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Prevalence, Awareness, Treatment, and Control of Hypertension Among United States Adults 1999–2004
Abstract
Detection of hypertension and blood pressure control are critically important for reducing the risk of heart attacks and strokes. We analyzed the trends in the prevalence, awareness, treatment, and control of hypertension in the United States in the period 1999–2004. We used the National Health and Nutrition Examination Survey 1999–2004 database. Blood pressure information on 14 653 individuals (4749 in 1999–2000, 5032 in 2001–2002, and 4872 in 2003–2004) aged ≥18 years was used. Hypertension was defined as blood pressure ≥140/90 mm Hg or taking antihypertensive medications. The prevalence of hypertension in 2003–2004 was 7.3±0.9%, 32.6±2.0%, and 66.3±1.8% in the 18 to 39, 40 to 59, and ≥60 age groups, respectively. The overall prevalence was 29.3%. When compared with 1999–2000, there were nonsignificant increases in the overall prevalence, awareness, and treatment rates of hypertension. The blood pressure control rate was 29.2±2.3% in 1999–2000 and 36.8±2.3% in 2003–2004. The age-adjusted increase in control rate was 8.1% (95% CI: 2.4 to 13.8%; P =0.006). The control rates increased significantly in both sexes, non-Hispanic blacks, and Mexican Americans. Among the ≥60 age group, the awareness, treatment, and control rates of hypertension had all increased significantly ( P ≤0.01). The improvement in blood pressure control is encouraging, although the prevalence of hypertension has not declined.
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“Two lower quality studies [405, 406] and five well-done studies [407–411] (13%, including one at a trend level), however, reported higher BP in the more R/S or with religious fasting.”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [405]
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“In addition, BP control, defined as < 140/90 mmHg in patients with uncomplicated hypertension, remains low (33% in the United States; Ong et al., 2007).”
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“This is not unexpected as hypertension is a major risk factor for myocardial infarction, stroke, heart failure, and renal failure [22,23].”
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Renal Transplantation from Elderly Living Donors
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“This finding is similar to another study using the database of the National Health and Nutrition Examination Survey [41], which showed the prevalence of hypertension (defined as≥140/90mmHg or taking antihypertensivemedications) to be 7.”
ResultInfluentialEconomic evaluation of four angiotensin II receptor blockers in the treatment of hypertension
Miller, L.-A., Wade, R. L., Dai, D., Cziraky, M. J., Ramaswamy, K., & Panjabi, S. S. (2010) · Current Medical Research and Opinion · doi:10.1185/03007991003711045 · Cited by 15
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“is reassuring that the ON-BP study found similar levels of treatment and control in different ethnic groups, an issue the American health care system has not yet successfully dealt with.(9)”
ResultBEWARE OF BEING UNAWARE: RACIAL/ETHNIC DISPARITIES IN CHRONIC ILLNESS IN THE USA
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Cost Implications of Improving Blood Pressure Management among U.S. Adults
Nuckols, T. K., Aledort, J. E., Adams, J., Lai, J., Go, M.-H., KEESEY, J. W., & McGlynn, E. A. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2010.01239.x · Cited by 12
Migration and Cognitive Representations of Hypertension in African Immigrant Women
Daramola, O. I., & Scisney‐Matlock, M. (2013) · Western Journal of Nursing Research · doi:10.1177/0193945913504501 · Cited by 14
“This finding corresponded with the literature that has identified increasing age as a risk factor for hypertension (Ong et al., 2007).”
ResultMizuno, R., Fujimoto, S., Uesugi, A., Danno, D., Maeda, K., Kanno, M., Matsumura, M., Fujimoto, T., & Nakamura, S. (2008) · Internal Medicine · doi:10.2169/internalmedicine.47.1016 · Cited by 12
“However, in outpatients with hypertension the percentage of patients with controlled BP to a suitable level is not so high (7, 8).”
BackgroundChang, J. Y., Yang, W., Fellers, T., Kahler, K. H., Orloff, J. J., Xie, J., Tsaneva, M., Yu, A. P., & Wu, E. Q. (2010) · Current Medical Research and Opinion · doi:10.1185/03007995.2010.500883 · Cited by 12
Baroreflex Stimulation in Antihypertensive Treatment
Taylor, J. G., & Bisognano, J. D. (2010) · Current Hypertension Reports · doi:10.1007/s11906-010-0106-6 · Cited by 12
“Though recent data do suggest an improvement in awareness, treatment, and control of hypertension, the overall numbers are still quite alarming, with less than 60% of treated hypertensive patients in the United States reaching a goal BP of less than 140/90 mm Hg [ 6 ].”
ResultClinical Characteristics and Outcomes in Hypertensive Patients of Hispanic Descent
Aranda, J. M., Calderon, R., & Aranda, J. M. (2008) · Preventive Cardiology · doi:10.1111/j.1751-7141.2008.08008.x · Cited by 12
Accuracy of Sphygmanometers at Pharmacies
Erdem, D., Erdem, E., Dilek, M., Aydogdu, T., Selim, N., Demiray, F., Sarı, A., & Akpolat, T. (2009) · Kidney & Blood Pressure Research · doi:10.1159/000228936 · Cited by 12
“Hypertension is a common problem affecting more than 1.5 billion people in the world. Lifestyle modifications and use of medications are the main tools in the management of hypertension. Many new drugs have been developed in recent years, but failure to achieve the target blood pressure (BP, ,”
BackgroundInfluentialGessler, N., Labhard, N. D., Stolt, P., Manga, E., Balo, J., Boffolo, A., & Langewitz, W. A. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.11.007 · Cited by 12
Optimizing Adherence to Adjuvant Imatinib in Gastrointestinal Stromal Tumor
Tetzlaff, E. D., & Davey, M. P. (2013) · Journal of the Advanced Practitioner in Oncology · doi:10.6004/jadpro.2013.4.4.4 · Cited by 12
“More than one-third of patients in the United States who are managed for hypertension have uncontrolled blood pressure (Ong, Cheung, Man, Lau, & Lam, 2007).”
Assessment of medication adherence among hypertensive patients: a cross-sectional study
Bhusal, A., Jadhav, P. R., & Deshmukh, Y. A. (2016) · International Journal of Basic & Clinical Pharmacology · doi:10.18203/2319-2003.ijbcp20162480 · Cited by 14
Jhaj, R., Gour, P., Kumari, S., & Sharma, S. (2018) · International Journal of Noncommunicable Diseases · doi:10.4103/jncd.jncd_29_16 · Cited by 12
Initial Combination Therapy Compared With Monotherapy in Diabetic Hypertensive Patients
Sowers, J. R., Lastra, G., Rocha, R., Seifu, Y., Crikelair, N., & Levy, D. G. (2008) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2008.00003.x · Cited by 12
Metadata
- Authors
- Ong, K. L., Cheung, B. M. Y., Man, Y. B., Lau, C. P., & Lam, K. S. L.
- Affiliations
- University of Hong Kong (HK)
- Venue
- Hypertension
- Published
- 2007-01
- Volume
- 49
- Issue
- 1
- Pages
- 69-75
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2122326747
- Cited by
- 1,395
- References
- 35
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 18 · 2023: 29 · 2022: 25 · 2021: 34 · 2020: 35 · 2019: 39 · 2018: 44 · 2017: 53 · 2016: 55 · 2015: 66 · 2014: 77 · 2013: 103 · 2012: 106
- FWCI
- 98.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- hypertension prevalence, hypertension awareness, antihypertensive therapy, blood pressure control, temporal trends, age differences, racial and ethnic differences, non-Hispanic blacks, Mexican Americans, adults
- MeSH terms
- Adult, Aging, Black or African American, Blood Pressure, Female, Goals, Humans, Hypertension, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nutrition Surveys, United States, Prevalence, Mexican Americans, Black People
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