African origin populations were less likely to have their blood pressure controlled compared with European host populations (OR 0.56; 95% CI 0.40-0.78), despite higher awareness and treatment rates.
Meta-Analysis (n=83,800)
Yes
Do ethnic minority populations have different rates of hypertension awareness, treatment, and control compared to European host populations?
Hypertension awareness, treatment, and control differ significantly between ethnic minority and European host populations, highlighting the need for targeted efforts to reduce ethnic inequalities.
Effect estimate: OR 0.56 (95% CI 0.40-0.78)
OBJECTIVE: Ethnic minority populations (EMPs) are disproportionally affected by hypertension-mediated complications compared with European host populations (EHPs), which might be due to disparities in hypertension awareness, treatment and control. We conducted a systematic review and meta-analysis to compare awareness, treatment and control rates among EMPs with EHPs. METHODS: MEDLINE, EMBASE and Web of Science were searched from inception to 29 January 2020. Critical appraisal was performed according to methods of Hoy et al. Pooled odds ratios with corresponding 95% confidence intervals were calculated for these rates, stratified by ethnic group, using either random or fixed effect meta-analysis based on I2-statistics. Study was registered in PROSPRO (CRD42020107897). RESULTS: A total of 3532 records were screened of which 16 were included in the analysis with data on 26 800 EMP and 57 000 EHP individuals. Compared with EHPs, African origin populations were more likely to be aware (odds ratio 1.26, 95% confidence interval 1.02-1.56) and treated (1.49, 1.18-1.88) for hypertension, but were less likely to have their blood pressure controlled (0.56, 0.40-0.78), whereas South Asian populations were more likely to be aware (1.15, 1.02-1.30), but had similar treatment and control rates. In Moroccan populations, hypertension awareness (0.79, 0.62-1.00) and treatment levels (0.77, 0.60-0.97) were lower compared with EHPs, while in Turkish populations awareness was lower (0.81, 0.65-1.00). CONCLUSION: Levels of hypertension awareness, treatment and control differ between EMPs and EHPs. Effort should be made to improve these suboptimal rates in EMPs, aiming to reduce ethnic inequalities in hypertension-mediated complications.
Linden et al. (Wed,) conducted a meta-analysis in Hypertension (n=83,800). Ethnic minority populations (African origin, South Asian, Moroccan, Turkish) vs. European host populations was evaluated on Blood pressure control in African origin populations vs European host populations (OR 0.56, 95% CI 0.40-0.78). African origin populations were less likely to have their blood pressure controlled compared with European host populations (OR 0.56; 95% CI 0.40-0.78), despite higher awareness and treatment rates.