Trends in Hypertension Prevalence, Awareness, Treatment, and Control in Older U.S. Adults: Data from the National Health and Nutrition Examination Survey 1988 to 2004
OBJECTIVES: To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. SETTING: NHANES III (1988–1994) and NHANES 1999 to 2004. DESIGN: Cross‐sectional nationally representative health examination survey. PARTICIPANTS: Parti...
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Published in | Journal of the American Geriatrics Society (JAGS) Vol. 55; no. 7; pp. 1056 - 1065 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Malden, USA
Blackwell Publishing Inc
01.07.2007
Blackwell Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Abstract | OBJECTIVES: To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data.
SETTING: NHANES III (1988–1994) and NHANES 1999 to 2004.
DESIGN: Cross‐sectional nationally representative health examination survey.
PARTICIPANTS: Participants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710).
MEASUREMENTS: Blood pressure (BP).
RESULTS: In 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (P<.05) but remained unchanged for women (35% to 37%; P>.05). Non‐Hispanic black men and women had higher prevalences of hypertension than non‐Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90–3.40 and OR=2.07, 95% CI=1.31–3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41–0.86). Mexican‐American men and women were less likely than non‐Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33–0.91 and OR=0.63, 95% CI=0.40–0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control.
CONCLUSION: There was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non‐Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. |
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AbstractList | OBJECTIVES:
To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data.
SETTING:
NHANES III (1988–1994) and NHANES 1999 to 2004.
DESIGN:
Cross‐sectional nationally representative health examination survey.
PARTICIPANTS:
Participants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710).
MEASUREMENTS:
Blood pressure (BP).
RESULTS:
In 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (
P
<.05) but remained unchanged for women (35% to 37%;
P>
.05). Non‐Hispanic black men and women had higher prevalences of hypertension than non‐Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90–3.40 and OR=2.07, 95% CI=1.31–3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41–0.86). Mexican‐American men and women were less likely than non‐Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33–0.91 and OR=0.63, 95% CI=0.40–0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control.
CONCLUSION:
There was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non‐Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. NHANES III (1988-1994) and NHANES 1999 to 2004. Cross-sectional nationally representative health examination survey. Participants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710). Blood pressure (BP). In 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (P<.05) but remained unchanged for women (35% to 37%; P>.05). Non-Hispanic black men and women had higher prevalences of hypertension than non-Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90-3.40 and OR=2.07, 95% CI=1.31-3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41-0.86). Mexican-American men and women were less likely than non-Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33-0.91 and OR=0.63, 95% CI=0.40-0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control. There was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non-Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. OBJECTIVESTo describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data.SETTINGNHANES III (1988-1994) and NHANES 1999 to 2004.DESIGNCross-sectional nationally representative health examination survey.PARTICIPANTSParticipants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710).MEASUREMENTSBlood pressure (BP).RESULTSIn 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (P<.05) but remained unchanged for women (35% to 37%; P>.05). Non-Hispanic black men and women had higher prevalences of hypertension than non-Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90-3.40 and OR=2.07, 95% CI=1.31-3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41-0.86). Mexican-American men and women were less likely than non-Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33-0.91 and OR=0.63, 95% CI=0.40-0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control.CONCLUSIONThere was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non-Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. OBJECTIVES: To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. SETTING: NHANES III (1988–1994) and NHANES 1999 to 2004. DESIGN: Cross‐sectional nationally representative health examination survey. PARTICIPANTS: Participants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710). MEASUREMENTS: Blood pressure (BP). RESULTS: In 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (P<.05) but remained unchanged for women (35% to 37%; P>.05). Non‐Hispanic black men and women had higher prevalences of hypertension than non‐Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90–3.40 and OR=2.07, 95% CI=1.31–3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41–0.86). Mexican‐American men and women were less likely than non‐Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33–0.91 and OR=0.63, 95% CI=0.40–0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control. CONCLUSION: There was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non‐Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. NHANES III (1988-1994) and NHANES 1999 to 2004. Cross-sectional nationally representative health examination survey. Participants in NHANES III (n=5,093) and NHANES 1999 to 2004 (n=4,710). Blood pressure (BP). In 1999 to 2004, 67% of U.S. adults aged 60 and older years were hypertensive, an increase of 10% from NHANES III. Between 1988 to 1994 and 1999 to 2004, hypertension control increased for men from 39% to 51% (P <.05) but remained unchanged for women (35% to 37%; P> .05). Non-Hispanic black men and women had higher prevalences of hypertension than non-Hispanic whites (odds ratio (OR)=2.54, 95% confidence interval (CI)=1.90-3.40 and OR=2.07, 95% CI=1.31-3.26, respectively), but men were less likely to have controlled BP (OR=0.60, 95% CI=0.41-0.86). Mexican-American men and women were less likely than non-Hispanic whites to have controlled BP (OR=0.55, 95% CI=0.33-0.91 and OR=0.63, 95% CI=0.40-0.98, respectively). Women and men aged 70 and older were significantly less likely to control their hypertension than those aged 60 to 69. In addition, women aged 70 and older were significantly less aware and treated. Having BP measured within 6 months was significantly associated with greater awareness, greater treatment in men and women, and greater control in women. A history of diabetes mellitus or chronic kidney disease (CKD) was significantly associated with less hypertension control. There was a significant increase in hypertension prevalence from 1988 to 2004. Hypertension control continues to be problematic for women, persons aged 70 and older, non-Hispanic blacks and Mexican Americans, and individuals with diabetes mellitus and CKD. [PUBLICATION ABSTRACT] |
Author | Carroll, Margaret Ostchega, Yechiam Hughes, Jeffery P. Dillon, Charles F. Yoon, Sarah |
Author_xml | – sequence: 1 givenname: Yechiam surname: Ostchega fullname: Ostchega, Yechiam organization: Division of Health Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland – sequence: 2 givenname: Charles F. surname: Dillon fullname: Dillon, Charles F. organization: Division of Health Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland – sequence: 3 givenname: Jeffery P. surname: Hughes fullname: Hughes, Jeffery P. organization: Division of Health Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland – sequence: 4 givenname: Margaret surname: Carroll fullname: Carroll, Margaret organization: Division of Health Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland – sequence: 5 givenname: Sarah surname: Yoon fullname: Yoon, Sarah organization: Division of Health Nutrition Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland |
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Snippet | OBJECTIVES: To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data.
SETTING:... To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. NHANES III (1988-1994)... OBJECTIVES: To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. SETTING:... To describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data. NHANES III (1988-1994)... OBJECTIVESTo describe hypertension trends in U.S. adults aged 60 and older using National Health and Nutrition Examination Survey (NHANES) data.SETTINGNHANES... |
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SubjectTerms | African Americans Age Factors Aged Aged, 80 and over Antihypertensive Agents - therapeutic use Arterial hypertension. Arterial hypotension Awareness Biological and medical sciences Blood and lymphatic vessels Blood Pressure - physiology Cardiology. Vascular system Confidence Intervals Cross-Sectional Studies Epidemiology European Continental Ancestry Group Female Follow-Up Studies Gender differences General aspects Humans Hypertension Hypertension - drug therapy Hypertension - ethnology Hypertension - physiopathology JNC 7 Male Medical sciences Medical treatment Mexican Americans Middle Aged Multivariate Analysis NHANES Older people Population Surveillance - methods Prevalence prevention and control Prognosis Proportional Hazards Models Public health. Hygiene Public health. Hygiene-occupational medicine Racial differences Retrospective Studies Risk Factors Sex Factors therapy Trends United States - epidemiology |
Title | Trends in Hypertension Prevalence, Awareness, Treatment, and Control in Older U.S. Adults: Data from the National Health and Nutrition Examination Survey 1988 to 2004 |
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