Variations in physicians' advice for managing hypertension in women

A study using NHANES III

Michelle Martin, Sharina D. Person, Michéle Shipp, B. Lee Green, Martha Crowther, Patricia Lee

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective.: To examine the pattern of physician advice-giving to individuals with hypertension and to determine if advice-giving and adherence to advice vary by race. Methods.: Frequency of physician recommendations and patient adherence to such advice were analyzed using data from the Third National Health and Nutrition Examination Survey conducted from 1988 to 1994. A total of 2066 women were included in the study. Results.: The frequency of advice-giving and patient adherence to that advice varied as a function of the type of advice dispensed. Physician advice-giving and patient adherence also varied as a function of race; compared to Black women, White women were 60% less likely [OR (95% CI): 0.41 (0.25, 0.65)] to be told to take prescribed medicines and 56% less likely [OR (95% CI): 0.44 (0.26, 0.76)] to be told to exercise. Regarding patient adherence, compared to Black women, White women were 37% less likely [OR (95% CI): 0.63 (0.44, 0.91)] to use prescribed medicines, 59% less likely [OR (95% CI): 0.41 (0.26, 0.66)] to report reducing use of salt/sodium, and among overweight women, 50% less likely [OR (95% CI): 0.50 (0.31, 0.81)] to report efforts to control/lose weight. Conclusions.: The variability of physician advice and patient adherence as a function of race warrants further study.

Original languageEnglish (US)
Pages (from-to)337-342
Number of pages6
JournalPreventive Medicine
Volume43
Issue number4
DOIs
StatePublished - Oct 1 2006

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Nutrition Surveys
Patient Compliance
Hypertension
Physicians
Salts
Sodium
Exercise
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Variations in physicians' advice for managing hypertension in women : A study using NHANES III. / Martin, Michelle; Person, Sharina D.; Shipp, Michéle; Green, B. Lee; Crowther, Martha; Lee, Patricia.

In: Preventive Medicine, Vol. 43, No. 4, 01.10.2006, p. 337-342.

Research output: Contribution to journalArticle

Martin, Michelle ; Person, Sharina D. ; Shipp, Michéle ; Green, B. Lee ; Crowther, Martha ; Lee, Patricia. / Variations in physicians' advice for managing hypertension in women : A study using NHANES III. In: Preventive Medicine. 2006 ; Vol. 43, No. 4. pp. 337-342.
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abstract = "Objective.: To examine the pattern of physician advice-giving to individuals with hypertension and to determine if advice-giving and adherence to advice vary by race. Methods.: Frequency of physician recommendations and patient adherence to such advice were analyzed using data from the Third National Health and Nutrition Examination Survey conducted from 1988 to 1994. A total of 2066 women were included in the study. Results.: The frequency of advice-giving and patient adherence to that advice varied as a function of the type of advice dispensed. Physician advice-giving and patient adherence also varied as a function of race; compared to Black women, White women were 60{\%} less likely [OR (95{\%} CI): 0.41 (0.25, 0.65)] to be told to take prescribed medicines and 56{\%} less likely [OR (95{\%} CI): 0.44 (0.26, 0.76)] to be told to exercise. Regarding patient adherence, compared to Black women, White women were 37{\%} less likely [OR (95{\%} CI): 0.63 (0.44, 0.91)] to use prescribed medicines, 59{\%} less likely [OR (95{\%} CI): 0.41 (0.26, 0.66)] to report reducing use of salt/sodium, and among overweight women, 50{\%} less likely [OR (95{\%} CI): 0.50 (0.31, 0.81)] to report efforts to control/lose weight. Conclusions.: The variability of physician advice and patient adherence as a function of race warrants further study.",
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