Title

Home Blood Pressure Monitoring in Women of Child-bearing Age with Hypertension from 2009-2014

UMMS Affiliation

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

Publication Date

2022-05-04

Document Type

Article

Disciplines

Cardiology | Cardiovascular Diseases | Health Services Administration | Obstetrics and Gynecology | Preventive Medicine | Women's Health

Abstract

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.

Keywords

Home Blood Pressure Monitoring, Hypertension, NHANES, Pregnancy, Provider Counseling

DOI of Published Version

10.1093/ajh/hpac055

Source

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

Journal/Book/Conference Title

American journal of hypertension

Related Resources

Link to Article in PubMed

PubMed ID

35512277

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