Accounting for racial bias and social determinants of health in a model of hypertension control

Models using non-clinical factors can predict which patients exhibit poorly controlled hypertension. Racial and SDoH variables are significant predictors but lead to biased predictive models. Race-specific models are not sufficient to resolve such biases and require further decision threshold tuning. A host of structural socioeconomic factors are identified to be targeted to reduce disparities in hypertension control.

Authors

Institutions

Publication Details

Journal
BMC Medical Informatics and Decision Making
Published
2025-02-03
DOI
https://doi.org/10.1186/s12911-025-02873-4
Citations
3
Primary Topic
Blood Pressure and Hypertension Studies
Type
article
Field-Weighted Citation Impact
4.16

Funders

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article

Accounting for racial bias and social determinants of health in a model of hypertension control

Nicholas Cordella, Rebecca G. Mishuris, Ioannis Ch. Paschalidis, Hu Yang
3 citations
BMC Medical Informatics and Decision Making
Blood Pressure and Hypertension Studies
4.16
article

Accounting for racial bias and social determinants of health in a model of hypertension control

Nicholas Cordella, Rebecca G. Mishuris, Ioannis Ch. Paschalidis, Hu Yang
article en
3 citations

Abstract

Models using non-clinical factors can predict which patients exhibit poorly controlled hypertension. Racial and SDoH variables are significant predictors but lead to biased predictive models. Race-specific models are not sufficient to resolve such biases and require further decision threshold tuning. A host of structural socioeconomic factors are identified to be targeted to reduce disparities in hypertension control.

BMC Medical Informatics and Decision MakingVol. 25(1)
Boston University (US), Boston Medical Center (US), Harvard University (US), Mass General Brigham (US)
National Science Foundation, Georgia Clinical and Translational Science Alliance, National Institutes of Health, Office of Naval Research, Division of Electrical, Communications and Cyber Systems, National Center for Advancing Translational Sciences
Peace, Justice and strong institutions
Openalex Percentile: Top 7%
Blood Pressure and Hypertension Studies
4.16
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Accounting for racial bias and social determinants of health in a model of hypertension control — Nicholas Cordella, Rebecca G. Mishuris, et al. · BMC Medical Informatics and Decision Making (2025) | TGRS Research Map | TGRS