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Research Needs to Improve Hypertension Treatment and Control in African Americans
- Source :
- Scopus-Elsevier
- Publication Year :
- 2016
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2016.
-
Abstract
- This report presents findings of an ad hoc working group assembled by the National Heart, Lung, and Blood Institute (NHLBI) to assess research needs to improve prevention, treatment, and control of hypertension among African Americans. Non-Hispanic Blacks (African American and Black will be used for US and international studies, respectively) tend to have an earlier onset, higher prevalence, and disproportionately high risk of complications for hypertension compared with non-Hispanic Whites and Mexican Americans.1 Surveys identify substantial variation in mean blood pressure (BP) among populations of African origin.2 In high-income countries, including the United States, mean BP and prevalence of hypertension are higher in adults self-described,3–6 observer reported,7,8 or otherwise identified9,10 as being black or having darker skin color.11 However, the relationship between African origin and BP is absent or only minimally apparent in reports from middle-income countries.12–14 Research to clarify reasons for this variability may contribute to understanding of hypertension-related racial disparities in the United States. In US National Health and Nutrition Examination Survey (NHANES) reports, crude and age-adjusted prevalence of hypertension (systolic BP [SBP] ≥140 mm Hg, diastolic BP ≥90 mm Hg, or taking antihypertensive medication) in adults has remained fairly constant at ≈30% since 1999 to 2000.3,4 The corresponding prevalence estimate for African Americans is ≈40% and has also remained reasonably stable. In African Americans, hypertension awareness and treatment rates are higher but control rates lower compared with non-Hispanic Whites (85.7% versus 82.7% for awareness, 77.4% versus 76.7% for treatment, and 49.5% versus 53.9% for control in NHANES 2011–2012).4 The lower prevalence of BP control is present despite use of more BP-lowering medications, including thiazide diuretics.15 This contrasts with clinical trial experience, where differences in BP control rates by race/ethnicity …
- Subjects :
- Adult
Male
Gerontology
Biomedical Research
National Health and Nutrition Examination Survey
education
Ethnic group
030204 cardiovascular system & hematology
Severity of Illness Index
Article
White People
03 medical and health sciences
Age Distribution
0302 clinical medicine
Severity of illness
Prevalence
Internal Medicine
medicine
Humans
030212 general & internal medicine
Healthcare Disparities
Sex Distribution
Antihypertensive Agents
Thiazide
Aged
Hypertension treatment
business.industry
Blood Pressure Determination
Research needs
Middle Aged
United States
Black or African American
Clinical trial
Hypertension
Needs assessment
Female
business
Needs Assessment
Demography
medicine.drug
Subjects
Details
- ISSN :
- 15244563 and 0194911X
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Hypertension
- Accession number :
- edsair.doi.dedup.....fe81c88d01a5084359e377adfc00010b