Prevalence of Hypertension, Awareness, Treatment, and Control in the Hispanic Community Health Study/Study of Latinos

Sorlie, Paul D.; Allison, Matthew A.; Avilés-Santa, M. Larissa; Cai, Jianwen; Daviglus, Martha L.; Howard, Annie Green; Kaplan, Robert C.; LaVange, Lisa M.; Raij, Leopoldo; Schneiderman, Neil; Wassertheil‐Smoller, Sylvia; Talavera, Gregory A.

doi:10.1093/ajh/hpu003

Cited by 180 publications

(147 citation statements)

References 9 publications

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“…More than half (60%) of the studied hypertensive patients had controlled blood pressure, slightly higher rates when compared to other national studies (4,(17)(18)(19) . Among the bio-social characteristics of hypertensive patients that were associated with the control, the fact that women are more controlled also coincides with the results of other studies (20)(21)(22) .…”

Section: Discussioncontrasting

confidence: 49%

Chronic and asymptomatic diseases influence the control of hypertension treatment in primary care

Pierin

Silva

Colósimo

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the association between blood pressure control and the following variables: a) bio-social and lifestyle characteristics of hypertensive patients; and b) factors related to the antihypertensive treatment. Methods: This is an exploratory study with 290 people with hypertension from primary care. We used a specific instrument, selfadministered, with 21 questions on factors that can hinder treatment, divided into four dimensions: medication, socioeconomic, institutional and personal beliefs. We adopted a significance level of p <0.05. Results: The control of blood pressure was associated (p <0.05) with female gender, Caucasian ethnicity, primary/secondary education, not drinking alcohol, higher income and regular physical activity. Regarding the factors that can hinder treatment, there was association of hypertension control with only two questions: "feel nothing" and "have to do treatment for life". Conclusion: Sociodemographic variables and beliefs concerning the absence of symptoms and chronicity of the disease influenced the control of hypertension and should be considered in the adherence process to the treatment. DESCRIPTORSHypertension; Medication Adherence; Therapeutics; Life Style; Public Health Nursing. Chronic and asymptomatic diseases influence the control of hypertension treatment in primary careCronicidade e doença assintomática influenciam o controle dos hipertensos em tratamento na atenção básica Cronicidad y enfermedad asintomática influencian el control de los hipertensos en tratamiento en la atención básica

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Section: Discussioncontrasting

confidence: 49%

Chronic and asymptomatic diseases influence the control of hypertension treatment in primary care

Pierin

Silva

Colósimo

et al. 2016

Rev. esc. enferm. USP

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“…3 Healthy People 2020 has again included prevention and control of HTN as one of the most critical public health goals. [4][5][6] Although this initiative lacks a focus on reducing racial/ethnic differences, numerous population-based studies have identified disparities in the prevalence of HTN, with non-Hispanic Blacks having the highest prevalence of HTN (32.8%-42.1%) 1,2,7,8 , while other racial/ethnic groups have a fairly similar range of prevalence estimates: non-Hispanic Whites (21.1%-29.8%), 1,2,[7][8][9] Hispanics (24.7%-29.3%), 1,[7][8][9] and nonHispanic Asians (24.7%-25.6%). 8,10 To date, many of the populationbased studies examining racial/ethnic differences in HTN prevalence have focused on differences between broad minority groups; few have examined differences in Asian and Hispanic sub-populations.…”

Section: Introductionmentioning

confidence: 99%

Hypertension Prevalence in New York City Adults: Unmasking Undetected Racial/Ethnic Variation, NYC HANES 2004

et al. 2016

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Main Outcome Measures: Logistic regression was performed to identify differences in HTN prevalence between ethnic subgroups controlling for age, sex, education and BMI. Results Conclusion:When analyzing racial/ethnic subgroups, NH Black and Hispanic adults from Dominican Republic had the highest HTN prevalence followed by South Asian and Puerto Rican adults. Mexican adults had the lowest prevalence of all groups. These findings highlight that ethnic subgroup differences go undetected when stratified by broader racial/ ethnic categories. To our knowledge, this is the first population-based study using objective measures to highlight these differences. Ethn

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“…1,2 Despite this effort, several studies have raised the concern of racial and ethnic inequalities in terms of hypertension treatment and control. [3][4][5][6] Although suboptimal insurance coverage and poor access to health care are most widely accepted determinants of health disparities, the causes of racial inequalities are complex and require systematic studies to bridge the gap in achieving universal highquality clinical outcomes. We sought to examine the racial differences in hypertension treatment and control, describe antihypertensive drug utilization patterns, and explore potential causes of racial disparities in these measures.…”

mentioning

confidence: 99%

Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension

Desai

et al. 2017

Circ: Cardiovascular Quality and Outcomes

133

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Background-A key to reduce and eradicate racial disparities in hypertension outcomes is to understand their causes.We aimed at evaluating racial differences in antihypertensive drug utilization patterns and blood pressure control by insurance status, age, sex, and presence of comorbidities. Methods and Results-A total of 8796 hypertensive individuals ≥18 years of age were identified from the National Health and Nutrition Examination Survey (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012) Racial disparities also persisted in subgroups stratified by age (≥60 and <60 years of age) and presence of comorbidities but worsened among patients <60 years of age. Conclusions-Black and Hispanic patients had poorer hypertension control compared with whites, and these differences were more pronounced in younger and uninsured patients. Although black patients received more intensive antihypertensive therapy, Hispanics were undertreated. Future studies should further explore all aspects of these disparities to improve cardiovascular outcomes. (Circ Cardiovasc Qual Outcomes. 2017;10:e003166.

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Prevalence of Hypertension, Awareness, Treatment, and Control in the Hispanic Community Health Study/Study of Latinos

Cited by 180 publications

References 9 publications

Chronic and asymptomatic diseases influence the control of hypertension treatment in primary care

Chronic and asymptomatic diseases influence the control of hypertension treatment in primary care

Hypertension Prevalence in New York City Adults: Unmasking Undetected Racial/Ethnic Variation, NYC HANES 2004

Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension

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