Abstract 611: Hypertension Management at United States Physician Office Visits Made by Hypertensive Adults
Background: The objective was to compare the management of hypertension at ambulatory care visits by sex among previously diagnosed hypertensive patients in the United States.
Methods: Cross-sectional data from the 2010 National Ambulatory Medical Care Survey of physician office visits was used. Visits to primary care physicians or cardiovascular disease specialists by both hypertensive males and females (non-pregnant) ≥18 years were included. Chi-square tests were used to compare visits by sex. P-value <0.05 was considered statistically significant.
Results: There were 157 million physician office visits by hypertensive adults in 2010. Visits by patients 45-64 years represented 41% (65 of 157) of visits. Non-Hispanic Whites comprised 71% (112 of 157) of visits, Non-Hispanic Blacks 16% (25.5 of 157) and Hispanics 8% (13.3 of 157). Females represented 56% of the visits. A higher percent of current tobacco use (15%, 10 of 69) and private insurance as the expected source of payment (45%, 31 of 69) was observed in visits among males than visits among females (9%, 7.8 of 88 and 40%, 35 of 88, respectively for females). Depression screening was provided at 1% (1 of 69) of visits made by males and 2% (2 of 88, p=0.03) of visits made by females. There were no differences by sex for the following: blood pressure control (≥140/90 mmHg) (64% males, 42 of 65; 62% females, 50 of 82), smoking cessation education for current smokers (28% male smokers, 2.8 of 10; 35% female smokers) or diet/nutrition education (21% males, 14 of 69; 20% females, 18 of 88).
Conclusions: Ambulatory visits made by hypertensive males were less likely to include depression screening than visits made by hypertensive females. Depression management is important for the management of hypertension. There were no disparities by sex in blood pressure control, diet/nutrition education or smoking cessation education for current smokers.
Author Disclosures: K.L. Myrick: None. S.G. Uddin: None.
- © 2014 by American Heart Association, Inc.