02086nas a2200229   4500000000100000008004100001260001700042100002300059700001400082700001100096700001400107700001800121700001700139700001900156700001400175245009800189250001500287300001000302490000800312520149000320020004601810       2011                            d  c1732465693491 aM. DeMarco McAdams1 aButler K.1 aKao W.1 aHindin M.1 aWoodward Mark1 aMosley T. Jr1 aAnderson Craig1 aCoresh J.00aHypertension status, treatment, and control among spousal pairs in a middle-aged adult cohort  a2011/08/16  a790-60 v1743 a<p>
Hypertension status among spouses is known to be concordant, but previous studies relied on history rather than direct measurement, and few data exist on treatment and control between spouses. The goal of this study was to estimate the spousal association of hypertension status, treatment, and control in adults. The authors identified and analyzed data on 4,500 pairs from the Atherosclerosis Risk in Communities (ARIC) cohort, which sampled middle-aged adults and their spouses in 1986-1989, with 3 follow-up visits 3 years apart. Generalized estimating equations were used in logistic regression analyses to calculate the odds ratio of a spouse's being hypertensive on the basis of the other spouse's hypertension status across 4 visits, adjusting for age, race, body mass index, smoking status, and sodium intake in both individuals. There are marginally increased odds of hypertension for spouses married to someone with hypertension (odds ratio (OR) = 1.15, 95% confidence interval (CI): 1.06, 1.25). Treatment was positively associated between spouses (OR = 1.35, 95% CI: 1.10, 1.67). Control was suggestive of an association, although it was not statistically significant (OR = 1.21, 95% CI: 0.93, 1.56). In middle-aged adults, hypertension status and treatment were moderately associated between spouses after controlling for shared environment. Physicians may target hypertension education and prevention to spouses as a pair rather than as 2 separate patients.
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