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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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Yeganeh‐Hajahmadi, M., Najafipour, H., Rostamzadeh, F., & Masoumi‐Ardakani, Y. (2021) · Croatian Medical Journal · doi:10.3325/cmj.2021.62.504 · Cited by 8
Prevalence of Hypertension in Hail Region, KSA: in a Comprehensive Survey
Ahmed, H. G., Ginawi, I., & Al-hazimi, A. M. (2014) · International Journal of Sciences: Basic and Applied Research · Cited by 8
Combination Therapy with Olmesartan Medoxomil and Hydrochlorothiazide
Chrysant, S. G., Chavanu, K. J., & Xu, J. (2009) · American Journal of Cardiovascular Drugs · doi:10.2165/00129784-200909040-00001 · Cited by 8
Batson, B., Belletti, D. A., & Wogen, J. (2010) · PubMed · doi:10.13016/6myz-3av2 · Cited by 8
“In the United States, among all major racial/ethnic groups, African Americans have the highest ageadjusted prevalence of hypertension.(1,4) Among medication-treated hypertensive patients, compared to non-Hispanic Whites, adjusted odds of blood pressure (BP) control among non-Hispanic Blacks are .”
BackgroundCircelli, M., Nicolini, Egan, C. G., & Cremonesi (2012) · International Journal of General Medicine · doi:10.2147/ijgm.s35220 · Cited by 8
“5,6 Unfortunately, worldwide BP control in hypertensive patients is far from optimal, probably due to poor adherence to both antihypertensive drug therapies and lifestyle recommendations.”
Liu, X., Tsilimingras, D., & Paul, T. K. (2014) · Hypertension Research · doi:10.1038/hr.2014.58 · Cited by 8
Derosa, G., Cicero, A. F. G., Carbone, A., Querci, F., Fogari, E., D’Angelo, A., & Maffioli, P. (2013) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2012.11.006 · Cited by 8
Retracted
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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