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Abstract: 

The goals of antihypertensive therapy are to reduce blood pressures to at least 135/90 and to prevent the long-term complications of hypertension without adversely affecting the quality of life of our offenders at the Indiana Women’s Prison (IWP). Working in an institution where behavioral problems are almost universal among the offender population creates several challenges in providing chronic care. The most significant of these challenges is noncompliance with the therapeutic regimen for the treatment of hypertension. Noncompliance with the hypertensive therapeutic regimen is frequently affected by past substance abuse, mental retardation, and significant psychiatric illness.

Keywords: Chronic Disease, BMI, Age, Diet, Concurrent disease, race, medication, Ace Inhibitors

Affiliations:  1: Indiana Women's Prison.