Treatment FAQ

how race affects treatment of high blood pressure

by Prof. Enos Kuphal Published 3 years ago Updated 2 years ago
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National surveys such as the US National Health and Nutrition Examination Survey (NHANES) have highlighted these differences. Non-Hispanic blacks (NHB) have significantly higher rates of hypertension compared to non-Hispanic whites (NHW), while Hispanics and non-Hispanic Asians (NHA) have lower rates than both groups.Apr 6, 2020

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How does race and ethnicity affect blood pressure?

1. Racial/Ethnic Disparities in Prevalence and Management of Hypertension There are significant differences in blood pressure prevalence and control rates based on race/ethnicity. 3 National surveys such as the US National Health and Nutrition Examination Survey (NHANES) have highlighted these differences.

How do the cardiovascular consequences of hypertension differ by race?

Additionally, the cardiovascular consequences imposed by various risk factors differ by race. Compared with hypertensive EA men and women and AA men, AA women with hypertension have a substantially greater relative risk for heart disease.

Is there a racial disparity in hypertension and outcomes?

1 Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina. The racial disparity in hypertension and hypertension-related outcomes has been recognized for decades with African Americans with greater risks than Caucasians.

Does race/ethnicity differ in the treatment of Stage 2 hypertension?

Although treatment among persons with stage 2 hypertension did not differ by race/ethnicity, less than 60% of those with stage 2 hypertension were treated with medication.

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How hypertension management is affected by ethnicity?

Hypertension awareness, treatment, and control were lowest among Mexican-Americans (68.7%, 58.7%, and 35.5%, respectively) compared with whites (aware: 79.1%, treated: 71.2%, and controlled: 48.6%) and blacks (aware: 80.8%, treated: 71.9%, and controlled: 43.0%).

What race does high blood pressure affect the most?

While high blood pressure affects all segments of the population, high blood pressure rates are more prevalent among African-American men and women. The increased prevalence and relative risks constitute significant population attributable risks.

How does race contribute to hypertension?

GENETIC MECHANISMS IN HYPERTENSION Numerous studies have outlined the possible genetic contributors to HTN among blacks [26–30]. Blacks exhibit low renin levels, leading to additional sodium reabsorption by the kidneys, which in turn contributes to elevated BP [26,27].

Do different races have different blood pressures?

There are significant differences in blood pressure prevalence and control rates based on race/ethnicity.

Is being Black a risk factor for hypertension?

African Americans are at a higher risk for high blood pressure. They also get it at a younger age, and suffer more of the complications. The problem is not limited to just adults. African-American preteens that are overweight may also develop high blood pressure.

What are the factors that contribute to the racial and ethnic disparities of hypertension?

Interactions between genetic and social factors leading to body weight changes, differences in fat distribution (visceral versus subcutaneous), sodium and potassium balance/handling, and nocturnal diuresis may all contribute to the racial and ethnic disparities of hypertension.

What are the differences between blood pressure control rates and blood pressure prevalence?

Non-Hispanic blacks (NHB) have significantly higher rates of hypertension compared to non-Hispanic whites (NHW), while Hispanics and non-Hispanic Asians (NHA) have lower rates than both groups. 2 In an NHANES survey, 3 hypertension control rates among non-Hispanic white adults (55.7%) was significantly higher than NHB (48.5%), NHA (43.5%), and Hispanic (47.4%) adults.

What is the blood pressure threshold for stage 1 hypertension?

The 2017 ACC/AHA hypertension guidelines lowered the blood pressure threshold for diagnosis of stage I hypertension to 130-139/80-89 mm Hg. 1 This change resulted in a substantial increase in the prevalence of hypertension from ~32% to ~46% in the United States (US) adult population. 2 Although the new guidelines comprehensively address how to define, measure, and treat high blood pressure, management of hypertension in special patient groups has not been systematically addressed.

What are the social determinants of health?

Social determinants of health such as educational status, access to health care, and low income play a key role in prevalence and blood pressure control rates. Implementation of health care policies at the state and national levels to address these issues will be essential to reduce these disparities.

What are the health problems that can be caused by high blood pressure?

Untreated, high blood pressure can lead to a range of disabling and potentially fatal chronic illnesses, including heart disease, stroke, dementia, kidney disease, sexual dysfunction and loss of vision.

What did Kang find about high blood pressure?

Kang led a study that found Black women with high blood pressure who experienced high levels of stress were substantially less likely to take medication or practice blood pressure-lowering behaviors such as exercising or eating a healthy diet.

Why do black women have a shorter life expectancy than white women?

Black women have a shorter life expectancy than white women, in part due to higher rates of heart disease. Stress also makes it harder to manage heart and brain health risk factors such as high blood pressure once they take hold.

Does racial discrimination increase blood pressure?

All of this – along with the daily indignities of racial discrimination – increases stress. That, in turn, may be associated with increased blood pressure, said Augustine Kang, an investigator at Brown University School of Public Health in Rhode Island.

What are the causes of early racial differences in blood pressure profile?

Gene/environment interactions should be explored. Target environmental elements should include stress, body weight, and sodium and potassium intake and handling.

Is race difficult to define?

Race and ethnicity are difficult to define and classify. The biology is driven by a complex set of gene/gene, environment/environment, and gene/environment interactions. Among the environmental influences are social issues that may induce stress and potentially influence multiple physiological functions.

What is the goal of reducing the prevalence of uncontrolled high blood pressure and the associated racial/e

To reduce the prevalence of uncontrolled high blood pressure and the associated racial/ethnic disparities, efforts are needed to increase hypertension awareness and hypertension treatment and adherence , especially in the Mexican-American population.

Why did the CDC not consider other racial/ethnic groups or respondents who were multira

First, although the focus of the study was to investigate racial/ethnic disparities within blood pressure stages, CDC did not consider other racial/ethnic groups or respondents who were multiracial because sample sizes were too small for meaningful analysis.

What are the rates of high blood pressure?

Rates of High Blood Pressure Control Vary by Sex and Race 1 A greater percent of men (47%) have high blood pressure than women (43%). 3 2 High blood pressure is more common in non-Hispanic black adults (54%) than in non-Hispanic white adults (46%), non-Hispanic Asian adults (39%), or Hispanic adults (36%). 3 3 Among those recommended to take blood pressure medication, blood pressure control is higher among non-Hispanic white adults (32%) than in non-Hispanic black adults (25%), non-Hispanic Asian adults (19%), or Hispanic adults (25%). 3

How many people died from high blood pressure in 2018?

High blood pressure was a primary or contributing cause of death for more than 494,873 people in the United States in 2018. 2. High blood pressure costs the United States about $131 billion each year, averaged over 12 years from 2003 to 2014. 4.

How many people have blood pressure of 140/90?

About half of adults (45%) with uncontrolled hypertension have a blood pressure of 140/90 mm Hg or higher. This includes 37 million U.S. adults. 3. About 30 million adults who are recommended to take medication may need it to be prescribed and to start taking it.

What is the blood pressure of a stage 2 hypertension patient?

Stage 2 hypertension is defined as a blood pressure at or above 140/90 mm Hg. 1

What is stage 2 hypertension?

Stage 2. ≥140 mm Hg. or. ≥90 mm Hg. Having hypertension puts you at risk for heart disease and stroke, which are leading causes of death in the United States. 2. In 2018, nearly half a million deaths in the United States included hypertension as a primary or contributing cause. 2. Nearly half of adults in the United States (108 million, ...

Is high blood pressure more common in black people?

A greater percent of men (47%) have high blood pressure than women (43%). 3. High blood pressure is more common in non-Hispanic black adults (54%) than in non-Hispanic white adults (46%), ...

Does blood pressure rise or fall?

Blood pressure normally rises and falls throughout the day , but it can damage your heart and cause health problems if it stays high for a long time. Hypertension, also called high blood pressure, is blood pressure that is higher than normal.

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