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Among those who reported receiving a physician recommendation, those who used HBPM had a mean BP that was 3.1/4.5 mmHg lower than those who did not. Those who reported having a physician recommendation and using HBPM were more likely to report hypertension medication adherence (OR 2.9, 95% CI 2.0, 4.4). Conclusions HBPM use was associated with lower BP and higher medication adherence. Use of HBPM was higher among those with a physician recommendation. These results support a role for physicians in counseling and partnering with patients o