1988
document
Barriers to hypertension care and control in young urban black men . Barriers to high blood pressure ( HBP ) care and control have been reported in the literature for > 30 years . Few reports on barriers , however , have focused on the young black man with HBP , the age/sex/race group with the highest rates of early severe and complicated HBP and the lowest rates of awareness , treatment , and control . In a randomized clinical trial of comprehensive care for hypertensive young urban black men , factors potentially associated with care and control were assessed at baseline for the 309 enrolled men . A majority of the men encountered a variety of barriers including economic , social , and lifestyle obstacles to adequate BP care and control , including no current HBP care ( 49 % ) , risk of alcoholism ( 62 % ) , use of illicit drugs ( 45 % ) , social isolation ( 47 % ) , unemployment ( 40 % ) , and lack of health insurance ( 51 % ) . Having health insurance ( odds ratio = 7.20 , P = .00 ) and a negative urine drug screen ( odds ratio = .56 , P = .04 ) were significant predictors of being in HBP care . Low alcoholism risk and employment were identified as significant predictors of compliance with HBP medication-taking behavior . Men currently using illicit drugs were 2.64 times less likely to have controlled BP compared with their counterparts who did not use illicit drugs , and men currently taking HBP medication were 63 times more likely have controlled BP compared with men not taking HBP medication . Comprehensive interventions are needed to address socioeconomic and lifestyle issues as well as other barriers to care and treatment , if HBP care is to be salient and effective in this high risk group .
1989
Intervention_Physical
Comprehensive interventions
1990
Outcome_Physical
high blood pressure
1991
Outcome_Physical
no current HBP care
1992
Outcome_Physical
risk of alcoholism
1993
Outcome_Physical
use of illicit drugs
1994
Outcome_Mental
social isolation
1995
Outcome_Mental
unemployment
1996
Outcome_Mental
lack of health insurance
1997
Outcome_Mental
Having health insurance
1998
Outcome_Physical
negative urine drug screen
1999
Outcome_Adverse-effects
Low alcoholism risk
2000
Outcome_Physical
employment
2001
Outcome_Mental
using illicit drugs
2002
Outcome_Physical
controlled BP
2003
Outcome_Physical
taking HBP medication
2004
Outcome_Physical
controlled BP
2005
Participant_Condition
young urban black men .
2006
Participant_Condition
young black man with HBP