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We aimed to identify determinants of suboptimal BP control in a multi\u2010ethnic population. We analyzed cross\u2010sectional data of the Healthy Life in an Urban Setting (HELIUS) study, including 3571 participants aged 18\u201070 with prescribed antihypertensive medication, of various ethnic backgrounds (500 Dutch, 1052 African Surinamese, 656 South\u2010Asian Surinamese, 637 Ghanaian, 433 Turkish, and 293 Moroccan) living in Amsterdam, the Netherlands. 53.3% of the population had suboptimal BP control, defined as BP \u2265140\/90\u00a0mmHg despite prescribed antihypertensives. Using multivariate logistic regression analysis, female sex (OR 0.50, 95%CI 0.43\u20100.59), being married (0.83, 0.72\u20100.96), smoking (0.78, 0.65\u20100.94), alcohol intake (0.80, 0.66\u20100.96), obesity (1.67, 1.35\u20102.06), cardiovascular disease (CVD) history (0.56, 0.46\u20100.68), non\u2010adherence to antihypertensives (1.26, 1.00\u20101.58), and family history of hypertension (1.19, 1.02\u20101.38) were identified to be independently associated with suboptimal BP control in the total population. In the ethnic\u2010stratified analysis, factors associated with better BP control were female sex (all ethnic groups), smoking (Turks), and CVD history (Dutch, South\u2010Asian Surinamese, and African Surinamese), whereas factors associated with suboptimal BP control were older age (Turks), obesity (Dutch, African Surinamese, Ghanaian, and Turks), and non\u2010adherence to antihypertensives (Dutch). In conclusion, our analysis identifies several key determinants that are independently associated with suboptimal BP control in a multi\u2010ethnic population, with some important variations between ethnic groups. Targeting these determinants may help to improve BP control.<\/jats:p>","DOI":"10.1111\/jch.14202","type":"journal-article","created":{"date-parts":[[2021,3,6]],"date-time":"2021-03-06T09:56:40Z","timestamp":1615024600000},"page":"1068-1076","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Determinants of suboptimal blood pressure control in a multi\u2010ethnic population: The Healthy Life in an Urban Setting (HELIUS) study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4037-1717","authenticated-orcid":false,"given":"Eva L.","family":"van der Linden","sequence":"first","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"},{"name":"Department of Vascular Medicine Amsterdam UMC, University of Amsterdam Amsterdam Cardiovascular Sciences Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Collard","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine Amsterdam UMC, University of Amsterdam Amsterdam Cardiovascular Sciences Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik J. 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J.","family":"Beune","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pythia T.","family":"Nieuwkerk","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology Amsterdam UMC, University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrike","family":"Galenkamp","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joke A.","family":"Haafkens","sequence":"additional","affiliation":[{"name":"Department of General Practice Amsterdam UMC, University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric P.","family":"Moll van Charante","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"},{"name":"Department of General Practice Amsterdam UMC, University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert\u2010Jan H.","family":"van den Born","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"},{"name":"Department of Vascular Medicine Amsterdam UMC, University of Amsterdam Amsterdam Cardiovascular Sciences Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Agyemang","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3283282f65"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000186835.63996.d4"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.01.061"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002651"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/tay107"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.184182"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.9.1051"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa010273"},{"issue":"1","key":"e_1_2_7_10_1","article-title":"Racial and ethnic differences in antihypertensive medication use and blood pressure control among US adults with hypertension","volume":"10","author":"Gu A","year":"2017","journal-title":"Circulation"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003423"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017873"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-402"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161066"},{"key":"e_1_2_7_16_1","unstructured":"WHO Collaborating Centre for Drug Statistics Methodology.Guidelines for ATC classification and DDD assignment.2014. 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