Key result
National hypertension-control programs have increased medication use among Black Americans, but future efforts must target the remaining excess in hypertension-associated disease and death.
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While hypertension control programs have improved medication adherence, new targeted strategies are needed to reduce the disproportionate burden of hypertension-related morbidity and mortality in Black Americans.
Over the past two decades, national hypertension-control programs and policies have focused on early diagnosis and management. Measured by intermediate results--such as percentages of cases now taking medication--these efforts have been markedly successful, especially among black hypertensives. The ultimate measure of success--reduction in hypertension-associated disease and death--must address the one-third excess prevalent among blacks. Biologic and age-specific variables in diagnosis and treatment must be accommodated. Future gains in efficient use of resources and equity in outcome will require use of new technologies and models of targeting.
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Savage et al. (1987) conducted a review in Hypertension-associated heart disease and stroke. National hypertension-control programs and policies was evaluated. National hypertension-control programs have increased medication use among Black Americans, but future efforts must target the remaining excess in hypertension-associated disease and death.
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