Sangam: A Confluence of Knowledge Streams

Racial Disparities in Hypertension Prevalence, Awareness, and Management

Show simple item record

dc.creator Hertz, Robin P.
dc.creator Unger, Alan N.
dc.creator Cornell, Jeffrey A.
dc.creator Saunders, Elijah
dc.date 2019-08-14T15:01:45Z
dc.date 2019-08-14T15:01:45Z
dc.date 2005
dc.date.accessioned 2022-05-20T08:38:43Z
dc.date.available 2022-05-20T08:38:43Z
dc.identifier https://doi.org/10.13016/slgx-7svu
dc.identifier Hertz, Robin P. and Unger, Alan N. and Cornell, Jeffrey A. and Saunders, Elijah (2005) Racial Disparities in Hypertension Prevalence, Awareness, and Management. Arch Intern Med, 165 (18). pp. 2098-2104.
dc.identifier Eprint ID 1146
dc.identifier http://hdl.handle.net/1903/23070
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/117649
dc.description 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.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.
dc.description http://archinte.ama-assn.org/cgi/content/full/165/18/2098
dc.subject Disparities
dc.subject Cardiovascular Disease
dc.subject Hypertension
dc.subject Research
dc.subject cardiovascular disease
dc.subject disparities in risk
dc.subject hypertension disparities
dc.title Racial Disparities in Hypertension Prevalence, Awareness, and Management
dc.type Article


Files in this item

Files Size Format View

This item appears in the following Collection(s)

Show simple item record

Search DSpace


Advanced Search

Browse