What question did this study set out to answer?

This study aims to examine the variation in self-reported hypertension prevalence and antihypertensive medication use across rural-urban classifications and counties.

May 7, 2020MMWR Morbidity and Mortality Weekly ReportOpen Access

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017

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Why the study?

Although hypertension prevalence is well documented at national and state levels, less is known about rural-urban variation and county-level prevalence.

What is the prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and county in the US?

Population

442,641 adults aged 18 years participating in the 2017 BRFSS

Comparison

Rural vs urban classifications and county-level variations

Design

Cross-sectional surveillance study

Authors

CSClaudine SamanicDartmouth College KBKamil E. BarbourCenters for Disease Control and Prevention YLYong LiuNanchang University

Discussion

Member takes

Implication

Rural hypertension burden warrants clinician awareness; extends disparity mapping but leaves causal factors and interventions open.

Key Points

This study aims to examine the variation in self-reported hypertension prevalence and antihypertensive medication use across rural-urban classifications and counties.
Analyzed data from 442,641 adults aged 18 years from the 2017 Behavioral Risk Factor Surveillance System (BRFSS).
Compared prevalence rates of hypertension and medication use in rural versus urban areas.
Calculated model-based county-level prevalence of hypertension and medication use.
In rural areas, 40.0% reported hypertension compared to 29.4% in urban areas.
Model-based prevalence of hypertension across counties varied from 18.0% to 55.0%, with highest rates in Southeastern and Appalachian counties.
Antihypertensive medication use ranged from 54.3% to 84.7%, higher in rural areas compared to urban areas.

Structured PICO

What is the prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and county in the US?

Population

442,641 adults aged ≥18 years who participated in the 2017 Behavioral Risk Factor Surveillance System (BRFSS) in the United States

Outcome

Prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and countypatient reported

Self-reported hypertension and antihypertensive medication use are significantly higher in rural areas compared to urban areas in the United States.

Cite This Study

Samanic et al. (2020) studied this question.

synapsesocial.com/papers/6a108ee8d478ddac0ffd2da7 https://doi.org/10.15585/mmwr.mm6918a1

Topics

Hypertension management

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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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