Suppr超能文献

在 REGARDS 研究中,接受高血压治疗的黑人和白人对医生的信任与血压控制情况。

Trust in physicians and blood pressure control in blacks and whites being treated for hypertension in the REGARDS study.

机构信息

Division of Preventive Medicine; University of Alabama at Birmingham, Birmingham, AL 35294, USA.

出版信息

Ethn Dis. 2010 Summer;20(3):282-9.

Abstract

OBJECTIVES

Among persons treated for hypertension, Blacks are more likely to have uncontrolled blood pressure compared to Whites. Few studies have focused on trust in physicians as a potential contributor to this disparity in blood pressure (BP) control. The primary objective of this study was to assess the relationship between trust in physicians and blood pressure control among Blacks and Whites being treated for hypertension.

DESIGN

Cross-sectional analysis of baseline data collected from the REasons for Geographic And Racial Differences in Stroke cohort, a US national, population-based cohort study. Participants were recruited by telephone from 2003-2007, completed a telephone survey, and had BP measured during an in-home visit.

PARTICIPANTS

2843 Black and White adults aged > 45 years with treated hypertension.

MAIN OUTCOME MEASURES

Uncontrolled blood pressure was defined as systolic blood pressure > 140 mm Hg or diastolic blood pressure > 90 mm Hg. For participants with diabetes, renal disease, or self-reported previous myocardial infarction, uncontrolled blood pressure was defined as systolic blood pressure > 130 mm Hg or diastolic blood pressure > 80 mm Hg.

RESULTS

Trust in physicians was not associated with uncontrolled blood pressure in either unadjusted (odd ratio [OR] 1.07; 95% confidence interval [CI) 0.92, 1.25) or adjusted analyses (OR 0.97; 0.83, 1.14). Both Black race (OR 1.58; 1.36, 1.84) and imperfect medication adherence (OR 1.56; 1.31,1.86) were associated with higher odds of uncontrolled blood pressure.

CONCLUSIONS

Trust in physicians was not related to blood pressure control among Blacks and Whites with treated hypertension in this sample. The racial disparity in blood pressure control was not completely explained by trust in physicians or medication adherence, and a better understanding of the mechanisms leading to this disparity is needed.

摘要

目的

在接受高血压治疗的人群中,与白人相比,黑人更有可能出现血压控制不佳的情况。很少有研究关注医生信任是否是导致血压控制差异的潜在因素。本研究的主要目的是评估医生信任与接受高血压治疗的黑人和白人血压控制之间的关系。

设计

这是一项横断面分析,对美国全国性基于人群的队列研究——REasons for Geographic And Racial Differences in Stroke 队列的基线数据进行分析。2003-2007 年通过电话招募参与者,完成电话调查,并在家庭访视中测量血压。

参与者

2843 名年龄>45 岁、接受高血压治疗的黑人和白人成年人。

主要观察指标

未控制的血压定义为收缩压>140mmHg 或舒张压>90mmHg。对于患有糖尿病、肾脏疾病或自述有既往心肌梗死的患者,未控制的血压定义为收缩压>130mmHg 或舒张压>80mmHg。

结果

在未调整分析(比值比[OR]1.07;95%置信区间[CI]0.92,1.25)或调整分析(OR 0.97;0.83,1.14)中,医生信任均与未控制的血压无关。黑种人(OR 1.58;1.36,1.84)和不完美的药物依从性(OR 1.56;1.31,1.86)均与未控制血压的可能性更高相关。

结论

在本研究样本中,接受高血压治疗的黑人和白人的血压控制与医生信任无关。血压控制的种族差异不能完全用医生信任或药物依从性来解释,需要更好地了解导致这种差异的机制。

相似文献

3
Physician communication behaviors and trust among black and white patients with hypertension.
Med Care. 2013 Feb;51(2):151-7. doi: 10.1097/MLR.0b013e31827632a2.
6
Physician Trust and Home Remedy Use Among Low-Income Blacks and Whites with Hypertension: Findings from the TRUST Study.
J Racial Ethn Health Disparities. 2019 Aug;6(4):830-835. doi: 10.1007/s40615-019-00582-z. Epub 2019 Mar 26.
7
Patient-physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.
Ethn Health. 2014;19(5):565-78. doi: 10.1080/13557858.2013.857764. Epub 2013 Nov 22.

引用本文的文献

3
ACOs' Impact on Hospitalization Rates of Rural Older Adults With Diabetes: Early Indications.
Fam Community Health. 2018 Oct/Dec;41(4):265-273. doi: 10.1097/FCH.0000000000000204.
4
Self-care management strategies used by Black women who self-report consistent adherence to antihypertensive medication.
Patient Prefer Adherence. 2017 Aug 16;11:1401-1412. doi: 10.2147/PPA.S138162. eCollection 2017.
5
Trust in the health care professional and health outcome: A meta-analysis.
PLoS One. 2017 Feb 7;12(2):e0170988. doi: 10.1371/journal.pone.0170988. eCollection 2017.
8
The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension.
Front Public Health. 2013 Dec 5;1:66. doi: 10.3389/fpubh.2013.00066. eCollection 2013.
9
Correlates of physician trust among rural older adults with diabetes.
Am J Health Behav. 2013 Sep;37(5):660-6. doi: 10.5993/AJHB.37.5.10.
10
Medication adherence and stroke/TIA risk in treated hypertensives: results from the REGARDS study.
J Am Soc Hypertens. 2013 Sep-Oct;7(5):363-9. doi: 10.1016/j.jash.2013.05.002. Epub 2013 Jul 30.

本文引用的文献

1
Degree and correlates of patient trust in their cardiologist.
J Eval Clin Pract. 2009 Aug;15(4):634-40. doi: 10.1111/j.1365-2753.2008.01064.x. Epub 2009 Jun 10.
2
Socioeconomic and psychosocial factors mediate race differences in nocturnal blood pressure dipping.
Am J Hypertens. 2009 Jun;22(6):637-42. doi: 10.1038/ajh.2009.58. Epub 2009 Mar 26.
3
Racial differences in the impact of social support on nocturnal blood pressure.
Psychosom Med. 2009 Jun;71(5):524-31. doi: 10.1097/PSY.0b013e31819e3a93. Epub 2009 Mar 25.
5
The effects of trust in physician on self-efficacy, adherence and diabetes outcomes.
Soc Sci Med. 2009 Mar;68(6):1060-8. doi: 10.1016/j.socscimed.2008.12.033. Epub 2009 Jan 21.
6
Barriers to optimal hypertension control.
J Clin Hypertens (Greenwich). 2008 Aug;10(8):644-6. doi: 10.1111/j.1751-7176.2008.08329.x.
7
Overcoming racial and ethnic disparities in blood pressure control: a patient-centered approach to cross-cultural communication.
J Clin Hypertens (Greenwich). 2008 Aug;10(8):589-91. doi: 10.1111/j.1751-7176.2008.08046.x.
8
Factors associated with hypertension awareness, treatment, and control in Dallas County, Texas.
Arch Intern Med. 2008 Jun 23;168(12):1285-93. doi: 10.1001/archinte.168.12.1285.
9
The challenge of patient adherence.
Ther Clin Risk Manag. 2005 Sep;1(3):189-99.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验