Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database

Objective To assess the relation between socioeconomic status and achievement of target blood pressure in hypertension. Design Retrospective longitudinal cohort study between 2001 and 2014. Setting Primary health care in Skaraborg, Sweden. Subjects 48,254 patients all older than 30 years, and 53.3%...

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Autores principales:	Georgios Mourtzinis, Karin Manhem, Thomas Kahan, Linus Schiöler, Jetish Isufi, Charlotta Ljungman, Tobias Andersson, Per Hjerpe
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	hypertension socioeconomic factors blood pressure control primary health care sweden Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/17081bf197cc4983865d84a5df6ffd2e
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spelling	oai:doaj.org-article:17081bf197cc4983865d84a5df6ffd2e2021-11-26T11:19:46ZSocioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database0281-34321502-772410.1080/02813432.2021.2004841https://doaj.org/article/17081bf197cc4983865d84a5df6ffd2e2021-11-01T00:00:00Zhttp://dx.doi.org/10.1080/02813432.2021.2004841https://doaj.org/toc/0281-3432https://doaj.org/toc/1502-7724Objective To assess the relation between socioeconomic status and achievement of target blood pressure in hypertension. Design Retrospective longitudinal cohort study between 2001 and 2014. Setting Primary health care in Skaraborg, Sweden. Subjects 48,254 patients all older than 30 years, and 53.3% women, with diagnosed hypertension. Main outcome measures Proportion of patients who achieved a blood pressure target <140/90 mmHg in relation to the country of birth, personal disposable income, and educational level. Results Patients had a lower likelihood of achieving the blood pressure target if they were born in a Nordic country outside Sweden [risk ratio 0.92; 95% confidence interval (CI) 0.88–0.97], or born in Europe outside the Nordic countries (risk ratio 0.87; 95% CI 0.82–0.92), compared to those born in Sweden. Patients in the lowest income quantile had a lower likelihood to achieve blood pressure target, as compared to the highest quantile (risk ratio 0.93; 95% CI 0.90–0.96). Educational level was not associated with outcome. Women but not men in the lowest income quantile were less likely to achieve the blood pressure target. There was no sex difference in achieved blood pressure target with respect to the country of birth or educational level. Conclusion In this real-world population of primary care patients with hypertension in Sweden, being born in a foreign European country and having a lower income were factors associated with poorer blood pressure control.KEY POINTS The association between socioeconomic status and achieving blood pressure targets in hypertension has been ambiguous. •In this study of 48,254 patients with hypertension, lower income was associated with a reduced likelihood to achieve blood pressure control. •Being born in a foreign European country is associated with a lower likelihood to achieve blood pressure control. •We found no association between educational level and achieved blood pressure control.Georgios MourtzinisKarin ManhemThomas KahanLinus SchiölerJetish IsufiCharlotta LjungmanTobias AnderssonPer HjerpeTaylor & Francis Grouparticlehypertensionsocioeconomic factorsblood pressure controlprimary health careswedenPublic aspects of medicineRA1-1270ENScandinavian Journal of Primary Health Care, Vol 0, Iss 0, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypertension socioeconomic factors blood pressure control primary health care sweden Public aspects of medicine RA1-1270
spellingShingle	hypertension socioeconomic factors blood pressure control primary health care sweden Public aspects of medicine RA1-1270 Georgios Mourtzinis Karin Manhem Thomas Kahan Linus Schiöler Jetish Isufi Charlotta Ljungman Tobias Andersson Per Hjerpe Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
description	Objective To assess the relation between socioeconomic status and achievement of target blood pressure in hypertension. Design Retrospective longitudinal cohort study between 2001 and 2014. Setting Primary health care in Skaraborg, Sweden. Subjects 48,254 patients all older than 30 years, and 53.3% women, with diagnosed hypertension. Main outcome measures Proportion of patients who achieved a blood pressure target <140/90 mmHg in relation to the country of birth, personal disposable income, and educational level. Results Patients had a lower likelihood of achieving the blood pressure target if they were born in a Nordic country outside Sweden [risk ratio 0.92; 95% confidence interval (CI) 0.88–0.97], or born in Europe outside the Nordic countries (risk ratio 0.87; 95% CI 0.82–0.92), compared to those born in Sweden. Patients in the lowest income quantile had a lower likelihood to achieve blood pressure target, as compared to the highest quantile (risk ratio 0.93; 95% CI 0.90–0.96). Educational level was not associated with outcome. Women but not men in the lowest income quantile were less likely to achieve the blood pressure target. There was no sex difference in achieved blood pressure target with respect to the country of birth or educational level. Conclusion In this real-world population of primary care patients with hypertension in Sweden, being born in a foreign European country and having a lower income were factors associated with poorer blood pressure control.KEY POINTS The association between socioeconomic status and achieving blood pressure targets in hypertension has been ambiguous. •In this study of 48,254 patients with hypertension, lower income was associated with a reduced likelihood to achieve blood pressure control. •Being born in a foreign European country is associated with a lower likelihood to achieve blood pressure control. •We found no association between educational level and achieved blood pressure control.
format	article
author	Georgios Mourtzinis Karin Manhem Thomas Kahan Linus Schiöler Jetish Isufi Charlotta Ljungman Tobias Andersson Per Hjerpe
author_facet	Georgios Mourtzinis Karin Manhem Thomas Kahan Linus Schiöler Jetish Isufi Charlotta Ljungman Tobias Andersson Per Hjerpe
author_sort	Georgios Mourtzinis
title	Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
title_short	Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
title_full	Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
title_fullStr	Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
title_full_unstemmed	Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database
title_sort	socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the swedish primary care cardiovascular database
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/17081bf197cc4983865d84a5df6ffd2e
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Socioeconomic status affects achievement of blood pressure target in hypertension: contemporary results from the Swedish primary care cardiovascular database

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