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Based on unique Chinese longitudinal data and a regression discontinuity design that exploits the exogenous cutoff of systolic blood pressure in the diagnosis of hypertension, we find that, upon receiving hypertension diagnosis, individuals reduce fat intake significantly, and richer individuals reduce more.
Hypertension was defined as resting blood pressure ≥140/90 mmHg at two different visits or receiving hypertension drugs.
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We conducted a qualitative interview study with 40 insured hypertensive patients who had received hypertension care for > 1 year in a rural primary care hospital in Kwara state, Nigeria.
Of these, 6,285 received hypertension medicine at and/or before enrollment, leaving 44,436 participants for the BP analyses.
In this study we explored perspectives on treatment adherence among patients who received hypertension care in the context of a community based health insurance program in rural Nigeria.
To provide information for adherence support interventions, this study explored what low income patients who received hypertension care in the context of a community based health insurance program in Nigeria perceive as inhibitors and facilitators for adhering to pharmacotherapy and healthy behaviors.
Participants who had a diastolic BP ≥90 mmHg and/or a systolic BP ≥140 mmHg or reported a prior medical diagnosis of hypertension or were receiving treatment for hypertension (regardless of BP levels) were classified as having hypertension.
Participants were classified as follows: non-hypertension (NHT; systolic blood pressure <140 mm Hg and diastolic blood pressure <90 mm Hg), UHT (defined as patients not on medication for hypertension who met hypertension criteria) or treated hypertension (THT; defined as those with hypertension receiving antihypertensive medication).
After randomization, patients in the usual care sites (n = 2) will receive standard hypertension education.
Treatment discontinuation, as shown by a national study based on the Swedish Prescribed Drug Register, is about 50% of the Swedish population who receive any hypertension drugs.
Hypertension was defined as any of these conditions: (1) self-reported hypertension (diagnosed by a physician or receiving medications for hypertension); (2) average systolic blood pressure ≥140 mmHg; (3) average diastolic blood pressure ≥90 mmHg.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com