Disparities in Prevalence, Treatment, and Control of Hypertension Among Low Wage Immigrant Workers Beyond Health Insurance Coverage: The Las Vegas Hotel Room Cleaners Blood Pressure Study

Details

• Personal Author:
  Arias OE ; Krause N ; Arias OE ; Krause N
• Description:
  Objective: To identify disparities in hypertension prevalence, treatment and control among female hotel room cleaners (HRC) compared to the U.S. population that may persist beyond health insurance coverage. Methods: A community-based participatory research project obtained resting blood pressure readings and information on antihypertensive medication from 866 Las Vegas HRCs. Their rates of hypertension prevalence, awareness, treatment, and control were compared with national survey data (NHANES) stratified by age, nativity, ethnicity, and health insurance status. Results: HRCs with health insurance reported a lower prevalence of hypertension (22.7%) than the general population (27.7%), but U.S. born HCRs had a higher prevalence (31.3%). The prevalence among 20-39 year old HRCs was twice as high than in the general U.S. population (9.7% versus 4.7%). Awareness of hypertension (61.7% versus 71.3%), anti-hypertensive medication (49.2% versus 60.3%) and hypertension control (21.4% versus 40.9%) were consistently lower among all HRCs. The youngest (20-39 years) and oldest (> 60 years) age groups reached less than 1/3 of comparable national hypertension control rates. Conclusions: Low wage immigrant workers, even if covered by health insurance, may experience substantial disparities in hypertension prevalence, awareness, and management. Control rates among HCRs and the general population fell short of the national public health target of 50%. Coordinated efforts of insurance plans, medical providers, and stakeholders at work are recommended to identify and modify the specific cognitive, language, financial, and structural (including work organizational) barriers to prevention, detection, and control of hypertension in such vulnerable populations. [Description provided by NIOSH]
• Subjects:
  Age Factors Cardiovascular Diseases Cardiovascular System Epidemiology Healthcare Disparities Household Work Minority Health Occupational Health Safety Women
• Keywords:
  Age Factors Author Keywords: Cardiovascular Disease Blood Pressure Cardiovascular System Ethnicity Health Disparities Hispanic Health Paradox Housekeeping Personnel Hypertension Immigrant Health Minority Health Race

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• ISSN:
  2474-3690
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  1-8
• Volume:
  1
• Issue:
  1
• NIOSHTIC Number:
  nn:20055762
• Citation:
  J Hypertens Manag 2015 Sep; 1(1):1-8
• Contact Point Address:
  Niklas Krause, MD, PhD, MPH, Department of Environmental Health Sciences and Department of Epidemiology, University of California, Los Angeles (UCLA), Box 95-1772; 56-071 CHS 650 Charles E. Young Drive South Los Angeles, CA 90095-1772, USA
• Email:
  niklaskrause@ucla.edu
• Federal Fiscal Year:
  2015
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Hypertension and Management
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:95603891b4c2cbdaec00ca3faf96e7af4d029309b2e1bf9a230ae8004a68e03be47e294aeb50e7007abf6599b89bd63d6a7eb6873667749444acd35438130f18
• Download URL:
  https://stacks.cdc.gov/view/cdc/213538/cdc_213538_DS1.pdf
• File Type:
  [PDF - 405.34 KB ]