Factors Associated With Hypertension Control in US Adults Using 2017 ACC/AHA Guidelines: National Health and Nutrition Examination Survey 1999–2016

Details

• Alternative Title:
  Am J Hypertens
• Personal Author:
  Ostchega, Yechiam ; Zhang, Guangyu ; Hughes, Jeffery P. ; Nwankwo, Tatiana
• Description:
  BACKGROUND
  
  Factors and trends associated with hypertension control (BP < 130/80 mm Hg) and mean blood pressure (BP) among hypertensive adults (BP ≥1 30/80 mm Hg or medicated for hypertension).
  
  METHOD
  
  Data on 22,911 hypertensive US adults from the 1999–2016 National Health and Nutrition Examination Survey.
  
  RESULTS
  
  For men, hypertension control prevalence increased from 8.6% in 1999–2000 to 16.2% in 2003–2004 (P < 0.001), and continued the increasing trend afterwards to 23.2% in 2011–2012 (P < 0.001) and then plateaued. For women, hypertension control prevalence increased from 1999–2000 to 2009–2010 (10.8–26.3%, P < 0.001) and then plateaued. For men with hypertension, systolic BP decreased from 1999–2000 to 2011–2012 (135.7–132.8 mm Hg, P < 0.001) and then increased to 135.3 mm Hg in 2015–2016 (P < 0.001). For women with hypertension, systolic BP decreased from 1999–2000 to 2009–2010 (139.7–131.9 mm Hg; P < 0.001) and then increased to 134.4 mm Hg in 2015–2016 (P = 0.003). Diastolic BP decreased from 1999–2000 to 2015–2016 (men: 79.1–75.5 mm Hg and women: 76.4–73.7 mm Hg, P < 0.001 for both). In 2011–2016, hypertension control was 22.0% for men and 25.2% for women. The adjusted prevalence ratio (PR) of hypertension control were lower for non-Hispanic black men and women (PR = 0.72, 95% confidence interval (CI) = 0.61–0.86; PR = 0.83, 95% CI = 0.70–0.99, respectively; non-Hispanic white (NHW) as reference), Hispanic and non-Hispanic Asian men (PR = 0.70, 95% CI = 0.54–0.92; PR = 0.59, 95% CI = 0.39–0.86; respectively; NHW as reference).
  
  CONCLUSION
  
  Hypertension control significantly increased from 1999–2000 to 2011–2012 (men) and 2009–2010 (women) and then plateaued. About a quarter of US adults with hypertension were controlled in 2011–2016.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Antihypertensive Agents Blood Pressure Female Guideline Adherence Humans Hypertension Male Middle Aged Nutrition Surveys Practice Guidelines As Topic Practice Patterns, Physicians' Prevalence Racial Groups Sex Factors Time Factors Treatment Outcome Young Adult

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• Source:
  Am J Hypertens. 31(8):886-894
• Pubmed ID:
  29617894
• Pubmed Central ID:
  PMC9720886
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Name as Subject:
  NHANES
• Place as Subject:
  United States
• Volume:
  31
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:86f7b46210374648f53fcd1e94f4b6ca8c46225a67b8b2efad19bee982b90268
• Download URL:
  https://stacks.cdc.gov/view/cdc/122670/cdc_122670_DS1.pdf
• File Type:
  [PDF - 744.69 KB ]