Home Blood Pressure Monitoring in Women of Child-Bearing Age With Hypertension From 2009 to 2014. (4th May 2022)

• Record Type: Journal Article
• Authors: Kovell, Lara C; Maxner, Benjamin; Shankara, Sravya; Lemon, Stephenie C; Person, Sharina D; Moore Simas, Tiffany A; Turkson-Ocran, Ruth-Alma; McManus, David D; Juraschek, Stephen P
• Is Part Of: American journal of hypertension. Volume 35:Number 8(2022)
• Page Start: 694
• Page End: 698
• Publication Date: 2022-05-04
• Subjects: blood pressure -- home blood pressure monitoring -- hypertension -- NHANES -- pregnancy -- provider counseling; Hypertension -- Periodicals; 616.132005
• DOI: 10.1093/ajh/hpac055
• Languages: English
• ISSNs: 0895-7061

Abstract

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. Graphical Abstract: