{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:42:27Z","timestamp":1790721747976,"version":"4.1.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,10,2]],"date-time":"2021-10-02T00:00:00Z","timestamp":1633132800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Association of Community Health Centers"},{"DOI":"10.13039\/100002429","name":"Amgen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002429","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Not having a healthcare visit in the past year has been associated with a higher likelihood of uncontrolled blood pressure (BP) among individuals with hypertension.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We examined factors associated with not having a healthcare visit in the past year among US adults with hypertension using data from the US National Health and Nutrition Examination Survey 2013\u20132018 (n = 5,985). Hypertension was defined as systolic BP (SBP) \u2265140 mm Hg, diastolic BP (DBP) \u226590 mm Hg, or antihypertensive medication use. Having a healthcare visit in the past year was self-reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 7.0% of US adults with hypertension reported not having a healthcare visit in the past year. Those without vs. with a healthcare visit in the past year were less likely to be aware they had hypertension (45.0% vs. 83.9%), to be taking antihypertensive medication (36.7% vs. 91.4%, among those who were aware they had hypertension), and to have controlled BP (SBP\/DBP &amp;lt;140\/90 mm Hg; 9.1% vs. 51.7%). After multivariable adjustment, not having a healthcare visit in the past year was more common among US adults without health insurance (prevalence ratio [PR]: 2.22; 95% confidence interval [CI] 1.68\u20132.95), without a usual source of healthcare (PR: 5.65; 95% CI 4.16\u20137.67), who smoked cigarettes (PR: 1.34; 95% CI 1.02\u20131.77), and with heavy vs. no alcohol consumption (PR: 1.55; 95% CI 1.16\u20132.08). Also, not having a healthcare visit in the past year was more common among those without diabetes or a history of atherosclerotic cardiovascular disease, and those not taking a statin.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Interventions should be considered to ensure all adults with hypertension have annual healthcare visits.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajh\/hpab153","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T20:01:04Z","timestamp":1633032064000},"page":"132-141","source":"Crossref","is-referenced-by-count":12,"title":["Factors Associated With Not Having a Healthcare Visit in the Past Year Among US Adults With Hypertension: Data From NHANES 2013\u20132018"],"prefix":"10.1093","volume":"35","author":[{"given":"Oluwasegun P","family":"Akinyelure","sequence":"first","affiliation":[{"name":"Department of Epidemiology, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demetria","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Sakhuja","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakia T","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Oparil","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L","family":"Cherrington","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Research & Evaluation, Kaiser Permanente Southern California , Pasadena, California , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Wozniak","sequence":"additional","affiliation":[{"name":"American Medical Association , Chicago, Illinois , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Muntner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,2]]},"reference":[{"key":"2022100812003110500_CIT0001","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1001\/jama.2016.13614","article-title":"Temporal changes in the association between modifiable risk factors and coronary heart disease incidence","volume":"316","author":"Navar","year":"2016","journal-title":"JAMA"},{"key":"2022100812003110500_CIT0002","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1001\/jamacardio.2019.3773","article-title":"Population-attributable risk for cardiovascular disease associated with hypertension in black adults","volume":"4","author":"Clark","year":"2019","journal-title":"JAMA Cardiol"},{"key":"2022100812003110500_CIT0003","doi-asserted-by":"crossref","first-page":"245","DOI":"10.7326\/M14-1753","article-title":"Cardiovascular mortality associated with 5 leading risk factors: national and state preventable fractions estimated from survey data","volume":"163","author":"Patel","year":"2015","journal-title":"Ann Intern Med"},{"key":"2022100812003110500_CIT0004","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1016\/S0140-6736(16)31679-8","article-title":"GBD 2015 Risk Factors Collaborators. 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