Key result
In a community-based cohort of 5,932 women, 47.6% were hypertensive, with 63.2% of these cases being undetected or unacknowledged.
Cohort (n=5,932)
The study highlights a significant public health challenge, showing high rates of undetected and uncontrolled hypertension among women.
Supports enhanced screening in women; leaves open impact on outcomes and optimal strategies.
Hypertension is an important, modifiable risk for cardiovascular disease. The Women Take Heart study, a prospective, community-based cohort study of risk factors for heart disease, provides an opportunity to examine prevalence, awareness, and control of hypertension specifically in women. In 1992, 5932 women, age 35 and older (mean age, 52.9; 86% white, 9% African American, 5% other) and free of active heart disease symptoms for 3 months, were recruited through Chicago area public announcements, and their baseline examination data analyzed. Overall, 47.6% were hypertensive (systolic blood pressure >or=140 mm Hg or diastolic blood pressure >or=90 mm Hg, or self-report). Only 17.3% reported being hypertensive; in 63.2% of all hypertensive women, the hypertension was undetected or unacknowledged. Blood pressure was controlled to <140/90 mm Hg in 24.1% of self-reported hypertensives. Results from this study and national surveys indicate that hypertension detection and control remain major public health challenges in preventing cardiovascular disease in older women.
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Furumoto-Dawson et al. (2003) conducted a cohort in Hypertension (n=5,932). Hypertension was evaluated on Prevalence of hypertension (SBP ≥140 mm Hg or DBP ≥90 mm Hg, or self-report). In a community-based cohort of 5,932 women, 47.6% were hypertensive, with 63.2% of these cases being undetected or unacknowledged.
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