The importance of frequent return visits and hypertension control among US young adults: a multidisciplinary group practice observational study

J Clin Hypertens (Greenwich). 2017 Dec;19(12):1288-1297. doi: 10.1111/jch.13096. Epub 2017 Sep 19.


Young adults (aged 18 to 39 years) have the lowest hypertension control rates compared with older adults. Shorter follow-up encounter intervals are associated with faster hypertension control rates in older adults; however, optimal intervals are unknown for young adults. The study objective was to evaluate the relationship between ambulatory blood pressure encounter intervals (average number of provider visits with blood pressures over time) and hypertension control rates among young adults with incident hypertension. A retrospective analysis was conducted of patients aged 18 to 39 years (n = 2990) with incident hypertension using Kaplan-Meier survival and Cox proportional hazards analyses over 24 months. Shorter encounter intervals were associated with higher hypertension control: <1 month (91%), 1 to 2 months (76%), 2 to 3 months (65%), 3 to 6 months (40%), and >6 months (13%). Young adults with shorter encounter intervals also had lower medication initiation, supporting the effectiveness of lifestyle modifications. Sustainable interventions for timely young adult follow-up are essential to improve hypertension control in this hard-to-reach population.

Keywords: clinical management of high blood pressure; hypertension-general; primary care issues.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aftercare* / organization & administration
  • Aftercare* / psychology
  • Age Factors
  • Ambulatory Care / methods*
  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure / drug effects
  • Blood Pressure Monitoring, Ambulatory* / methods
  • Blood Pressure Monitoring, Ambulatory* / psychology
  • Female
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / epidemiology
  • Hypertension* / psychology
  • Life Style
  • Male
  • Primary Health Care / methods
  • United States / epidemiology


  • Antihypertensive Agents