensive medication (36.7% vs. 91.4%, among those who were aware they had hypertension), and to have controlled BP (SBP/DBP <140/90 mm Hg; 9.1% vs. 51.7%). After multivariable adjustment, not having a healthcare visit in the past year was more common among US adults without health insurance (prevalence ratio [PR]: 2.22; 95% confidence interval [CI] 1.68-2.95), without a usual source of healthcare (PR: 5.65; 95% CI 4.16-7.67), who smoked cigarettes (PR: 1.34; 95% CI 1.02-1.77), and with heavy vs. no alcohol consumption (PR: 1.55; 95% CI 1.16-2.08). Also, not having a healthcare visit in the past year was more common among those without diabetes or a history of atherosclerotic cardiovascular disease, and those not taking a statin.

conclusionsInterventions should be considered to ensure all adults with hypertension have annual healthcare visits.

Indexed as

Antihypertensive AgentsHypertensionAdultBlood PressureDelivery of Health CareHumansNutrition SurveysAntihypertensive Agentsblood pressureblood pressure controldoctor’s visithealthcare utilizationhealthcare visithypertension

Identifiers

PMID34599797
PMCPMC8807150

What OpenQuestion holds

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Registered trials

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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.