Hypertension control and access to medical care in the inner city

Am J Public Health. 1998 Nov;88(11):1696-9. doi: 10.2105/ajph.88.11.1696.


Objectives: This study assessed hypertension control among high-risk African Americans.

Methods: We interviewed 583 African Americans aged 18 years and older residing in 438 randomly selected inner-city households.

Results: Forty-two percent of the respondents were hypertensive. Blood pressure was uncontrolled in 74% of hypertensive persons, although 64% of hypertensive persons reported having seen a physician within the previous 3 months. Hypertension control was associated with female gender and higher socioeconomic strata but not with public versus private sources of medical care.

Conclusions: Hypertension control is inadequate in this population, although health care services are used frequently. Hypertension control efforts should focus on the effectiveness of health care delivery.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Black People
  • Black or African American / education
  • Black or African American / psychology
  • Black or African American / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / standards*
  • Health Services Research
  • Humans
  • Hypertension / ethnology
  • Hypertension / prevention & control*
  • Male
  • Private Sector / statistics & numerical data
  • Public Sector / statistics & numerical data
  • Risk Factors
  • Sex Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Health Services / statistics & numerical data*
  • Wisconsin