Factors Associated with Antihypertensive Therapy Prescription in Youth Delaware Medicaid Recipients with Primary Hypertension Diagnosis.

Anti-hypertensive therapy prescription rates are poor despite national guideline recommendations. Among youth receiving Delaware Medicaid between 2014 and 2019, prescription proportions were highest among youth of older age, with an obesity diagnosis, and among youth with longer duration of Medicaid benefit coverage. Although high area deprivation has been shown to be associated with the diagnosis of hypertension, high vs low area deprivation was not associated with greater anti-hypertensive therapy prescription among youth with primary hypertension. Our finding of a mismatch between hypertension diagnosis and anti-hypertensive therapy prescription highlights a potential disparity in anti-hypertensive therapy prescription in youth.