ArticleCirculation. Cardiovascular quality and outcomes2022
Urban Spatial Accessibility of Primary Care and Hypertension Control and Awareness on Chicago's South Side: A Study From the COMPASS Cohort.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
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- Examining Transitions From Early Intervention to Preschool Services: A Retrospective Review of Therapeutic Service Access in a Clinical Sample of Children With Developmental Disabilities.Infants and young children · 2026Article
- Hypertension Prevalence, Awareness, Treatment, and Control Among Community-Dwelling Adults in Low-Resource Neighborhoods of Chicago, Illinois.American journal of health promotion : AJHP · 2026Article
- Spatial Access to Cancer Care Providers in National Cancer Institute-Designated Cancer Center Catchment Areas.JCO clinical cancer informatics · 2026Article
- From food deserts to nutritional equity: exposing socioeconomic drivers of hypertension.Journal of nutritional science · 2026Article
- Primary Care Usage Among Adults With Self-Reported Hypertension: United States, 2023.American journal of hypertension · 2025Article
- Contextual factors and implementation strategies for a multi-level community-based sodium reduction intervention in Chicago's South Side: a qualitative study.The international journal of behavioral nutrition and physical activity · 2025Article
- Closing the Gap: Digital Innovations to Address Hypertension Disparities.Current cardiology reports · 2025Review
- Differing associations of PMScientific reports · 2024Article
- Development and usability of an EHR-driven hypertension disparities dashboard in primary care: A qualitative study.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Assessment of unmeasured confounding in the association between perceived discrimination and mental health in a predominantly African American cohort using g-estimation.International journal of epidemiology · 2024Article
- Association Between Pharmacy Proximity With Cardiovascular Medication Use and Risk Factor Control in the United States.Journal of the American Heart Association · 2024Article
- Duration-sensitive association between air pollution exposure and changes in cardiometabolic biomarkers: Evidence from a predominantly African American cohort.Environmental research · 2024Article
- Hide Your Distance: Privacy Risks and Protection in Spatial Accessibility Analysis.Proceedings of the ... ACM SIGSPATIAL International Conference on Advances in Geographic Information Systems : ACM GIS. ACM SIGSPATIAL International Conference on Advances in Geographic Information Systems · 2023Article
- Moving Beyond the Individual: Multilevel Solutions for Equitable Hypertension Control.Circulation. Cardiovascular quality and outcomes · 2022Article
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10 authors at 6 institutions in 3 countries.
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Abstract
backgroundUnderstanding the relationship between hypertension and spatial accessibility of primary care can inform interventions to improve hypertension control and awareness, especially among disadvantaged populations. This study aims to investigate the association between spatial accessibility of primary care and hypertension control and awareness.
methodsParticipant data from the COMPASS (Chicago Multiethnic Prevention and Surveillance Study) between 2013 and 2019 were analyzed. All participants were geocoded. Locations of primary care providers in Chicago were obtained from MAPSCorps. A score was generated for spatial accessibility of primary care using an enhanced 2-step floating catchment area method. A higher score indicates greater accessibility. Measured hypertension was defined as systolic blood pressure ≥130 mm Hg or diastolic blood pressure ≥80 mm Hg. Logistic regression was used to estimate odds ratio and 95% CI for hypertension status in relation to accessibility score quartiles.
resultsFive thousand ninety-six participants (mean age, 53.4±10.8) were included. The study population was predominantly non-Hispanic black (84.0%), over 53% reported an annual household income <$15 000, and 37.3% were obese. Measured hypertension prevalence was 78.7% in this population, among which 37.7% were uncontrolled and 41.0% were unaware. A higher accessibility score was associated with lower measured hypertension prevalence. In fully adjusted models, compared with the first (lowest) quartile of accessibility score, the odds ratio strengthened from 0.82 (95% CI, 0.67-1.01) for the second quartile to 0.75 (95% CI, 0.62-0.91) for the third quartile, and further to 0.73 (95% CI, 0.60-0.89) for the fourth (highest) quartile. The increasing trend had a
conclusionsBetter spatial accessibility of primary care is associated with improved hypertension awareness and control.
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