PMID- 25352230
OWN - NLM
STAT- MEDLINE
DCOM- 20160107
LR  - 20240323
IS  - 1941-7225 (Electronic)
IS  - 0895-7061 (Print)
IS  - 0895-7061 (Linking)
VI  - 28
IP  - 5
DP  - 2015 May
TI  - Racial/ethnic differences in hypertension prevalence, treatment, and control for 
      outpatients in northern California 2010-2012.
PG  - 631-9
LID - 10.1093/ajh/hpu189 [doi]
AB  - BACKGROUND: Hypertension (HTN) is a known major cardiovascular disease risk 
      factor, but prevalence, treatment, and control of HTN among rapidly growing 
      minority groups such as Asian Americans and Hispanics are unknown largely due to 
      either underrepresentation in epidemiologic studies or aggregation of Asian 
      American subgroups. METHODS: A three-year cross-section (2010-2012) of patients 
      from a large ambulatory care setting in northern California was examined in the 
      following subgroups: Asian Indian, Chinese, Filipino, Japanese, Korean, 
      Vietnamese, Mexicans, non-Hispanic Blacks (NHBs), and non-Hispanic Whites (NHWs). 
      We defined HTN as two separate nonemergent office visit blood pressure 
      measurements >/=140/90 mm Hg, physician diagnosis of HTN, or use of 
      antihypertensive medications. RESULTS: A total of 208,985 patients were included 
      in the study. Age-adjusted HTN prevalence ranged from 30.0% in Chinese women to 
      59.9% in Filipino men. Most minority subgroups had lower or similar odds of 
      having HTN compared with NHWs, except for Filipinos and NHBs whose odds were 
      significantly higher after adjusting for patient demographic and clinical 
      characteristics. Asian Americans and NHBs were more likely to be treated for HTN 
      compared with NHWs. Achievement of blood pressure control was lower among 
      Filipino women (odds ratio = 0.82, 99% confidence interval 0.70-0.96) and NHB men 
      (odds ratio = 0.73, 99% confidence interval 0.58-0.91), compared with NHW women 
      and men. CONCLUSIONS: Substantial racial/ethnic variation in HTN prevalence, 
      treatment, and control was found in our study population. Filipino and NHB women 
      and men are at especially high risk for HTN and may have more difficulty in 
      achieving adequate blood pressure control.
CI  - (c) American Journal of Hypertension, Ltd 2014. All rights reserved. For 
      Permissions, please email: journals.permissions@oup.com.
FAU - Zhao, Beinan
AU  - Zhao B
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, California, USA;
FAU - Jose, Powell O
AU  - Jose PO
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, California, USA;
FAU - Pu, Jia
AU  - Pu J
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, California, USA;
FAU - Chung, Sukyung
AU  - Chung S
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, California, USA;
FAU - Ancheta, Irma B
AU  - Ancheta IB
AD  - Department of Medicine-Jacksonville, University of Florida, Jacksonville, 
      Florida, USA;
FAU - Fortmann, Stephen P
AU  - Fortmann SP
AD  - Kaiser Permanente Center for Health Research, Portland, Oregon, USA.
FAU - Palaniappan, Latha P
AU  - Palaniappan LP
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, California, USA; 
      lathap@pamfri.org.
LA  - eng
GR  - K01 HS019815/HS/AHRQ HHS/United States
GR  - R01 DK081371/DK/NIDDK NIH HHS/United States
GR  - 1 R01 DK081371-01A1/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, N.I.H., Extramural
DEP - 20141028
PL  - United States
TA  - Am J Hypertens
JT  - American journal of hypertension
JID - 8803676
RN  - 0 (Antihypertensive Agents)
SB  - IM
MH  - Adult
MH  - Antihypertensive Agents/*therapeutic use
MH  - California/epidemiology
MH  - Cross-Sectional Studies
MH  - *Ethnicity
MH  - Female
MH  - Humans
MH  - Hypertension/drug therapy/*ethnology
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - *Outpatients
MH  - Prevalence
MH  - *Racial Groups
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Sex Factors
PMC - PMC4462650
OTO - NOTNLM
OT  - blood pressure
OT  - control
OT  - epidemiology
OT  - hypertension
OT  - prevalence
OT  - race/ethnicity
OT  - treatment.
EDAT- 2014/10/30 06:00
MHDA- 2016/01/08 06:00
PMCR- 2016/05/01
CRDT- 2014/10/30 06:00
PHST- 2014/07/09 00:00 [received]
PHST- 2014/08/18 00:00 [accepted]
PHST- 2014/10/30 06:00 [entrez]
PHST- 2014/10/30 06:00 [pubmed]
PHST- 2016/01/08 06:00 [medline]
PHST- 2016/05/01 00:00 [pmc-release]
AID - hpu189 [pii]
AID - 10.1093/ajh/hpu189 [doi]
PST - ppublish
SO  - Am J Hypertens. 2015 May;28(5):631-9. doi: 10.1093/ajh/hpu189. Epub 2014 Oct 28.