{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:03:52Z","timestamp":1787501032408,"version":"build-2736575974"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Among middle-aged and older adults, home blood pressure (BP) monitoring (HBPM) is a tool for both diagnosis and management of hypertension. Pediatric guidelines recommend HBPM as an adjunct to office BP measurement among children and adolescents with hypertension. Little is known about the prevalence and frequency of HBPM in the United States among youth with hypertension, and what factors are associated with HBPM use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We examined data from NHANES (National Health and Nutrition Examination Survey) 2009\u20132014 cycles to determine HBPM use in adolescents (16 to &amp;lt;20 years) and young adults (20 to &amp;lt;25 years), n\u2005=\u20052,919. HBPM frequency was defined as none, less than once a month, or at least monthly. Using multivariable logistic regression, we assessed the association between HBPM and sociodemographic factors including age, sex, race\/ethnicity, obesity, income, insurance status, and education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>An estimated 10.3% of adolescents and young adults reported performing HBPM in the past year. Of those with hypertension, 22.8% reported performing any HBPM in the past year. Compared to adolescents, a higher percentage of young adults reported performing HBPM (12.5% vs. 7.3%). In adjusted models, having health insurance (odds ratio [OR] 1.84 [95% confidence interval {CI} 1.25\u20132.73]), high school education or greater (OR 1.79 [95% CI 1.13\u20132.82]), and obesity (OR 1.83 [95% CI 1.10\u20133.05]) were associated with reporting any HBPM use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>In this analysis of nationally representative US data, HBPM was reported in less than a quarter of adolescents and young adults with hypertension. Obesity, insurance status, and education were associated with any HBPM use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf069","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T08:00:30Z","timestamp":1745568030000},"page":"754-758","source":"Crossref","is-referenced-by-count":1,"title":["Home Blood Pressure Monitoring Among Adolescents and Young Adults, NHANES 2009\u20132014"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4673-7118","authenticated-orcid":false,"given":"Rushelle L","family":"Byfield","sequence":"first","affiliation":[{"name":"Division of Pediatric Nephrology and Hypertension, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunhee","family":"Choi","sequence":"additional","affiliation":[{"name":"Columbia Hypertension Laboratory, Department of Medicine, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordana B","family":"Cohen","sequence":"additional","affiliation":[{"name":"Renal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian M","family":"Kronish","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rakotz","sequence":"additional","affiliation":[{"name":"American Medical Association , Chicago, IL ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6302-8834","authenticated-orcid":false,"given":"Daichi","family":"Shimbo","sequence":"additional","affiliation":[{"name":"Columbia Hypertension Laboratory, Department of Medicine, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"2025102403314063500_CIT0001","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1161\/HYP.0000000000000066","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"71","author":"Whelton","year":"2018","journal-title":"Hypertension"},{"key":"2025102403314063500_CIT0002","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/HJH.0000000000000008","article-title":"Undiagnosed hypertension among young adults with regular primary care use","volume":"32","author":"Johnson","year":"2014","journal-title":"J Hypertens"},{"key":"2025102403314063500_CIT0003","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1007\/s11606-014-2790-4","article-title":"Antihypertensive medication initiation among young adults with regular primary care use","volume":"29","author":"Johnson","year":"2014","journal-title":"J Gen Intern Med"},{"key":"2025102403314063500_CIT0004","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1111\/jch.13096","article-title":"The importance of frequent return visits and hypertension control among US young adults: a multidisciplinary group practice observational study","volume":"19","author":"King","year":"2017","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2025102403314063500_CIT0005","doi-asserted-by":"crossref","first-page":"e20171904","DOI":"10.1542\/peds.2017-1904","article-title":"Clinical practice guideline for screening and management of high blood pressure in children and adolescents","volume":"140","author":"Flynn","year":"2017","journal-title":"Pediatrics"},{"key":"2025102403314063500_CIT0006","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s11906-019-0967-2","article-title":"Home blood pressure monitoring in children and adolescents: systematic review of evidence on clinical utility","volume":"21","author":"Stergiou","year":"2019","journal-title":"Curr Hypertens Rep"},{"key":"2025102403314063500_CIT0007","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1093\/ajh\/hpt054","article-title":"Home blood pressure monitoring and hypertension status among US adults: the National Health and Nutrition Examination Survey (NHANES), 2009-2010","volume":"26","author":"Ostchega","year":"2013","journal-title":"Am J Hypertens"},{"key":"2025102403314063500_CIT0008","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1093\/ajh\/hpx101","article-title":"Factors associated with home blood pressure monitoring among US adults: National Health and Nutrition Examination Survey, 2011-2014","volume":"30","author":"Ostchega","year":"2017","journal-title":"Am J Hypertens"},{"key":"2025102403314063500_CIT0009","first-page":"1","article-title":"National Health and Nutrition Examination Survey: sample design, 2007-2010","volume":"2","author":"Curtin","year":"2013","journal-title":"Vital Health Stat"},{"key":"2025102403314063500_CIT0010"},{"key":"2025102403314063500_CIT0011","author":"National Health and Nutrition Examination Survey (NHANES) Health Tech\/Blood Pressure Procedures Manual 2009"},{"key":"2025102403314063500_CIT0012","doi-asserted-by":"crossref","first-page":"2560","DOI":"10.1001\/jama.289.19.2560","article-title":"The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report","volume":"289","author":"Chobanian","year":"2003","journal-title":"JAMA"},{"key":"2025102403314063500_CIT0013","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1542\/peds.114.S2.555","article-title":"The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents","volume":"114","author":"National High Blood Pressure Education Program Working Group on High Blood Pressure in C, Adolescents","year":"2004","journal-title":"Pediatrics"},{"key":"2025102403314063500_CIT0014","author":"Services UDoHaH"},{"key":"2025102403314063500_CIT0015","doi-asserted-by":"crossref","first-page":"e2022060641","DOI":"10.1542\/peds.2022-060641","article-title":"Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity","volume":"151","author":"Hampl","year":"2023","journal-title":"Pediatrics"},{"key":"2025102403314063500_CIT0016","first-page":"1","article-title":"National Center for Health Statistics Data presentation standards for proportions","volume":"2","author":"Parker","year":"2017","journal-title":"Vital Health Stat"},{"key":"2025102403314063500_CIT0017","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1007\/s11606-014-2809-x","article-title":"Hypertension awareness and control among young adults in the National Longitudinal Study of Adolescent Health","volume":"29","author":"Gooding","year":"2014","journal-title":"J Gen Intern Med"},{"key":"2025102403314063500_CIT0018","doi-asserted-by":"crossref","first-page":"e150951","DOI":"10.1001\/jamapediatrics.2015.0951","article-title":"Predictors of timing of transfer from pediatric- to adult-focused primary care","volume":"169","author":"Wisk","year":"2015","journal-title":"JAMA Pediatr"},{"key":"2025102403314063500_CIT0019","doi-asserted-by":"crossref","first-page":"9418","DOI":"10.1038\/s41598-018-27377-2","article-title":"Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: the NHANES III Linked Mortality Study","volume":"8","author":"Zhou","year":"2018","journal-title":"Sci Rep"},{"key":"2025102403314063500_CIT0020","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1161\/HYPERTENSIONAHA.110.160911","article-title":"Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control: a systematic review and meta-analysis","volume":"57","author":"Agarwal","year":"2011","journal-title":"Hypertension"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/advance-article-pdf\/doi\/10.1093\/ajh\/hpaf069\/63020906\/hpaf069.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/10\/754\/63020906\/hpaf069.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/10\/754\/63020906\/hpaf069.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:31:50Z","timestamp":1761291110000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/38\/10\/754\/8121070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":20,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,4,28]]},"published-print":{"date-parts":[[2025,9,16]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpaf069","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,4,28]]}}}