Pharmacy Practice Department, College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX 77004, USA.
Ethn Dis. 2010 Winter;20(1):2-6.
Home blood pressure (BP) monitors are commonly recommended for patients with hypertension, but little is known about their utilizations among different racial/ethnic groups. The objective of this study was to investigate if racial differences existed in the utilization of home BP monitoring devices.
A voluntary and self-administered survey study.
Community pharmacies in the Greater Houston metropolitan areas, Texas, United States.
Subjects were recruited from community pharmacies if they were aged > or = 18 years and received a prescription drug for hypertension.
Each participant was given informed consent to complete a survey that consisted of questions about patient demographics and BP self-monitoring behavior.
The primary measures were the use of home BP monitors and the patient's knowledge of BP monitoring.
A total of 987 pharmacy customers were approached, of whom 834 patients agreed to participate (34.3% African Americans, 33.3% Whites, and 28.9% Hispanics). We found no association between race and BP monitor utilization. Patients with less education and lower income were associated with lesser use of BP monitors (P=.04 and P<.01 respectively). Patients with higher education and higher incomes were more knowledgeable about how to monitor BP at home. (P<.01).
This study found that the utilization of BP monitors was not different among races. Patients with lower education level and less income were associated with less home BP monitor use. Further studies to investigate the adherence to home BP monitor use and intervention to overcome barriers to self-monitoring is needed.
家庭血压（BP）监测仪通常推荐给高血压患者使用，但对于不同种族/族裔群体中家庭 BP 监测仪的使用情况知之甚少。本研究旨在调查家庭 BP 监测设备的使用是否存在种族差异。
一项自愿和自我管理的调查研究。
美国德克萨斯州休斯顿大都市区的社区药房。
如果受试者年龄大于或等于 18 岁并接受高血压处方药治疗，则从社区药房招募受试者。
每位参与者均获得知情同意，以完成一项包含患者人口统计学和 BP 自我监测行为问题的调查。
主要指标是家庭 BP 监测仪的使用情况和患者对 BP 监测的了解程度。
共接触了 987 名药房顾客，其中 834 名患者同意参与（34.3%为非裔美国人，33.3%为白人，28.9%为西班牙裔）。我们没有发现种族与 BP 监测仪使用之间存在关联。受教育程度较低和收入较低的患者使用 BP 监测仪的可能性较小（分别为 P=.04 和 P<.01）。受教育程度较高和收入较高的患者对如何在家中监测 BP 更有了解（P<.01）。
本研究发现，BP 监测仪的使用在不同种族之间没有差异。受教育程度较低和收入较低的患者与家庭 BP 监测仪使用较少有关。需要进一步研究以调查家庭 BP 监测仪使用的依从性，并采取干预措施克服自我监测的障碍。
