Prevalence of hypertension, awareness, treatment, and control in the Hispanic community health study/study of Latinos

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

Research output: Contribution to journalArticle

93 Scopus citations

Abstract

BACKGROUND The prevention and control of hypertension is an essential component for reducing the burden of cardiovascular diseases. Here we describe the prevalence of hypertension in diverse Hispanic/Latino background groups and describe the proportion who are aware of their diagnosis, receiving treatment, and having their hypertension under control. METHODS The Hispanic Community Health Study/Study of Latinos is a longitudinal cohort study of 16,415 Hispanics/Latinos, aged 18-74 years from 4 US communities (Bronx, NY; Chicago, IL; Miami, FL; and San Diego, CA). At baseline (2008-2011) the study collected extensive measurements and completed questionnaires related to research on cardiovascular diseases. Hypertension was defined as measured blood pressure ≥140/90mm Hg or use of antihypertensive medication. RESULTS The total age-adjusted prevalence of hypertension in this study was 25.5% as compared with 27.4% in non-Hispanic whites in the National Health and Nutrition Examination Survey. Prevalence of hypertension increased with increasing age groups and was highest in Cuban, Puerto Rican, and Dominican background groups. The percent with hypertension who were aware, being treated with medication, or had their hypertension controlled was lower compared with US non-Hispanic whites with hypertension and it was lowest in those without health insurance. CONCLUSIONS These findings indicate a significant deficit in treatment and control of hypertension among Hispanics/Latinos residing in the United States, particularly those without health insurance. Given the relative ease of identification of hypertension and the availability of low-cost medications, enabling better access to diagnostic and treatment services should reduce the burden of hypertension in Hispanic populations.

Original languageEnglish (US)
Pages (from-to)793-800
Number of pages8
JournalAmerican journal of hypertension
Volume27
Issue number6
DOIs
StatePublished - Jun 2014

Keywords

  • blood pressure
  • epidemiology
  • Hispanics
  • hypertension
  • Latinos
  • medically uninsured
  • socioeconomic status

ASJC Scopus subject areas

  • Internal Medicine

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    Sorlie, P. D., Allison, M. A., Avilés-Santa, M. L., Cai, J., Daviglus, M. L., Howard, A. G., Kaplan, R., Lavange, L. M., Raij, L., Schneiderman, N., Wassertheil-Smoller, S., & Talavera, G. A. (2014). Prevalence of hypertension, awareness, treatment, and control in the Hispanic community health study/study of Latinos. American journal of hypertension, 27(6), 793-800. https://doi.org/10.1093/ajh/hpu003