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Health-related quality of life and hypertension status, awareness, treatment, and control: National Health and Nutrition Examination Survey, 2001--2004.
J Hypertens. 2008 Apr; 26(4):641-7.JH

Abstract

OBJECTIVE

We examined health-related quality of life measures by hypertension status, awareness, treatment, and control.

METHODS

Five unfavorable health-related quality of life measures were analyzed among 8303 adults aged 20 years or older who participated in the 2001--2004 National Health and Nutrition Examination Survey. Multivariable logistic regression analyses examined differences in health-related quality of life with adjustment for age, race, sex, healthcare coverage, and other medical conditions.

RESULTS

The 30% of respondents with hypertension were more likely to report fair or poor health status (adjusted odds ratio 1.72, 95% confidence interval 1.44-2.05), 14 or more unhealthy days in the past 30 days (1.23, 1.06-1.43), 14 or more physically unhealthy days (1.39, 1.15-1.67), and 14 or more activity-limited days (1.55, 1.17-2.04) than those without hypertension. Among adults with hypertension, the 73.2% who were aware of their condition were more likely to report fair or poor health status (2.19, 1.54-3.12), 14 or more unhealthy days (1.53, 1.12-2.09), 14 or more physically unhealthy days (1.49, 1.10-2.03), 14 or more mentally unhealthy days (1.70, 1.05-2.75), and 14 or more activity-limited days (2.38, 1.39-4.05) than those who were unaware. Among those aware they had hypertension, 14 or more physically unhealthy days (0.50, 0.28-0.90) was associated with current treatment. Health-related quality of life measures did not differ by blood pressure control status.

CONCLUSIONS

Having hypertension and being aware of it was related to lower health-related quality of life. Antihypertensive medication was associated with more physically unhealthy days, while there were no differences in health-related quality of life by control status. Further study is needed to examine these differences including: disease severity, sex and racial/ethnic differences, comorbidities not examined, and impact of health-related quality of life and its changes on outcomes.

Authors+Show Affiliations

Centers for Disease Control & Prevention, National Center for Chronic Disease & Health Promotion, Division for Heart Disease & Stroke Prevention, Atlanta, Georgia 30341, USA. bknO@CDC.GOVNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18327071

Citation

Hayes, Donald K., et al. "Health-related Quality of Life and Hypertension Status, Awareness, Treatment, and Control: National Health and Nutrition Examination Survey, 2001--2004." Journal of Hypertension, vol. 26, no. 4, 2008, pp. 641-7.
Hayes DK, Denny CH, Keenan NL, et al. Health-related quality of life and hypertension status, awareness, treatment, and control: National Health and Nutrition Examination Survey, 2001--2004. J Hypertens. 2008;26(4):641-7.
Hayes, D. K., Denny, C. H., Keenan, N. L., Croft, J. B., & Greenlund, K. J. (2008). Health-related quality of life and hypertension status, awareness, treatment, and control: National Health and Nutrition Examination Survey, 2001--2004. Journal of Hypertension, 26(4), 641-7. https://doi.org/10.1097/HJH.0b013e3282f3eb50
Hayes DK, et al. Health-related Quality of Life and Hypertension Status, Awareness, Treatment, and Control: National Health and Nutrition Examination Survey, 2001--2004. J Hypertens. 2008;26(4):641-7. PubMed PMID: 18327071.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life and hypertension status, awareness, treatment, and control: National Health and Nutrition Examination Survey, 2001--2004. AU - Hayes,Donald K, AU - Denny,Clark H, AU - Keenan,Nora L, AU - Croft,Janet B, AU - Greenlund,Kurt J, PY - 2008/3/11/pubmed PY - 2008/7/9/medline PY - 2008/3/11/entrez SP - 641 EP - 7 JF - Journal of hypertension JO - J Hypertens VL - 26 IS - 4 N2 - OBJECTIVE: We examined health-related quality of life measures by hypertension status, awareness, treatment, and control. METHODS: Five unfavorable health-related quality of life measures were analyzed among 8303 adults aged 20 years or older who participated in the 2001--2004 National Health and Nutrition Examination Survey. Multivariable logistic regression analyses examined differences in health-related quality of life with adjustment for age, race, sex, healthcare coverage, and other medical conditions. RESULTS: The 30% of respondents with hypertension were more likely to report fair or poor health status (adjusted odds ratio 1.72, 95% confidence interval 1.44-2.05), 14 or more unhealthy days in the past 30 days (1.23, 1.06-1.43), 14 or more physically unhealthy days (1.39, 1.15-1.67), and 14 or more activity-limited days (1.55, 1.17-2.04) than those without hypertension. Among adults with hypertension, the 73.2% who were aware of their condition were more likely to report fair or poor health status (2.19, 1.54-3.12), 14 or more unhealthy days (1.53, 1.12-2.09), 14 or more physically unhealthy days (1.49, 1.10-2.03), 14 or more mentally unhealthy days (1.70, 1.05-2.75), and 14 or more activity-limited days (2.38, 1.39-4.05) than those who were unaware. Among those aware they had hypertension, 14 or more physically unhealthy days (0.50, 0.28-0.90) was associated with current treatment. Health-related quality of life measures did not differ by blood pressure control status. CONCLUSIONS: Having hypertension and being aware of it was related to lower health-related quality of life. Antihypertensive medication was associated with more physically unhealthy days, while there were no differences in health-related quality of life by control status. Further study is needed to examine these differences including: disease severity, sex and racial/ethnic differences, comorbidities not examined, and impact of health-related quality of life and its changes on outcomes. SN - 0263-6352 UR - https://www.unboundmedicine.com/medline/citation/18327071/Health_related_quality_of_life_and_hypertension_status_awareness_treatment_and_control:_National_Health_and_Nutrition_Examination_Survey_2001__2004_ L2 - https://doi.org/10.1097/HJH.0b013e3282f3eb50 DB - PRIME DP - Unbound Medicine ER -