Abstract P240: Nearly Half Of Participants In A Rural, Worksite-based Health Assessments Have Undiagnosed Or Uncontrolled Hypertension

Abstract

Introduction: Untreated hypertension can result in stroke, heart failure, and kidney damage. Recent reports suggest the prevalence of hypertension is 10% higher in rural areas compared to urban centers.Identifying rural residents with uncontrolled hypertension is the first step to initiating treatment and preventing end organ damage. The objective of this study is to determine the prevalence of elevated blood pressure readings or uncontrolled hypertension in participants living in a rural area through worksite-based assessments. Hypothesis We assessed the hypothesis that there are elevated rates of hypertension among those living in rural areas with limited access to health care providers or systems. Methods: Rural worksites were identified for free screenings that include a series of questionnaires and bio-metrics. Screenings conclude with a one-on-one provider meeting to discuss results and referrals as needed. Results/Conclusions: A total of 654 individuals (46.3% Black) (57.2% male) participated in our screening clinics. When asked about health insurance coverage, 526 (88.7%) reported having insurance. Nearly seventy percent (66.9%) of participants had seen a healthcare professional within the previous year. Undiagnosed hypertension (SBP ≥140) was found in 169 (26.1%) participants and 114 (17.6%)participants had diagnosed but uncontrolled hypertension. In conclusion, nearly half of participants had uncontrolled/undiagnosed hypertension. Our worksite-based health screening clinics provided a convenient, walk-in service, immediate results, and provider consultation as a bridge to accessing ongoing care.