Document Detail

Racial disparities in hypertension prevalence, awareness, and management.
MedLine Citation:
PMID:  16216999     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Effectively reducing cardiovascular disease disparities requires identifying and reducing disparities in risk factors. Improved understanding of hypertension disparities is critical. METHODS: Cross-sectional analysis of nationally representative samples of black and white adults 20 years and older who participated in the National Health and Nutrition Examination Survey (NHANES) 1999-2002 (white, n = 4624; black, n = 1837) and NHANES III conducted in 1988-1994 (white, n = 7121; black, n = 4709). We examined differences in hypertension prevalence, awareness, treatment, and blood pressure (BP) control among both treated and prevalent cases across the 2 periods. RESULTS: Hypertension prevalence increased significantly from 35.8% to 41.4% among blacks and from 24.3% to 28.1% among whites and remains significantly higher among blacks. Awareness is higher among blacks (77.7% vs 70.4%; P<.001), as is treatment (68.2% vs 60.4%; P<.001). These results are driven by higher rates in black women. Blood pressure control rates among those treated have increased in both races, primarily as a result of increased BP control in black and white men (27.3% and 44.7%, respectively; P<or=.03). Despite the improved BP control rates, disparity in BP control among treated cases increased, with 59.7% of treated whites and 48.9% of treated blacks now reaching BP goal (P<.001). Racial differences in BP control rates among those treated cannot be explained by nonpharmacologic management or health insurance, but educational attainment is associated with BP control. CONCLUSION: The higher prevalence of hypertension in blacks and the growing disparity in BP control among those treated pharmacologically are causes for concern.
Robin P Hertz; Alan N Unger; Jeffrey A Cornell; Elijah Saunders
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of internal medicine     Volume:  165     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-11     Completed Date:  2005-11-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2098-104     Citation Subset:  AIM; IM    
US Outcomes Research-Population Studies, Pfizer Global Pharmaceuticals, New York, NY 10017, USA.
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MeSH Terms
African Continental Ancestry Group / statistics & numerical data
Cross-Sectional Studies
European Continental Ancestry Group / statistics & numerical data
Hypertension / epidemiology,  ethnology*,  therapy*
Middle Aged
Nutrition Surveys
United States / epidemiology
Comment In:
Arch Intern Med. 2006 Apr 10;166(7):812   [PMID:  16606820 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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