Who Are the Undiagnosed? Disparities in Hypertension Diagnoses in Vulnerable Populations

Document Type

Article

Publication Title

Family and Community Health

Abstract

This study builds upon a project that developed clinical criteria to identify undiagnosed hypertension patients "hiding in plain sight" (HIPS) by examining patient characteristics to understand whether there are disparities in hypertension diagnosis. We examined electronic health record demographic data for patients identified by the HIPS criteria and subgroups at 3 Missouri health centers. Identified patients who returned for a follow-up visit and were subsequently diagnosed with hypertension tended to be older, black/African American, uninsured, and classified as having obesity. Younger, white, healthy weight females were less likely to be diagnosed. These findings point to exploring possible biases/other nonclinical factors in hypertension diagnosis.

First Page

35

Last Page

45

DOI

10.1097/FCH.0000000000000242

Publication Date

1-1-2020

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