Health Care Expenditures and Use Associated with Hypertension Among U.S. Adults

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Wang, Yu ; Lee, Jun S. ; Pollack, Lisa M. ; Kumar, Ashutosh ; Honeycutt, Sally ; Luo, Feijun
• Description:
  Introduction:
  
  This study seeks to estimate health care expenditures and use associated with hypertension, focusing on differences among racial and ethnic groups.
  
  Methods:
  
  Data were from the 2019 Medical Expenditure Panel Survey, analyzed in 2023. The study sample included noninstitutionalized U.S. adults aged ≥18 years. Outcome variables were health care expenditures and events. Hypertension was determined by a self-reported diagnosis or diagnosis codes. Race and ethnicity were self-reported. A 2-part model was used to estimate expenditures associated with hypertension. A zero-inflated negative binomial model was used to estimate events associated with hypertension. Sampling designs were applied to generate nationally representative estimates.
  
  Results:
  
  Hypertension was associated with $2,759 (95% confidence interval [CI]: $2,039, $3,479) in health care expenditures and 10.3 (95% CI: 9.3, 11.3) health care events, including prescriptions filled, in 2019 per person. Compared with non-Hispanic White adults, hypertension-associated health care expenditures were significantly lower among Hispanic adults (difference: −$1,877; 95% CI: −$3,389, −$364) and Asian adults (difference: −$2,452; 95% CI: −$4,093, −$811), and hypertension-associated health care events were significantly lower among Hispanic adults (difference: −3.8; 95% CI: −6.1, −1.6) and non-Hispanic Asian adults (difference: −4.1; 95% CI: −6.9, −1.2). Differences between non-Hispanic White adults and non-Hispanic Black adults were not statistically significant in health care expenditures (difference: −$954; 95% CI: −$2,849, $941) and events (difference: 0.3; 95% CI: −2.1, 2.8).
  
  Conclusions:
  
  This study reveals differences in health care expenditures and use associated with hypertension among racial and ethnic groups. Future studies are needed to examine potential drivers of these differences.
  
  
• Subjects:
  Adolescent Adult Aged Ethnicity Female Health Expenditures Humans Hypertension Male Middle Aged Racial Groups United States Young Adult

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• Source:
  Am J Prev Med. 67(6):820-831
• Pubmed ID:
  39002890
• Pubmed Central ID:
  PMC11585433
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  67
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c16340e978ced0ab090e45d013895b6fde57b269c8b5f1fd36440fa6a5565c850f182760e9d719c5198c3008c78a692f381130f3a939c6acbc7a7247c58a82bb
• Download URL:
  https://stacks.cdc.gov/view/cdc/170656/cdc_170656_DS1.pdf
• File Type:
  [PDF - 409.64 KB ]