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Cited by 244

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Ethnic Differences in Hypertension Incidence Among Middle-Aged and Older Adults: The Multi-Ethnic Study of Atherosclerosis

Open access
Carson, April P., Howard, George, Burke, Gregory L., Shea, Steven, Levitan, Emily B., Muntner, Paul·2011·Hypertension

Abstract

The prevalence of hypertension is higher among blacks than whites. However, inconsistent findings have been reported on the incidence of hypertension among middle-aged and older blacks and whites, and limited data are available on the incidence of hypertension among Hispanics and Asians in the United States. Therefore, this study investigated the age-specific incidence of hypertension by ethnicity for 3146 participants from the Multi-Ethnic Study of Atherosclerosis. Participants, age 45 to 84 years at baseline, were followed for a median of 4.8 years for incident hypertension, defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or the initiation of antihypertensive medications. The crude incidence rate of hypertension, per 1000 person-years, was 56.8 for whites, 84.9 for blacks, 65.7 for Hispanics, and 52.2 for Chinese. After adjustment for age, sex, and study site, the incidence rate ratio (IRR) for hypertension was increased for blacks age 45 to 54 (IRR: 2.05 [95%CI: 1.47 to 2.85]), 55 to 64 (IRR: 1.63 [95% CI: 1.20 to 2.23]), and 65 to 74 years (IRR: 1.67 [95% CI: 1.21 to 2.30]) compared with whites but not for those 75 to 84 years of age (IRR: 0.97 [95% CI: 0.56 to 1.66]). Additional adjustment for health characteristics attenuated these associations. Hispanic participants also had a higher incidence of hypertension compared with whites; however, hypertension incidence did not differ for Chinese and white participants. In summary, hypertension incidence was higher for blacks compared with whites between 45 and 74 years of age but not after age 75 years. Public health prevention programs tailored to middle-aged and older adults are needed to eliminate ethnic disparities in incident hypertension.

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Metadata

Authors
Carson, A. P., Howard, G., Burke, G. L., Shea, S., Levitan, E. B., & Muntner, P.
Venue
Hypertension
Published
2011-06
Volume
57
Issue
6
Pages
1101-1107
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
OpenAlex
W2111189868
Cited by
244
References
6
FWCI
9.84
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Ethnic Differences in Hypertension Incidence Among Middle-Aged and Older Adults: The Multi-Ethnic Study of Atherosclerosis. https://app.cochat.ai/papers/10.1161/hypertensionaha.110.168005
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Carson, A. P., Howard, G., Burke, G. L., Shea, S., Levitan, E. B., & Muntner, P. (2011). Ethnic Differences in Hypertension Incidence Among Middle-Aged and Older Adults: The Multi-Ethnic Study of Atherosclerosis. Hypertension. https://doi.org/10.1161/hypertensionaha.110.168005

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