THE WORKSHOP ON THE EPIDEMIOLOGY OF HYPERTENSION in Hispanic Americans, Native Americans, and Asian/Pacific Islander Americans concluded with a panel discussion of the findings from a scientific perspective. Panel members presented their ideas for research direction on measuring and identifying more accurately the frequency, distribution, and determinants of hypertension in minority populations, evaluating mechanisms leading to hypertension, and identifying the implications for public health and medical practice. Several members stressed the need for additional data collections, using standardized methods. They stated that future studies, including longitudinal ones, should target specific ethnic populations and subpopulations and address the role of acculturation, assimilation, modernization, and socio-economic status. They also recommended comparative and collaborative studies among groups. They emphasized the importance of obesity and diabetes or impaired glucose tolerance as determinants of hypertension in all three populations, and suggested that there may be differences in the etiology and pathophysiology of hypertension among the groups, with visceral adiposity or insulin resistance syndrome being more important in Asian populations. The potential for identification of genes involved in blood pressure variation and hypertension risk may help understand the interaction of genes with the environment. Minority groups in the United States share the problem of high prevalence of high blood pressure and low rates of control. For this reason, the panel urged a new era of community-based, culturally sensitive prevention and control projects.
Imazu, M; Sumida, K; Yamabe, T; Yamamoto, H; Ueda, H; Hattori, Y; Miyauchi, A; Hara, H; Yamakido, M;
Published Date:
1996
Source:
Public Health Rep. 111(Suppl 2):59-61
Description:
THE AUTHORS STUDIED THE PREVALENCE AND RISK FACTORS of hypertension in samples of 2053 Japanese ages 40 to 70 in Hiroshima, Hawaii, and Los Angeles. The prevalence of hypertension (systolic blood pressure greater than or equal to 140 mmHg, diastolic ...
IN THE SAN LUIS VALLEY DIABETES STUDY (SLVDS) researchers studied hypertension morbidity and risk factors in 1788 Hispanics and non-Hispanic whites (NHW) from the rural San Luis Valley in Colorado. Hypertension was defined by The Fifth Report of the ...
THE AUTHORS PRESENT DATA FROM 361, 662 MEN ages 35 to 57, screened from 1973 to 1976 for possible participation in the Multiple Risk Factor Intervention Trial (MRFIT). Volunteers identified themselves as "white," "black," "Oriental," "Spanish America...
Workshop on Hypertension in Selected US Minority Populations (1994 June : Washington, DC)
Published Date:
1996
Source:
Public Health Rep. 111(Suppl 2)
Description:
Papers from the National Heart, Lung, and Blood Institute Workshop on Hypertension in Selected U.S. Minority Populations.Workshop entitled "Epidemiology of Hypertension in Hispanic Americans, Native Americans, and Asian/Pacific Islander Americans."
HYPERTENSION AND CARDIOVASCULAR DISEASE are increasing among minorities. Participants at the workshop on the Epidemiology of Hypertension in Hispanic Americans, Native Americans, and Asian/Pacific Islander Americans voiced a need to intensify a syste...
THE 23 MILLION HISPANICS IN THE UNITED STATES represent a mosaic of varied ethnic groups, and many share ancestry and language. They comprise one of the fastest-growing segments of the U.S. population. Social, cultural, and physical differences betwe...
RESEARCHERS RECORDED BLOOD PRESSURE LEVELS of children and adolescents in the Bogalusa Heart Study (black and white populations) and in the Brooks Country Study (Hispanic population). Hispanic children had smaller stature, while whites and Hispanics ...
Fujimoto, W; Boyko, E J; Leonetti, D L; Bergstrom, R; Newell-Morris, L; Wahl, P W;
Published Date:
1996
Source:
Public Health Rep. 111(Suppl 2):56-58
Description:
AMONG SEATTLE'S JAPANESE AMERICANS, hypertension is associated with older age, male gender (in the younger age groups), glucose intolerance (impaired glucose tolerance and diabetes), and visceral obesity (measured by computed tomography). The gender ...
Winkleby, M A; Kraemer, H; Lin, J; Jatulis, D; Fortmann, S P;
Published Date:
1996
Source:
Public Health Rep. 111(Suppl 2):30-32
Description:
DATA ARE PRESENTED for 933 Hispanic and 7087 white men and women, ages 25 to 74, who participated in biennial cross-sectional surveys in California from 1979 to 1990. Using an unadjusted analysis, white women and men had significantly higher mean sys...
WE EXAMINED THE ASSOCIATION between sociocultural status (assimilation, modernization, and socioeconomic status) and blood pressure among people of Mexican origin living in San Antonio, Texas, and Mexico City. In San Antonio, higher levels of sociocu...
LITTLE IS KNOWN ABOUT BLOOD PRESSURE LEVELS and the extent of high blood pressure in Hispanic children and adolescents, especially in groups other than Mexican Americans. The authors of this study investigated the levels of systolic blood pressure (S...
DESPITE THE GREATER OBESITY AND PREVALENCE of non-insulin-dependent diabetes mellitus (NIDDM) in Mexican Americans (MA) than in non-Hispanic whites (NHW), MA have a similar or slightly lower prevalence and incidence of hypertension than NHW. After ad...
Curb, J D; Aluli, N E; Huang, B J; Sharp, D S; Rodriguez, B L; Burchfiel, C M; Chiu, D;
Published Date:
1996
Source:
Public Health Rep. 111(Suppl 2):53-55
Description:
POPULATION-BASED DATA ON HYPERTENSION IN HAWAII are limited. Two groups for which data from the 1980s exist are Japanese-American men ages 60 to 81 in the Honolulu Heart Program (HHP) and native Hawaiians ages 20 to 59 in the Molokai Heart Study (MHS...
THE MEXICAN-AMERICAN POPULATION in the United States has generally elevated frequencies of several chronic conditions, including non-insulin-dependent diabetes mellitus (NIDDM), gallbladder disease, and obesity. Prevalence of cardiovascular disease a...
RESEARCHERS COMPARED AVERAGE BLOOD PRESSURE, prevalence of elevated blood pressure, and average anthropometric measurements of Asian children with those same measures in children from other racial and ethnic groups, including blacks, whites, and Hisp...
DESPITE THEIR HIGHER PREVALENCE of obesity and diabetes, Hispanics have lower or equal rates of hypertension than non-Hispanic whites (1-4). Healthy People 2000 objectives call for increasing the proportion of hypertensive men whose blood pressure is...
THE PIMA INDIANS HAVE THE WORLD'S HIGHEST reported incidence of diabetes. Since 1965, this population has participated in a longitudinal epidemiological study of diabetes and its complications. The examinations have included a medical history for dia...