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Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.

Publication ,  Journal Article
Zullig, LL; Liang, Y; Vale Arismendez, S; Trevino, A; Bosworth, HB; Turner, BJ
Published in: J Clin Hypertens (Greenwich)
July 2017

In two primary care clinics in Texas serving low-income patients, systolic blood pressure (SBP) trajectory was examined during 2 years in patients with diabetes mellitus (mean SBP ≥140 mm Hg: 152 mm Hg±11.2 in the baseline year). Among 860 eligible patients, 62.0% were women, 78.8% were Hispanic, and 41.2% were uninsured. Overall, SBP dropped 0.56 mm Hg per month or 13.4 mm Hg by 24 months. For patients with mean glycated hemoglobin ≥9% in year 1, SBP declined 4.8 mm Hg less by 24 months vs those with glycated hemoglobin <7% (P=.03). Compared with white women, SPB declined 7.2 mm Hg less by 24 months in Hispanic women (P=.03) and 9.6 mm Hg less by 24 months in black men (P=.04). SBP also declined 9.1 mm Hg less by 24 months for patients taking four or more blood pressure drug classes at baseline vs one drug class. In this low-income cohort, clinically complex patients and racial-ethnic minorities had clinically significantly smaller declines in SBP.

Duke Scholars

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

July 2017

Volume

19

Issue

7

Start / End Page

722 / 730

Location

United States

Related Subject Headings

  • Treatment Adherence and Compliance
  • Texas
  • Prevalence
  • Poverty
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
 

Citation

APA
Chicago
ICMJE
MLA
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Zullig, L. L., Liang, Y., Vale Arismendez, S., Trevino, A., Bosworth, H. B., & Turner, B. J. (2017). Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension. J Clin Hypertens (Greenwich), 19(7), 722–730. https://doi.org/10.1111/jch.12984
Zullig, Leah L., Yuanyuan Liang, Shruthi Vale Arismendez, Aron Trevino, Hayden B. Bosworth, and Barbara J. Turner. “Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.J Clin Hypertens (Greenwich) 19, no. 7 (July 2017): 722–30. https://doi.org/10.1111/jch.12984.
Zullig LL, Liang Y, Vale Arismendez S, Trevino A, Bosworth HB, Turner BJ. Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension. J Clin Hypertens (Greenwich). 2017 Jul;19(7):722–30.
Zullig, Leah L., et al. “Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.J Clin Hypertens (Greenwich), vol. 19, no. 7, July 2017, pp. 722–30. Pubmed, doi:10.1111/jch.12984.
Zullig LL, Liang Y, Vale Arismendez S, Trevino A, Bosworth HB, Turner BJ. Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension. J Clin Hypertens (Greenwich). 2017 Jul;19(7):722–730.
Journal cover image

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

July 2017

Volume

19

Issue

7

Start / End Page

722 / 730

Location

United States

Related Subject Headings

  • Treatment Adherence and Compliance
  • Texas
  • Prevalence
  • Poverty
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities