Home Blood Pressure Monitoring in Women of Child-bearing Age with Hypertension from 2009-2014
Division of Cardiovascular Medicine, Department of Medicine; School of Medicine; Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences; Department of Obstetrics and Gynecology
Cardiology | Cardiovascular Diseases | Health Services Administration | Obstetrics and Gynecology | Preventive Medicine | Women's Health
BACKGROUND: Hypertension (HTN) is a leading cause of maternal mortality, and HTN guidelines recommend home blood pressure monitoring (HBPM) to help achieve blood pressure (BP) control. Evidence suggests that HBPM be coupled with a care team to maximize its effectiveness. HBPM use and the prevalence of provider counseling in child-bearing age women with HTN are unknown.
METHODS: We used data from 3,614 women in the cross-sectional National Health and Nutrition Examination Surveys 2009-2014 to determine HBPM use and provider counseling for women of child-bearing age (20-50 years) with and without HTN. HBPM use and provider counseling were self-reported. We examined rates of HBPM use by race/ethnicity, poverty-income ratio (PIR), education, and insurance.
RESULTS: Among women of child-bearing age with HTN, the mean (SE) age was 37.0 (0.3) years, the mean (SE) BMI was 35.5 (0.6) kg/m 2, and 73% were on BP medication. Of these women with HTN, 49.6% reported HBPM use in the past year and 40.4% received provider counseling. There was no significant difference in HBPM use by race/ethnicity, PIR, or insurance, though higher education was associated with HBPM use. Women with HTN who received provider counseling were more likely to use HBPM (odds ratio = 15.7, 95% confidence interval 9.1-26.9).
CONCLUSIONS: Nearly half of child-bearing age women with HTN have adopted HBPM, and provider counseling was strongly associated with HBPM use. This highlights a need and opportunity for providers to improve BP management by supporting a popular and valuable monitoring approach among women of child-bearing age with HTN.
Home Blood Pressure Monitoring, Hypertension, NHANES, Pregnancy, Provider Counseling
DOI of Published Version
Kovell LC, Maxner B, Shankara S, Lemon SC, Person SD, Moore Simas TA, Turkson-Ocran RA, McManus DD, Juraschek SP. Home Blood Pressure Monitoring in Women of Child-bearing Age with Hypertension from 2009-2014. Am J Hypertens. 2022 May 4:hpac055. doi: 10.1093/ajh/hpac055. Epub ahead of print. PMID: 35512277. Link to article on publisher's site
American journal of hypertension
Kovell LC, Maxner B, Shankara S, Lemon SC, Person SD, Moore Simas TA, Turkson-Ocran R, McManus DD, Juraschek SP. (2022). Home Blood Pressure Monitoring in Women of Child-bearing Age with Hypertension from 2009-2014. UMass Worcester PRC Publications. https://doi.org/10.1093/ajh/hpac055. Retrieved from https://escholarship.umassmed.edu/prc_pubs/172