Abstract: SA-PO0496
Adverse Social Determinants of Health (SDOH) Are Associated with Higher Odds of Uncontrolled Blood Pressure (BP
Session Information
- CKM: Clinical - Screening, Population Management, Care Disparities, and Patient-Centered Outcomes
October 24, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Cardiovascular-Kidney-Metabolic Health
- 602 Cardiovascular-Kidney-Metabolic Health: Clinical
Authors
- Kim, Catherine Hyunjoo, Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, United States
- Markossian, Talar, Loyola University Chicago, Chicago, Illinois, United States
- Probst, Beatrice D., Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, United States
- Kramer, Holly J., Loyola University Chicago, Chicago, Illinois, United States
Background
Adverse SDOH may impede BP control. We evaluated the association of adverse SDOH with unconrolled BP during a clinic visit.
Methods
We used data from 20, 333 adults with hypertension with a total of 50, 298 primary care visits in 2024. Uncontrolled BP was defined as BP ≥140/90 mmHg during a visit. All patients completed self-administered questionnaires on SDOH domains: finances, food security, transportation, and housing. A "yes" to any question defined adverse SDOH. Multilevel mixed-effects models at the visit level determined the association of adverse SDOH with uncontrolled BP during a clinic visit while adjusting for covariates including demographics, comorbidities and insurance. Separate models were used to assess each SDOH domain.
Results
Among the 20,333 patients overall, the mean age was 63.4 years; race/ethnicity was non-Hispanic (NH) White in 54.0%, NH Black in 21.1%, and Hispanic in 15.8% (see Table). Financial strain, food insecurity, housing insecurity, and transportation problems were reported by 13.3%, 9.5%, 3.1%, and 3.4% of patients, respectively, and did not differ substantially by presence of uncontrolled BP at the last visit in 2024. Uncontrolled BP occurred during 31.3% of clinic visits. Figure 1 shows the unadjusted and adjusted associations of adverse SDOH domains with uncontrolled BP at a clinic visit. All SDOH domains were significantly associated with slightly higher odds of uncontrolled BP during a clinic visit, but these associations were not attenuated after covariate adjustment.
Conclusion
Adverse SDOH are associated with higher odds of uncontrolled BP. Screening for adverse SDOH may help identify individuals at increased risk for uncontrolled BP who could benefit from targeted support and hypertension management interventions.
Funding
- Other NIH Support