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10.1161/JAHA.120.018510

http://scihub22266oqcxt.onion/10.1161/JAHA.120.018510
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33267723!7955429!33267723
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suck abstract from ncbi


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pmid33267723      J+Am+Heart+Assoc 2021 ; 10 (3): e018510
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  • Experiences and Beliefs of Low-Income Patients With Hypertension in Louisiana and Mississippi During the COVID-19 Pandemic #MMPMID33267723
  • Mills KT; Peacock E; Chen J; Zimmerman A; He H; Cyprian A; Davis G; Fuqua SR; Gilliam DS; Greer A; Gray-Winfrey L; Williams S; Wiltz GM; Winfrey KL; Whelton PK; Krousel-Wood M; He J
  • J Am Heart Assoc 2021[Feb]; 10 (3): e018510 PMID33267723show ga
  • Background The coronavirus disease 2019 (COVID-19) pandemic disproportionately affects individuals with hypertension and health disparities. Methods and Results We assessed the experiences and beliefs of low-income and minority patients with hypertension during the COVID-19 pandemic. Participants (N=587) from the IMPACTS-BP (Implementation of Multifaceted Patient-Centered Treatment Strategies for Intensive Blood Pressure Control) study completed a telephone survey in May and June of 2020. Participants were 65.1% Black and 59.7% female, and 57.7% reported an income below the federal poverty level. Overall, 2.7% tested positive and 15.3% had lost a family member or friend to COVID-19. These experiences were significantly more common in Black (3.9% and 19.4%, respectively) than in non-Black participants (0.5% and 7.8%, respectively). In addition, 14.5% lost a job and 15.9% reported food shortages during the pandemic. Most participants complied with stay-at-home orders (98.3%), social distancing (97.8%), and always wearing a mask outside their home (74.6%). Participants also reported high access to needed health care (94.7%) and prescription medications (97.6%). Furthermore, 95.7% of respondents reported that they continued to take their regular dosage of antihypertensive medications. Among the 44.5% of participants receiving a healthcare appointment by telehealth, 96.6% got the help they needed, and 80.8% reported that the appointment quality was as good as or better than in-person visits. Finally, 88.9% were willing to return to their primary care clinic. Conclusions These data suggest that low-income patients, especially Black patients, were negatively impacted by COVID-19. However, most patients were able to access needed healthcare services and were willing to return to their primary care clinic for hypertension management. Registration URL: https://www.clinicaltrials.gov; Unique identifier: NCT03483662.
  • |*Income[MESH]
  • |*Pandemics[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Culture[MESH]
  • |Delivery of Health Care/*methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypertension/*epidemiology[MESH]
  • |Louisiana/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mississippi/epidemiology[MESH]
  • |Poverty[MESH]
  • |SARS-CoV-2[MESH]


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