Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use Among Adults Aged ≥18 Years — United States, 2011–2015

Fang, Jing; Gillespie, Cathleen; Ayala, Carma; Loustalot, Fleetwood

doi:10.15585/mmwr.mm6707a4

Cited by 36 publications

(20 citation statements)

References 6 publications

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“…Among aware hypertensive adults, the proportion of treated adults is similar to those observed in Portugal with 74.5% and in the United States with 74.5%, but lower than those observed in Canada with 78.1%, and Germany with 87.7% …”

Section: Discussionsupporting

confidence: 62%

Patterns of hypertension management in France in 2015: The ESTEBAN survey

Vallée¹,

Gabet

Grave

et al. 2020

J of Clinical Hypertension

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The purposes of this study were to describe the hypertensive population and therapeutic management of hypertension in adults between 18 and 74 years of age in France in 2015.Esteban survey is a cross-sectional survey with a clinical examination conducted in a representative sample of French adults aged 18-74 years between 2014 and 2016.Esteban was entirely public-funded. Blood pressure (BP) was measured during clinical examination with a standardized protocol, and pharmacological treatment was collected through the exhaustive Système National des Données de Santé (SNDS) database. Hypertension was defined by systolic BP (SBP)> 140 mm Hg, diastolic BP (DBP)> 90 mm Hg or treatment with BP-lowering drugs. The therapeutic control of treated hypertensive patients was defined by SBP < 140 mm Hg and DBP < 90 mm Hg.Adherence to drug treatment was defined as more than 80% of days covered by BPlowering drug per year. The prevalence of hypertension was 31.3%. 74.7% of aware hypertensive participants taking an antihypertensive drug, and 57.7% of them were treated with a single antihypertensive pharmacological class. Overall, among hypertensives, 24.3% had a satisfactory BP control. Only 49.7% of treated hypertensives participants were controlled, and 33.6% of them were adherent to their drug treatment. The prevalence of hypertension in France remains high, with only 74.7% of the aware hypertensive participants receiving pharmacological therapy and only 48.9% of aware hypertensives with a BP at goal. More effective measures are needed to improve clinical management of hypertension in France.

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Section: Discussionsupporting

confidence: 62%

Patterns of hypertension management in France in 2015: The ESTEBAN survey

Vallée¹,

Gabet

Grave

et al. 2020

J of Clinical Hypertension

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“…Participants did not undergo a physical examination at middle age; therefore, self-report was used to diagnose hypertension. However, the validity of the diagnosis is supported by a previous study showing a similar prevalence of self-reported hypertension in another large cohort study 15 and similar prevalence when BP was measured directly in the 2011-2014 NHANES Study. 16 Also, this study started collecting questionnaire data in 2015, prior to the change in cut-points defining HTN in adults in 2017.…”

Section: Discussionmentioning

confidence: 78%

Relation of Blood Pressure in Childhood to Self-Reported Hypertension in Adulthood

et al. 2019

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Blood pressure (BP) tracking (maintaining a BP percentile) across life is not well defined but is important in predicting which children will become hypertensive adults. We computed BP tracking in subjects with BP measured in childhood and adulthood and performed logistic regression to determine the ability of childhood BP to predict adult hypertension (N=5035, 46.7 years, 74.2% white, 17.7% black; 39.6% male). Prevalence of hypertension was 29%. Correlations between systolic BP for child and adolescent were r=0.48; adolescent and young adult r=0.40, and child and young adult r=0.24 (all p<0.0001). Participants self-reporting adult hypertension were less likely to be white (38.7% black, 27.6% white, 20.9% other; p<0.0001) and female (26.4% females, 32.9% male, p<0.0001). Participants with adult hypertension were more likely to have higher BP and adiposity by age 10 years and abnormal lipids and glucose by age 16 years. There was a graded increase in the frequency of self-reported adult hypertension across the BP change groups, even within the persistently normotensive group (X 2 < 0.0001) from 19% in children with a systolic BP % persistently below the median to 80% for individuals with elevated BP in both childhood and adolescence. Although our precision to predict which individual child is at risk of adult BP-related cardiovascular disease is weak, an increase in systolic BP and body mass index percentile from childhood to adolescence should signal a need for lifestyle intervention to prevent future sustained hypertension-related cardiovascular disease.

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“…Approximately one-third (35.7%) of 954 individuals in Northern Sudan were found to have hypertension [7]. The high prevalence of hypertension in the different communities may be explained by improved statistics, increased awareness of hypertension [21], an increased prevalence of modern lifestyles that are associated with an increased prevalence of diabetes mellitus and obesity [22], and the widespread use of medication, such as steroids and nonsteroidal anti-inflammatory drugs [23]. The prevalence rates of hypertension found in this study were much higher than those (15.9%) recently reported for four states (Khartoum, Gezira, Blue Nile, and Kassala) in Sudan [15].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of hypertension among adults in Gadarif in eastern Sudan: a community-based study

et al. 2020

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Background: Hypertension is becoming an increasingly common health issue worldwide, especially in countries in Sub-Saharan Africa. Hypertension is the leading risk factor for premature death and disability worldwide, and it is the leading risk factor for mortality from cardiovascular diseases worldwide. The data on hypertension in Sudan that has been published is limited. We conducted this study to assess the prevalence of hypertension and its associated risk factors. Methods: A multistage sampling survey was conducted in Gadarif, Eastern Sudan, from January to May 2018 to investigate the prevalence of hypertension and associated factors in adults in Eastern Sudan. The World Health Organization (WHO) three-level stepwise approach questionnaire was used to gather sociodemographic characteristics (age, sex, height, weight marital status, education level, smoking habit, alcohol consumption habit, and family history of hypertension). Hypertension was defined as the presence of an average blood pressure of ≥140/90 mmHg or the reported use of anti-hypertensive medications for high blood pressure. Results: A total of 600 participants (mean age: 44.9 years) were enrolled in this study. Four hundred twenty-two (70.3%) participants were women, and 196 (32.7%) participants were obese. Of the 600 enrolled participants, 245 (40.8%) individuals had hypertension, 44 (7.3%) had been previously diagnosed with hypertension, and 201 (33.5%) were newly diagnosed with hypertension. A logistic regression analysis showed no significant associations across the education level, marital status, overweight and hypertension factors. However, an older age (adjusted OR = 3.20, 95% CI = 2.28-4.51, P < 0.001) and obesity (adjusted OR = 2.41, 95% CI = 1.57-3.69, P < 0.001) were associated with the presence of hypertension. Conclusion: There is a high rate of hypertension in Eastern Sudan, especially among older and obese individuals. Preventive measures, such as dietary measures, should be implemented.

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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use Among Adults Aged ≥18 Years — United States, 2011–2015

Cited by 36 publications

References 6 publications

Patterns of hypertension management in France in 2015: The ESTEBAN survey

Patterns of hypertension management in France in 2015: The ESTEBAN survey

Relation of Blood Pressure in Childhood to Self-Reported Hypertension in Adulthood

Prevalence and associated factors of hypertension among adults in Gadarif in eastern Sudan: a community-based study

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