{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:35:58Z","timestamp":1770755758348,"version":"3.50.0"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,3,19]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Studies analyzing blood pressure (BP) management using the hypertension control cascade have consistently shown disparities in hypertension awareness, treatment, and BP control between Latino patients and non\u2010Latino White patients. We analyze this cascade using electronic health record data from a multistate network of community health centers.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Data from 790 clinics in 23 US states from 2012 to 2020, including 1\u2009270\u2009174 patients, were analyzed to compare BP documentation in the electronic health record, clinician acknowledgment (diagnosis or treatment) of incident hypertension (BP \u2265140\/90), medication prescription, and BP control between non\u2010Latino White patients, English\u2010preferring Latino patients, and Spanish\u2010preferring Latino patients, adjusted for patient\u2010level covariates, and clustered on patients' primary clinics. Among the 429\u2009182 patients with elevated BP (\u2265140\/90) during ambulatory visits from 2012 to 2020, we found that clinician acknowledgment of hypertension was more likely in Spanish\u2010preferring and English\u2010preferring Latino patients versus non\u2010Latino White patients (adjusted odds ratio [aOR], 1.17 [95% CI, 1.11\u20131.24]; aOR, 1.07 [95% CI, 1.02\u20131.12], respectively). In addition, Spanish\u2010preferring Latino patients were more likely to receive a medication versus non\u2010Latino White patients (aOR, 1.21 [95% CI, 1.16\u20131.28]). Among those receiving medication, Latino patients were as likely as non\u2010Latino White patients to have their BP controlled (&lt;140\/90).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">In a large retrospective study of community health center patients with incident hypertension, the expected disparities in hypertension management between Spanish\u2010preferring Latino, English\u2010preferring Latino, and non\u2010Latino White patients were not identified. These findings add to the hypertension control cascade by examining robust electronic health record data from community health centers and may provide clues to reducing disparities in hypertension management.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.033151","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T10:57:18Z","timestamp":1709895438000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Latino\u2013White Disparities in Identification and Control of Elevated Blood Pressure Among Adults With Hypertension"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5583-0354","authenticated-orcid":false,"given":"David","family":"Boston","sequence":"first","affiliation":[{"name":"OCHIN Inc. 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Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5300-2758","authenticated-orcid":false,"given":"Evelyn","family":"Sun","sequence":"additional","affiliation":[{"name":"OCHIN Inc. Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9562-657X","authenticated-orcid":false,"given":"Sophia","family":"Giebultowicz","sequence":"additional","affiliation":[{"name":"OCHIN Inc. Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6834-1835","authenticated-orcid":false,"given":"Danielle M.","family":"Crookes","sequence":"additional","affiliation":[{"name":"Northeastern University Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0860-9008","authenticated-orcid":false,"given":"Carlos J.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Heintzman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Oregon Health &amp; Science University Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19043"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000065"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.1421"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(02)11911-8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchy.2020.100061"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.650"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001052"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.16418"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.121.17570"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12654"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu003"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17589"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08139-x"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.14517"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000636"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2006.09.025"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.05.013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305745"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.026077"},{"key":"e_1_3_2_21_2","unstructured":"National Health Center Program Uniform Data System (UDS) Awardee Data . 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