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dc.contributor.authorAl Kibria, Gulam Muhammed
dc.creatorAl Kibria, G.
dc.date.accessioned2019-05-07T15:26:53Z
dc.date.available2019-05-07T15:26:53Z
dc.date.issued2019-03-14
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064736802&origin=inward
dc.identifier.urihttp://hdl.handle.net/10713/9005
dc.description.abstractThe 2017 American College of Cardiology/American Heart Association (ACC/AHA) Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults recommends reduced systolic/diastolic blood pressure (SBP/DBP)cutoffs to define hypertension (i.e., by changing these from ≥140/90 to ≥130/80 mmHg), including new recommendations about indications and goals of antihypertensive treatment. This study reported the differences in age-adjusted prevalence and treatment status of hypertension according to race among US adults per the 2017 ACC/AHA guideline. The National Health and Nutrition Examination Survey 2011–16 data was analyzed. The main outcomes were age-adjusted prevalence and treatment status of hypertension among adults aged ≥20 years. After prevalence estimation, other proportions were obtained. The analysis included 16,103 adults (mean age: 47.6 years, 51.8% women). The age-adjusted proportions of adults with hypertension (59.0%, 95% confidence interval [CI]: 57.4%–60.6%), treatment-eligible for hypertension (49.3%, 95% CI: 47.7%–50.8%), and unmet treatment goals (63.8%, 95% CI: 60.0%–67.5%)among the treated were highest among non-Hispanic blacks. A large proportion of Mexican-Americans (46.5%, 95% CI: 42.0%–51.0%)and people of other races/ethnicities (49.3%, 95% CI: 45.5%–53.0%)were not receiving treatment despite having indication. Non-Hispanic blacks also had the highest prevalence of stage 2 hypertension. Among all races, prevalence, treatment-eligibility, and unmet treatment goals were higher among people with older age, male gender, diabetes, higher body weight, and higher cardiovascular disease risk while the majority of younger, lower/normal body weight, or non-diabetic people were untreated despite being eligible for treatment. The prevalence, treatment-eligibility, and unmet goals were substantially higher among non-Hispanic blacks. Moreover, disparities exist in treatment where Mexican-Americans and people of ‘other races/ethnicities’ were largely untreated despite having indication. © 2019 The Authoren_US
dc.description.urihttps://dx.doi.org/10.1016/j.pmedr.2019.100850en_US
dc.language.isoen_USen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofPreventive Medicine Reportsen_US
dc.subject2017 ACC/AHAen_US
dc.subjectBlood pressure controlen_US
dc.subjectHypertension treatmenten_US
dc.subjectNHANESen_US
dc.subjectRaceen_US
dc.subjectRacial/ethnic disparitiesen_US
dc.subjectUSen_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshHypertensionen_US
dc.titleRacial/ethnic disparities in prevalence, treatment, and control of hypertension among US adults following application of the 2017 American College of Cardiology/American Heart Association guidelineen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.pmedr.2019.100850
dc.relation.volume14


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