Disparities in hypertension control advice according to smoking status

Alberto J. Caban-Martinez, Evelyn P. Davila, Wei Zhao, Kristopher Arheart, Monica Webb Hooper, Margaret Byrne, Antoine Messiah, Noella Dietz, Youjie Huang, Lora E. Fleming, David J. Lee

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objectives: Hypertension is the most common modifiable cardiovascular risk factor. Blood pressure (BP) reduction, particularly among smokers, is highly effective at preventing cardiovascular diseases. We examined the association between patient smoking status and hypertension management advice. Methods: Adults who participated in the 2007 Behavioral Risk Factor Surveillance System with self-reported hypertension were examined (n= 51,063). Multivariable logistic regression analysis controlling for age, gender, race/ethnicity, education, marital status, insurance status, body mass index, alcohol use, self-reported general health and survey design were conducted to examine the association between smoking status (never, former, or current) and receipt of hypertension control advice. Results: After controlling for potential confounders, being a current smoker was significantly associated with lower odds of receiving advice to lower salt intake (Adjusted Odds Ratio, AOR, 0.91 [95% confidence interval. = 0.84-0.99]), exercise (AOR 0.89 [0.80-0.98]), and to take hypertensive medication (AOR 0.80 [0.66-0.98]) compared to never smokers. However, hypertensive smokers had greater odds of receiving advice to reduce alcohol consumption (AOR 1.23 [1.10-1.45]). Conclusions: Although healthcare providers are in an optimal position to provide patient education to improve BP control, hypertensive smokers may be less likely to receive important BP control lifestyle modification messages from their healthcare provider than non-smokers.

Original languageEnglish (US)
Pages (from-to)302-306
Number of pages5
JournalPreventive medicine
Issue number3-4
StatePublished - Sep 2010
Externally publishedYes


  • Epidemiology
  • Health disparities
  • High blood pressure
  • Hypertension
  • Smoking
  • Tobacco

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology


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