Abstract
The relationships between self-reported hypertension-related patient behaviors and patient demographic characteristics were examined in a sample of 2,044 patients being treated for hypertension in 111 primary care medical practices. The patient behaviors of sodium intake, weight, alcohol, exercise, relaxation and adherence to medication regimen could be predicted to some extent by patient demographic characteristics. Whether patients recalled receiving advice from their physicians about these behaviors could also be predicted by patient demographic characteristics. Patients demographically similar to physicians, i.e., male, younger, more educated and White, reported receiving more advice from their physicians. Patients with behavioral problems who received relatively less advice from their physicians included: less educated younger patients whose sodium intake was relatively high; younger and less educated overweight women; overweight Black patients; and older women who exercised less than average.
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References
Curb, JD. Long-term surveillance for adverse effects of anti-hyptertensive drugs.JAMA 253:3263–3268, 1985.
Kaplan, NM. Non-drug treatment of hypertension:Ann of Internal Med 102:359–373, 1985.
MacGregor, GA, Best, F, Cam, J, et al. Double-blind randomized crossover trial of moderate sodium restriction in essential hypertension.Lancet 1:351–355, 1982.
Langford, HG, Blaufox, MD, Oberman, A, et al. Dietary therapy slows the return of hypertension after stopping prolonged medication.JAMA 253:657–664, 1985.
Reisin, E, Abel, R, Modan, M, et al. Effect of weight loss without salt restriction on the reduction of blood pressure in overweight hypertension patients.N Eng J Med 298:1–6, 1978.
Roman, O, Camuzzi, AL, Villalon, E, Klenner, C. Physical training program in arterial hypertension: a long-term prospective follow-up.Cardiology 67:230–243, 1981.
Klatsky, AL. The relationship of alcohol and the cardiovascular system.Ann Rev Nutr 2:51–71, 1982.
Patel, C, Marmot, MG, Terry, DJ. Controlled trial of biofeedback-aided behavioral methods in reducing mild hypertension.Br Med J 282:2005–2008, 1981.
Engel, BT, Glasgow, MS, Garader, KR. Behavioral treatment of high blood pressure: III. Follow-up results and treatment recommendations.Psychosom Med 45:23, 1983.
The Joint National Committee on Detection, Evaluation, and Treatment on detection, evaluation, and treatment of high blood pressure.Arch Intern Med 144:1045, 1984.
Andrews, G, MacMahon, SW, Austin, A, Byrne, DG. Hypertension: comparison of drug and non-drug treatments.Br Med J [Clin Res] 284:1523–1526, 1982.
Li, VC, Coates, TJ, Spielberg, L, Ewart, CK, Dorfman, S, Huster, WJ. Smoking cessation with young women in public family planning clinics: The impact of physician messages and waiting room media.Preventive Medicine 13:4489, 1984.
Dahl, LK, Love, RA. Evidence for relationships between sodium (chloride) intake and human essential hypertension.Arch Intern Med 94: 525–531, 1954.
Jeffery, RW, Folsom, AR, Luepker, RV, et al. Prevalence of overweight and weight loss behavior in a metropolitan adult population: The Minnesota Heart Survey experience.Am J Public Health 74:349–352, 1984.
Room, R. The measurement and distribution of drinking patterns and problems in general populations.World Health Organization meeting of investigators on criteria for identifying and classifying disabilities related to alcohol consumption. Agenda item 3.3, Geneva, pp. 61–81, 1977.
Room, R. Measuring alcohol consumption in the United States: Methods and Rationales. Alcohol Epidemiology Section Meeting, Thirty-first International Institute on Prevention and Treatment of Alcohol Problems, Rome, 1985.
Green, LW, Levine, DM, Wolle, J, Deeds, S. Development of randomized patient education experiments with urban poor hypertensives.Patient Counseling and Health Ed 106–111, 1979.
Ley, P. Memory for medical information.Br J Soc Clin Psychol 18:245–255, 1979.
Waitzkin, H. Doctor-patient communication: Clinical implications of social scientific research.JAMA 252:2441–2446, 1984.
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Jeanne M. Tschann, Ph.D. is an Assistant Research Psychologist, University of California, San Francisco, Department of Medicine, San Francisco, California. T. Elaine Adamson, M.P.H. is Specialist, University of California, San Francisco, Department of Medicine, San Francisco, California. Thomas J. Coates, Ph.D. is Associate Professor in Residence, University of California, San Francisco, Division of General Internal Medicine, San Francisco, California. David S. Gullion, M.D. is Associate Clinical Professor, University of California, San Francisco, Department of Medicine, San Francisco, California.
Supported by the National Heart, Lung and Blood Institue Grant R18 HL31305.
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Tschann, J.M., Adamson, T.E., Coates, T.J. et al. Behaviors of treated hypertensive patients and patient demographic characteristics. J Community Health 13, 19–32 (1988). https://doi.org/10.1007/BF01321477
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DOI: https://doi.org/10.1007/BF01321477