US Trends in Prevalence, Awareness, Treatment, and Control of Hypertension, 1988-2008

CONTEXT Hypertension is a major risk factor for cardiovascular disease and treatment and control of hypertension reduces risk. The Healthy People 2010 goal was to achieve blood pressure (BP) control in 50% of the US population. OBJECTIVE To assess progress in treating and controlling hypertension in...

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Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2010-05, Vol.303 (20), p.2043-2050
Main Authors: Egan, Brent M, Zhao, Yumin, Axon, R. Neal
Format: Article
Language:English
Subjects:
Adult
Antihypertensive Agents - therapeutic use
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Cardiovascular disease
Epidemiology
Female
General aspects
Health Knowledge, Attitudes, Practice
Humans
Hypertension
Hypertension - drug therapy
Hypertension - epidemiology
Male
Medical sciences
Medical treatment
Middle Aged
Nutrition Surveys
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk factors
United States - epidemiology
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Summary:CONTEXT Hypertension is a major risk factor for cardiovascular disease and treatment and control of hypertension reduces risk. The Healthy People 2010 goal was to achieve blood pressure (BP) control in 50% of the US population. OBJECTIVE To assess progress in treating and controlling hypertension in the United States from 1988-2008. DESIGN, SETTING, AND PARTICIPANTS The National Health and Nutrition Examination Survey (NHANES) 1988-1994 and 1999-2008 in five 2-year blocks included 42 856 adults aged older than 18 years, representing a probability sample of the US civilian population. MAIN OUTCOME MEASURES Hypertension was defined as systolic BP of at least 140 mm Hg and diastolic BP of at least 90 mm Hg, self-reported use of antihypertensive medications, or both. Hypertension control was defined as systolic BP values of less than 140 mm Hg and diastolic BP values of less than 90 mm Hg. All survey periods were age-adjusted to the year 2000 US population. RESULTS Rates of hypertension increased from 23.9% (95% confidence interval [CI], 22.7%-25.2%) in 1988-1994 to 28.5% (95% CI, 25.9%-31.3%; P 
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2010.650