IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.70.1.48_6.html
   My bibliography  Save this article

Hypertension control in a rural biracial community: Successes and failures of primary care

Author

Listed:
  • Wagner, E.H.
  • Slome, C.
  • Carroll, C.L.
  • Warner, J.T.
  • Pittman, A.W.
  • Pickard, C.G.
  • Williams, B.O.
  • Cornoni-Huntley, J.C.

Abstract

Through a total community survey and a medical record review, we examined hypertension awareness, treatment, and control in a biracial rural community rich in primary care resources. The overall prevalence of hypertension among the 2,939 respondents was 20.5 per cent; 82 per cent of hypertensives were aware of their condition; 68 per cent were on treatment; and 55 per cent were under control. Comparison of data sources revealed discrepancies and misconceptions about diagnosis and treatment. Nearly one-third of the population reported a history of hypertension despite the fact that most of them were untreated and were normotensive. Conversely, one-third of 'undetected' hypertensives had notation of the diagnosis in their medical records. Discontinuation of treatment accounted for over one-half of aware but untreated hypertension. Misconceptions about therapy contributed to failures of control in the treated group. These findings suggest that difficulties in the transmission of information about hypertension contribute importantly to failures of control.

Suggested Citation

  • Wagner, E.H. & Slome, C. & Carroll, C.L. & Warner, J.T. & Pittman, A.W. & Pickard, C.G. & Williams, B.O. & Cornoni-Huntley, J.C., 1980. "Hypertension control in a rural biracial community: Successes and failures of primary care," American Journal of Public Health, American Public Health Association, vol. 70(1), pages 48-55.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.70.1.48_6
    DOI: 10.2105/AJPH.70.1.48
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.70.1.48
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.70.1.48?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Russell G. Schuh & Laura C. Leviton, 1991. "Evaluating Referral and Agency Coordination With a Computerized Client-Tracking System," Evaluation Review, , vol. 15(5), pages 533-554, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.70.1.48_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.