Featured Research

from universities, journals, and other organizations

Inequalities in prescribing blood pressure meds highlighted by new study

Date:
February 18, 2014
Source:
Springer Science+Business Media
Summary:
Young adults are less likely to be prescribed blood pressure medication, even with access to care. New research shows that primary care doctors are not quick to prescribe antihypertensive medication to young people even after an average of 20 months of high blood pressure. Young adults who are white, male, not on Medicaid and not frequent clinic visitors are especially less likely to receive medication. One in every 10 Americans between the ages of 18 and 39 years old suffers from hypertension. Because hypertension in young adulthood increases the risk of future cardiovascular events, medical treatment is advised if a patient's blood pressure isn't lowered through lifestyle modifications.

Primary care doctors are not quick to prescribe antihypertensive medication to young people even after an average of 20 months of high blood pressure. Young adults who are white, male, not on Medicaid and not frequent clinic visitors are especially less likely to receive medication. These are the results of a studyΉ by a research team at the University of Wisconsin School of Medicine and Public Health in the United States led by Heather Johnson. It appears in the Journal of General Internal Medicine, published by Springer.

One in every 10 Americans between the ages of 18 and 39 years old suffers from hypertension. Previous research has shown that young adults with hypertension are less likely to receive blood pressure medication than middle-aged and older adults because of lack of healthcare access. Because hypertension in young adulthood increases the risk of future cardiovascular events, medical treatment is advised if a patient's blood pressure isn't lowered through lifestyle modifications. Previous studies have also shown that medication can help control hypertension among young adults better and faster than is the case for older adults.

Johnson's team set about comparing rates and predictors of when young, middle-aged and older adults who make regular primary care visits are put onto antihypertensive medication. They analyzed the records of more than 10,000 adults older than 18 years who visited a large, Midwestern practice from 2008 to 2011.

They found that doctors were 44 percent slower in starting young adults (between the ages of 18 and 39 years old) on hypertension medication than they were for people aged 60 years and older. Males had a 36 percent slower rate of first receiving antihypertensive medication than women, while white patients were also less likely to receive such treatment. The research team believes the latter may be the case because of primary care providers who are responding to the known increased risk of comorbidities with hypertension among minorities, especially African-Americans. Patients with diabetes across all ages were started on relevant treatment 56 percent faster than others.

Johnson calls on guideline-based treatment for all ethnic groups and genders, and for the need to improve hypertension control in young adults. Such interventions should address both bio-behavioral risk factors for hypertension (such as body mass index, exercise and tobacco use) and, when indicated, the initiation of antihypertensive medication.

"Even with regular primary care contact and continued elevated blood pressure, young adults had slower rates of antihypertensive medication initiation than middle-aged and older adults," said Johnson. "In the young adult group, males, patients with mild hypertension, and white patients had a slower rate of medication initiation, while young adults with Medicaid and more clinic visits had faster rates. Lifestyle modification is the cornerstone of hypertension treatment. Young adults need focused blood pressure visits to monitor lifestyle changes and when necessary, intensify treatment."


Story Source:

The above story is based on materials provided by Springer Science+Business Media. Note: Materials may be edited for content and length.


Journal Reference:

  1. Heather M. Johnson, Carolyn T. Thorpe, Christie M. Bartels, Jessica R. Schumacher, Mari Palta, Nancy Pandhi, Ann M. Sheehy, Maureen A. Smith. Antihypertensive Medication Initiation Among Young Adults with Regular Primary Care Use. Journal of General Internal Medicine, 2014; DOI: 10.1007/s11606-014-2790-4

Cite This Page:

Springer Science+Business Media. "Inequalities in prescribing blood pressure meds highlighted by new study." ScienceDaily. ScienceDaily, 18 February 2014. <www.sciencedaily.com/releases/2014/02/140218110531.htm>.
Springer Science+Business Media. (2014, February 18). Inequalities in prescribing blood pressure meds highlighted by new study. ScienceDaily. Retrieved July 23, 2014 from www.sciencedaily.com/releases/2014/02/140218110531.htm
Springer Science+Business Media. "Inequalities in prescribing blood pressure meds highlighted by new study." ScienceDaily. www.sciencedaily.com/releases/2014/02/140218110531.htm (accessed July 23, 2014).

Share This




More Health & Medicine News

Wednesday, July 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) — Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
Why Do People Believe We Only Use 10 Percent Of Our Brains?

Why Do People Believe We Only Use 10 Percent Of Our Brains?

Newsy (July 22, 2014) — The new sci-fi thriller "Lucy" is making people question whether we really use all our brainpower. But, as scientists have insisted for years, we do. Video provided by Newsy
Powered by NewsLook.com
Scientists Find New Way To Make Human Platelets

Scientists Find New Way To Make Human Platelets

Newsy (July 22, 2014) — Boston scientists have discovered a new way to create fully functioning human platelets using a bioreactor and human stem cells. Video provided by Newsy
Powered by NewsLook.com
Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) — New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins