Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System.
I, L., R, K., JS, G., NS, Z., JA, R., MJ, P., U, S., & EC, K. (2026). Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System.. Journal of clinical hypertension (Greenwich, Conn.). https://doi.org/10.1111/jch.70318
I L, R K, JS G, NS Z, JA R, MJ P, et al. Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System.. Journal of clinical hypertension (Greenwich, Conn.). 2026; doi: 10.1111/jch.70318
I L, R K, JS G, et al. Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System.[J]. Journal of clinical hypertension (Greenwich, Conn.). 2026. DOI: 10.1111/jch.70318.
@article{i2026,
author = {Luna I and Karumanchi R and Grewal JS and Zhang NS and Rodriguez JA and Pletcher MJ and Sarkar U and Khoong EC},
title = {Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System.},
journal = {Journal of clinical hypertension (Greenwich, Conn.)},
year = {2026},
doi = {10.1111/jch.70318},
note = {PMID: 42313488},
}
TY - JOUR AU - Luna I AU - Karumanchi R AU - Grewal JS AU - Zhang NS AU - Rodriguez JA AU - Pletcher MJ AU - Sarkar U AU - Khoong EC TI - Factors Associated With Evidence of Self-Measured Blood Pressure Adoption in an Urban Safety-Net Health System. T2 - Journal of clinical hypertension (Greenwich, Conn.) PY - 2026 DO - 10.1111/jch.70318 AN - PMID:42313488 ER -
Uncontrolled hypertension is a leading cause of preventable cardiovascular mortality. Although self-measured blood pressure (SMBP) monitoring is recommended by evidence-based guidelines, adoption remains uneven in safety-net health systems. We conducted a cross-sectional analysis in an urban safety-net health system to assess factors associated with documented SMBP adoption. Using electronic health record (EHR) data from patients included in a safety-net health system's hypertension registry, we defined documented SMBP adoption as documentation of at least one patient-reported value in the EHR. We evaluated factors associated with documented SMBP adoption using sequential multivariable logistic regression and hierarchical modeling to estimate patient-, provider-, and clinic-level variation. We analyzed 15 937 patients cared for by 283 providers across 12 clinics. Twenty-six percent (4186) of patients had documented SMBP adoption. In the full model, patients aged 75 years and older [vs. 18-34 years old] (aOR 2.37, 95% CI 1.62-3.55) and those with an activated patient portal (aOR 1.36, 95% CI 1.25-1.49) were more likely to have documented SMBP adoption, while patients experiencing homelessness (aOR 0.72, 95% CI 0.60-0.87) were less likely. Substantial variation in documented SMBP adoption was observed across clinics. In the hierarchical model, 75% of the variance in documented SMBP adoption was attributable to patient-level factors, 19% to clinics, and 6% to providers. Given that nearly one-quarter of the variation in documented SMBP adoption was attributable to nonpatient factors, clinic- and provider-level workflows may be modifiable targets to improve equitable uptake and documentation of SMBP monitoring in safety-net health systems.