Financial cost as an obstacle to hypertension therapy.
N B Shulman,
B Martinez,
D Brogan,
A A Carr and
C G Miles
A home health interview, including blood pressure measurements,was conducted on 4,688 adults representing the noninstitutionalizedpopulation of Georgia. Subjects with diastolic blood pressuregreater than or equal to 90 mm Hg or on antihypertensive medicationwere considered hypertensive. The prevalence of uncontrolledmoderate or severe hypertension (diastolic greater than or equalto 105 mm Hg) was 1.9 per cent. With the exception of Whitewomen, all race-sex groups with uncontrolled moderate or severehypertension reported substantially lower per capita incomethan their mild or controlled hypertensive counterparts. A largerpercentage of the uncontrolled moderate to severe hypertensiveson medication, as compared to their mild or controlled counterparts,reported economic barriers to pharmacologic and medical careon cost of medicines (36 per cent vs 22 per cent); refills (36per cent vs 16 per cent); and office visits (26 per cent vs16 per cent). Black women reported these barriers more thanWhites. These findings suggest that costs of antihypertensivecare may be an obstacle in blood pressure control for certainpopulation subgroups.
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