Opportunities in primary care for reducing stroke rates:
a cross-sectional study of the differences in the control of hypertension between ethnic groups
Opportunities in primary care for reducing stroke rates:
a cross-sectional study of the differences in the control of hypertension between ethnic groups
Aim: to compare blood pressure control and management patterns among hypertensive patients of Caucasian and ethnic minority origin.
Methods: this study involved a retrospective case-note assessment of the quality of care received over a 3-year period of 199 Caucasian and 50 ethnic minority patients with established essential hypertension attending an inner city UK general medical practice.
Results: compared to Caucasian patients, patients from ethnic minority origins were more likely to have a mean diastolic blood pressure above 90 mmHg adjusted for age, gender, diabetes, body mass index, smoking, alcohol, and family history of cardiovascular and cerebrovascular disease (OR = 2.6, p = 0.02). Ethnic minority patients had an average of five more general practice visits annually than Caucasian patients (p < 0.01). However, the mean number of blood pressure readings per year did not differ significantly between the two groups. The most commonly used antihypertensive drug in ethnic minority patients was atenolol compared to bendroflauzide in Caucasian patients.
Conclusions: there is scope for improving the control of blood pressure, and hence influencing vascular disease rates, in ethnic minority populations. The use of evidence-based hypertension treatment tailored to ethnic origin could be improved and the higher number of GP visits for these patients could be utilized to optimize blood pressure control. However, public health strategies need to take account of the possible higher primary care workload inherent in achieving good control in such populations
Alwan, Nisreen A.
0d37b320-f325-4ed3-ba51-0fe2866d5382
Packham, Chris J.
0c83eff2-c7e9-4814-a0f3-ad73ec5c149b
2006
Alwan, Nisreen A.
0d37b320-f325-4ed3-ba51-0fe2866d5382
Packham, Chris J.
0c83eff2-c7e9-4814-a0f3-ad73ec5c149b
Alwan, Nisreen A. and Packham, Chris J.
(2006)
Opportunities in primary care for reducing stroke rates:
a cross-sectional study of the differences in the control of hypertension between ethnic groups.
Asia Pacific Journal of Family Medicine, 5 (2).
Abstract
Aim: to compare blood pressure control and management patterns among hypertensive patients of Caucasian and ethnic minority origin.
Methods: this study involved a retrospective case-note assessment of the quality of care received over a 3-year period of 199 Caucasian and 50 ethnic minority patients with established essential hypertension attending an inner city UK general medical practice.
Results: compared to Caucasian patients, patients from ethnic minority origins were more likely to have a mean diastolic blood pressure above 90 mmHg adjusted for age, gender, diabetes, body mass index, smoking, alcohol, and family history of cardiovascular and cerebrovascular disease (OR = 2.6, p = 0.02). Ethnic minority patients had an average of five more general practice visits annually than Caucasian patients (p < 0.01). However, the mean number of blood pressure readings per year did not differ significantly between the two groups. The most commonly used antihypertensive drug in ethnic minority patients was atenolol compared to bendroflauzide in Caucasian patients.
Conclusions: there is scope for improving the control of blood pressure, and hence influencing vascular disease rates, in ethnic minority populations. The use of evidence-based hypertension treatment tailored to ethnic origin could be improved and the higher number of GP visits for these patients could be utilized to optimize blood pressure control. However, public health strategies need to take account of the possible higher primary care workload inherent in achieving good control in such populations
This record has no associated files available for download.
More information
Accepted/In Press date: 10 July 2006
Published date: 2006
Organisations:
Primary Care & Population Sciences
Identifiers
Local EPrints ID: 377800
URI: http://eprints.soton.ac.uk/id/eprint/377800
ISSN: 1447-056X
PURE UUID: dabccfe1-c9a8-4dda-ba5b-5e07f4e53f42
Catalogue record
Date deposited: 05 Jun 2015 15:33
Last modified: 23 Jul 2022 02:10
Export record
Contributors
Author:
Chris J. Packham
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
