{"id":"https://openalex.org/W4289783162","doi":"https://doi.org/10.1016/j.focus.2022.100018","title":"High Blood Pressure Reduction, Health Insurance Status, and Social Deprivation Index in U.S. Community Health Centers","display_name":"High Blood Pressure Reduction, Health Insurance Status, and Social Deprivation Index in U.S. Community Health Centers","publication_year":2022,"publication_date":"2022-08-04","ids":{"openalex":"https://openalex.org/W4289783162","doi":"https://doi.org/10.1016/j.focus.2022.100018","pmid":"https://pubmed.ncbi.nlm.nih.gov/37791238","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10546572"},"language":"en","primary_location":{"id":"doi:10.1016/j.focus.2022.100018","doi":"https://doi.org/10.1016/j.focus.2022.100018","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.focus.2022.100018","pdf_url":"http://www.ajpmfocus.org/article/S2773065422000165/pdf","source":{"id":"https://openalex.org/S4220651960","display_name":"AJPM Focus","issn_l":"2773-0654","issn":["2773-0654"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJPM Focus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://www.ajpmfocus.org/article/S2773065422000165/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066247381","display_name":"Beverly B. Green","orcid":"https://orcid.org/0000-0003-3040-3436","observed_orcids":["https://orcid.org/0000-0003-3040-3436"]},"institutions":[{"id":"https://openalex.org/I150117356","display_name":"Kaiser Permanente Washington Health Research Institute","ror":"https://ror.org/0027frf26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I150117356"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Beverly B. Green","raw_affiliation_strings":["Kaiser Permanente Washington Health Research Institute, Seattle, Washington","Washington Permanente Medical Group, Renton, Washington"],"raw_orcid":"https://orcid.org/0000-0003-3040-3436","affiliations":[{"raw_affiliation_string":"Kaiser Permanente Washington Health Research Institute, Seattle, Washington","institution_ids":["https://openalex.org/I150117356"]},{"raw_affiliation_string":"Washington Permanente Medical Group, Renton, Washington","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017881029","display_name":"Annie E. Larson","orcid":"https://orcid.org/0000-0002-0080-3220","observed_orcids":["https://orcid.org/0000-0002-0080-3220"]},"institutions":[{"id":"https://openalex.org/I4210133871","display_name":"Ochin","ror":"https://ror.org/03ft4ac91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210133871"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Annie E. Larson","raw_affiliation_strings":["Research Department, OCHIN Inc., Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research Department, OCHIN Inc., Portland, Oregon","institution_ids":["https://openalex.org/I4210133871"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058619449","display_name":"Nathalie Huguet","orcid":"https://orcid.org/0000-0002-4064-1553","observed_orcids":["https://orcid.org/0000-0002-4064-1553"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathalie Huguet","raw_affiliation_strings":["Department of Family Medicine, Oregon Health & Science University, Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Oregon Health & Science University, Portland, Oregon","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061526789","display_name":"Heather E. Angier","orcid":"https://orcid.org/0000-0002-6313-1927","observed_orcids":["https://orcid.org/0000-0002-6313-1927"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Angier","raw_affiliation_strings":["Department of Family Medicine, Oregon Health & Science University, Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Oregon Health & Science University, Portland, Oregon","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108779021","display_name":"Steele H. Valenzuela","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steele Valenzuela","raw_affiliation_strings":["Department of Family Medicine, Oregon Health & Science University, Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Oregon Health & Science University, Portland, Oregon","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010277929","display_name":"Miguel Marino","orcid":"https://orcid.org/0000-0002-0066-4478","observed_orcids":["https://orcid.org/0000-0002-0066-4478"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Miguel Marino","raw_affiliation_strings":["Department of Family Medicine, Oregon Health & Science University, Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Oregon Health & Science University, Portland, Oregon","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5066247381"],"corresponding_institution_ids":["https://openalex.org/I150117356"],"apc_list":{"value":1800,"currency":"USD","value_usd":1800},"apc_paid":{"value":1800,"currency":"USD","value_usd":1800},"fwci":1.3916,"has_fulltext":true,"cited_by_count":11,"citation_normalized_percentile":{"value":0.82613827,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":98},"biblio":{"volume":"1","issue":"2","first_page":"100018","last_page":"100018"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.020099999383091927,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.005400000140070915,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.6740000247955322},{"id":"https://openalex.org/keywords/blood-pressure-reduction","display_name":"blood pressure reduction","score":0.9599999785423279},{"id":"https://openalex.org/keywords/health-insurance-status","display_name":"health insurance status","score":0.9470000267028809},{"id":"https://openalex.org/keywords/social-deprivation-index","display_name":"social deprivation index","score":0.9100000262260437},{"id":"https://openalex.org/keywords/community-health-centers","display_name":"community health centers","score":0.9480000138282776},{"id":"https://openalex.org/keywords/medicaid-expansion","display_name":"Medicaid expansion","score":0.7710000276565552},{"id":"https://openalex.org/keywords/uninsured-patients","display_name":"uninsured patients","score":0.9369999766349792},{"id":"https://openalex.org/keywords/publicly-insured-patients","display_name":"publicly insured patients","score":0.7699999809265137},{"id":"https://openalex.org/keywords/blood-pressure-control","display_name":"blood pressure control","score":0.8309999704360962},{"id":"https://openalex.org/keywords/neighborhood-deprivation","display_name":"neighborhood disadvantage","score":0.3409999907016754}],"concepts":[{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.84818434715271},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7590802907943726},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.6308616995811462},{"id":"https://openalex.org/C57900726","wikidata":"https://www.wikidata.org/wiki/Q492905","display_name":"Diastole","level":3,"score":0.4958871304988861},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4903128445148468},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.43887022137641907},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.42690059542655945},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.41130784153938293},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.37663859128952026},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3682364225387573},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.1633320152759552},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.11786690354347229},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.06686189770698547},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.focus.2022.100018","doi":"https://doi.org/10.1016/j.focus.2022.100018","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.focus.2022.100018","pdf_url":"http://www.ajpmfocus.org/article/S2773065422000165/pdf","source":{"id":"https://openalex.org/S4220651960","display_name":"AJPM Focus","issn_l":"2773-0654","issn":["2773-0654"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJPM Focus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10546572","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10546572","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10546572/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJPM Focus","raw_type":"Text"},{"id":"pmid:37791238","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37791238","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJPM focus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.focus.2022.100018","doi":"https://doi.org/10.1016/j.focus.2022.100018","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.focus.2022.100018","pdf_url":"http://www.ajpmfocus.org/article/S2773065422000165/pdf","source":{"id":"https://openalex.org/S4220651960","display_name":"AJPM Focus","issn_l":"2773-0654","issn":["2773-0654"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJPM Focus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G391657134","display_name":null,"funder_award_id":"RI\u2010CRN\u20102020\u2010001","funder_id":"https://openalex.org/F4320308927","funder_display_name":"Patient-Centered Outcomes Research Institute"},{"id":"https://openalex.org/G5723449310","display_name":"Evaluating Control of Hypertension - Effect of Social Determinants (ECHOES)","funder_award_id":"R01HL136575","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320308927","display_name":"Patient-Centered Outcomes Research Institute","ror":"https://ror.org/014q65q44"},{"id":"https://openalex.org/F4320309233","display_name":"Oregon Health and Science University","ror":"https://ror.org/009avj582"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4289783162.pdf","grobid_xml":"https://content.openalex.org/works/W4289783162.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1939947548","https://openalex.org/W2060812458","https://openalex.org/W2077385536","https://openalex.org/W2126125759","https://openalex.org/W2138686595","https://openalex.org/W2167376093","https://openalex.org/W2198866495","https://openalex.org/W2769574669","https://openalex.org/W2886290405","https://openalex.org/W2902096500","https://openalex.org/W2920258695","https://openalex.org/W2981869278","https://openalex.org/W3084067540","https://openalex.org/W3097049589","https://openalex.org/W3119724974","https://openalex.org/W3158872319","https://openalex.org/W3166737187","https://openalex.org/W3214246612"],"related_works":["https://openalex.org/W7074093304","https://openalex.org/W7155522712","https://openalex.org/W2065514019","https://openalex.org/W2606750784","https://openalex.org/W2903666919","https://openalex.org/W4313594762","https://openalex.org/W1972171060","https://openalex.org/W2945368874","https://openalex.org/W2331813268","https://openalex.org/W2263677484"],"abstract_inverted_index":{"Introduction":[0],"Lack":[1],"of":[2,38],"health":[3,17,39,53,87,277],"insurance":[4,18,40,160,191,255],"is":[5,14,23,263],"a":[6],"risk":[7],"factor":[8],"for":[9,111],"uncontrolled":[10],"hypertension,":[11],"but":[12,148,172,250],"it":[13],"unknown":[15],"whether":[16],"or":[19,74,193,216,257],"neighborhood-level":[20],"social":[21,42,176,194,240,258],"deprivation":[22,43,177,195,241,259],"associated":[24,174,253],"with":[25,66,158,175,232,254],"greater":[26,150,213],"reductions":[27,151,187],"in":[28,89,94,152,183,245,275],"blood":[29,46,70,76,116,119,121,154,185,201,207,236,246,272],"pressure":[30,47,71,77,122,155,186,198,202,208,237,247,273],"over":[31,49,124,188],"time.":[32],"Methods":[33],"We":[34,60,97],"estimated":[35],"the":[36,125,267],"association":[37],"and":[41,80,106,114,133,140,205,239],"index":[44],"on":[45],"reduction":[48,274],"time":[50,189],"using":[51],"electronic":[52],"record":[54],"data":[55],"from":[56,84],"2012":[57],"to":[58,265,271],"2017.":[59],"included":[61,98],"patients":[62,157],"aged":[63],"19\u201364":[64],"years":[65],"an":[67],"initial":[68],"systolic":[69,118,153],"\u2265150":[72],"mmHg":[73,79,135,204],"diastolic":[75,184,206],"\u2265100":[78],"\u22651":[81],"additional":[82],"visit":[83],"93":[85],"community":[86,276],"centers":[88],"states":[90],"that":[91,269],"expanded":[92],"Medicaid":[93],"2014.":[95],"Results":[96],"66,207":[99],"patients:":[100],"20.1%":[101],"uninsured,":[102,137],"64.8%":[103],"publicly":[104,138,215],"insured,":[105,139],"15.1%":[107],"privately":[108,141],"insured.":[109],"Adjusting":[110],"patient":[112],"characteristics":[113],"baseline":[115],"pressure,":[117],"pressure/diastolic":[120],"declined":[123],"study":[126],"period":[127],"by":[128,190],"21.3/11.2":[129],"mmHg,":[130,132],"22.0/11.4":[131],"21.1/10.7":[134],"among":[136,156,162,214,221],"insured":[142,218],"individuals,":[143],"respectively.":[144],"There":[145,179],"were":[146,165,180,248],"small":[147],"significantly":[149,212],"public":[159],"than":[161,220],"those":[163],"who":[164],"uninsured":[166,222],"(difference=":[167],"\u22121.3,":[168],"95%":[169],"CI=\u22121.6,":[170],"\u22121.0)":[171],"none":[173],"index.":[178,196,242,260],"no":[181,233],"differences":[182],"status":[192],"Blood":[197],"control":[199,238],"(systolic":[200],"<140":[203],"<90":[209],"mmHg)":[210],"was":[211],"commercially":[217],"individuals":[219,223],"(51.7%,":[224],"51.5%,":[225],"44.6%":[226],"respectively,":[227],"both":[228],"comparisons":[229],"p":[230],"<0.001),":[231],"associations":[234],"between":[235],"Conclusions":[243],"Reductions":[244],"large":[249],"mostly":[251],"not":[252],"type":[256],"Additional":[261],"research":[262],"needed":[264],"understand":[266],"factors":[268],"lead":[270],"center":[278],"settings.":[279]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2022-08-04T00:00:00"}
