Disparities in hypertension control advice according to smoking status

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

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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
Pages (from-to)302-306
Number of pages5
JournalPreventive Medicine
Volume51
Issue number3-4
DOIs
StatePublished - Sep 1 2010

Fingerprint

Smoking
Hypertension
Blood Pressure
Health Personnel
Behavioral Risk Factor Surveillance System
Insurance Coverage
Marital Status
Patient Education
Health Surveys
Alcohol Drinking
Life Style
Body Mass Index
Cardiovascular Diseases
Salts
Logistic Models
Odds Ratio
Regression Analysis
Alcohols
Confidence Intervals
Exercise

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Disparities in hypertension control advice according to smoking status. / Caban-Martinez, Alberto J; Davila, Evelyn P.; Zhao, Wei; Arheart, Kristopher; Hooper, Monica W; Byrne, Margaret M; Messiah, Antoine; Dietz, Noella; Huang, Youjie; Fleming, Lora E.; Lee, David J.

In: Preventive Medicine, Vol. 51, No. 3-4, 01.09.2010, p. 302-306.

Research output: Contribution to journalArticle

Caban-Martinez, AJ, Davila, EP, Zhao, W, Arheart, K, Hooper, MW, Byrne, MM, Messiah, A, Dietz, N, Huang, Y, Fleming, LE & Lee, DJ 2010, 'Disparities in hypertension control advice according to smoking status', Preventive Medicine, vol. 51, no. 3-4, pp. 302-306. https://doi.org/10.1016/j.ypmed.2010.06.012
Caban-Martinez, Alberto J ; Davila, Evelyn P. ; Zhao, Wei ; Arheart, Kristopher ; Hooper, Monica W ; Byrne, Margaret M ; Messiah, Antoine ; Dietz, Noella ; Huang, Youjie ; Fleming, Lora E. ; Lee, David J. / Disparities in hypertension control advice according to smoking status. In: Preventive Medicine. 2010 ; Vol. 51, No. 3-4. pp. 302-306.
@article{6716421674af4b9b9b35cc606c40bc09,
title = "Disparities in hypertension control advice according to smoking status",
abstract = "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.",
keywords = "Epidemiology, Health disparities, High blood pressure, Hypertension, Smoking, Tobacco",
author = "Caban-Martinez, {Alberto J} and Davila, {Evelyn P.} and Wei Zhao and Kristopher Arheart and Hooper, {Monica W} and Byrne, {Margaret M} and Antoine Messiah and Noella Dietz and Youjie Huang and Fleming, {Lora E.} and Lee, {David J}",
year = "2010",
month = "9",
day = "1",
doi = "10.1016/j.ypmed.2010.06.012",
language = "English",
volume = "51",
pages = "302--306",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "3-4",

}

TY - JOUR

T1 - Disparities in hypertension control advice according to smoking status

AU - Caban-Martinez, Alberto J

AU - Davila, Evelyn P.

AU - Zhao, Wei

AU - Arheart, Kristopher

AU - Hooper, Monica W

AU - Byrne, Margaret M

AU - Messiah, Antoine

AU - Dietz, Noella

AU - Huang, Youjie

AU - Fleming, Lora E.

AU - Lee, David J

PY - 2010/9/1

Y1 - 2010/9/1

N2 - 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.

AB - 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.

KW - Epidemiology

KW - Health disparities

KW - High blood pressure

KW - Hypertension

KW - Smoking

KW - Tobacco

UR - http://www.scopus.com/inward/record.url?scp=79751470963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79751470963&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2010.06.012

DO - 10.1016/j.ypmed.2010.06.012

M3 - Article

VL - 51

SP - 302

EP - 306

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 3-4

ER -