What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=8796). Intervention: Black and Hispanic race/ethnicity vs. White race/ethnicity. Primary outcome: Hypertension control.

What does this research mean for the field?

Black and Hispanic adults have lower hypertension control rates compared with White adults, with these disparities being more pronounced in younger and uninsured patients. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2017Circulation Cardiovascular Quality and OutcomesOpen Access

Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension

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Key result

Black and Hispanic adults had lower hypertension control rates compared with White adults (36.9% and 31.2% vs 42.9%), with disparities more pronounced in younger and uninsured patients.

Why the study?

Are there racial and ethnic differences in antihypertensive medication use and blood pressure control among US adults with hypertension?

Key Points

To evaluate racial differences in antihypertensive medication utilization patterns and blood pressure control stratified by insurance status, age, sex, and presence of comorbidities.
Analyzed data from 8,796 hypertensive individuals aged ≥18 years from the National Health and Nutrition Examination Survey (NHANES) between 2003 and 2012 in a repeated cross-sectional design.
Assessed hypertension treatment and control rates across White, Black, and Hispanic populations, evaluating disparities across health insurance status, age groups (<60 vs. ≥60 years), and comorbid conditions.
Overall treatment rates were 73.9% (95% CI, 71.6%–76.2%) for White, 70.8% (95% CI, 68.6%–73.0%) for Black, and 60.7% (95% CI, 57.0%–64.3%) for Hispanic adults.
Hypertension control rates were 42.9% (95% CI, 40.5%–45.2%) in White adults, 36.9% (95% CI, 34.7%–39.2%) in Black adults, and 31.2% (95% CI, 28.6%–33.9%) in Hispanic adults.
Hypertension control was significantly lower in Black adults (insured OR 0.74 [95% CI, 0.64–0.86]; uninsured OR 0.59 [95% CI, 0.36–0.94]) and Hispanic adults (insured OR 0.74 [95% CI, 0.60–0.91]; uninsured OR 0.58 [95% CI, 0.36–0.94]) compared with White adults, with disparities worsening among adults <60 years of age.

Study Design

Type

Cross-Sectional (n=8,796)

Multicenter

Yes

Structured PICO

Are there racial and ethnic differences in antihypertensive medication use and blood pressure control among US adults with hypertension?

Population

8,796 hypertensive individuals ≥18 years of age identified from the National Health and Nutrition Examination Survey (2003-2012)

Intervention

Black or Hispanic race/ethnicity

Comparator

White race/ethnicity

Outcome

Antihypertensive drug utilization patterns and blood pressure controlsurrogate

Main Result

Absolute Event Rate: 36.9% vs 42.9%

Significant racial disparities exist in hypertension control in the US, with Black and Hispanic patients having poorer control than White patients, particularly among younger and uninsured populations.

Discussion

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Implication

Disparities in hypertension control among Black and Hispanic adults warrant monitoring; leaves open whether targeted interventions improve outcomes in younger uninsured patients.

Cite This Study

Gu et al. (2017) conducted a cross-sectional in Hypertension (n=8,796). Black and Hispanic race/ethnicity vs. White race/ethnicity was evaluated on Hypertension control. Black and Hispanic adults had lower hypertension control rates compared with White adults (36.9% and 31.2% vs 42.9%), with disparities more pronounced in younger and uninsured patients.

synapsesocial.com/papers/6a152ef3cb0379474a81fc12 https://doi.org/10.1161/circoutcomes.116.003166

Topics

Hypertension management

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Implication

Disparities in hypertension control among Black and Hispanic adults warrant monitoring; leaves open whether targeted interventions improve outcomes in younger uninsured patients.

Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

Topics

Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider