Racial disparities in cardiovascular risk factors among diagnosed hypertensive subjects

Li, Xuefeng; Li, Meng; Tsilimingras, Dennis; Schiffrin, Ernesto L.

doi:10.1016/j.jash.2011.03.005

Cited by 17 publications

(17 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Microalbuminuria and macroalbuminuria were more prevalent in non-Hispanic Blacks and Hispanics than in non-Hispanic Whites in the general US population in the present study (Figure 1). The results confirm the findings from previous studies [22,29,30]. Reasons for the higher prevalence of microalbuminuria and macroalbuminuria in Hispanics and Blacks are likely multifactorial and may include genetic factors, environmental exposures, or residual confounding.…”

Section: Discussionsupporting

confidence: 89%

“…Compared with normalbuminuria, microalbuminuria increased the odds of hypertension by 1.45, 2.07, and 2.81 times in non-Hispanic Whites, nonHispanic Blacks, and Hispanics, respectively; and macroalbuminuria increased by 4.08, 8.62 and 4.43 times. The results are similar to previous findings that link microalbuminuria and macroalbuminuria to uncontrolled blood pressure among hypertensive patients [16,22]. Flack et al examined the associations of microalbuminuria and macroalbuminuria at baseline with uncontrolled blood pressure and the initial attainment to the goal of blood pressure control in Black hypertensive patients [16].…”

Section: Discussionsupporting

confidence: 88%

“…Flack et al examined the associations of microalbuminuria and macroalbuminuria at baseline with uncontrolled blood pressure and the initial attainment to the goal of blood pressure control in Black hypertensive patients [16]. Liu et al linked the association of albuminuria with uncontrolled blood pressure among nonHispanic Whites, non-Hispanic Blacks, and Hispanics with diagnosed hypertension [22]. However, in contrast to our study, the two previous studies only examined hypertensive patients with high cardiovascular risk and did not investigate the associations of microalbuminuria and macroalbuminuria with the odds of hypertension in the general population.…”

Section: Discussionmentioning

confidence: 99%

“…Reasons for the higher prevalence of microalbuminuria and macroalbuminuria in Hispanics and Blacks are likely multifactorial and may include genetic factors, environmental exposures, or residual confounding. The prevalence of diabetes, an important risk factor for albuminuria, is higher and has not been improved in the population of Hispanics and Blacks [22]. Generalized obesity and high serum cholesterol are also strong and independent risk factors for albuminuria in these populations [10,30].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Racial Disparity in the Associations of Microalbuminuria and Macroalbuminuria with Odds of Hypertension: Results from the NHANES Study in the United States

Liu

Tsilimingras

et al. 2013

ISRN Hypertension

Self Cite

View full text Add to dashboard Cite

Background. Limited information is available on whether the associations of microalbuminuria and macroalbuminuria with the odds of hypertension differ among non-Hispanic Whites, non-Hispanic Blacks, and Hispanics. Methods. Cross-sectional data of 24,949 participants aged ≥18 years were collected from the National Health and Nutrition Examination Survey (NHANES) 1999-2008. Odds ratios of hypertension for microalbuminuria and macroalbuminuria were estimated by conducting weighted multiple logistic regression models. Results. After adjustment for extensive confounding factors, microalbuminuria is 1. 45 times in non-Hispanic Whites, non-Hispanic Blacks, and Hispanics, respectively. The odds of hypertension for microalbuminuria (versus normalbuminuria) were 52% higher in non-Hispanic Blacks and 98% higher in Hispanics than in non-Hispanic Whites; the odds of hypertension for macroalbuminuria (versus normalbuminuria) did not differ among racial groups. Conclusion. Racial differences in the relation between microalbuminuria and hypertension are prevalent among non-Hispanic Whites, non-Hispanic Blacks, and Hispanics. More screening efforts should be encouraged in normotensive non-Hispanic Blacks and Hispanics with microalbuminuria.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Racial Disparity in the Associations of Microalbuminuria and Macroalbuminuria with Odds of Hypertension: Results from the NHANES Study in the United States

Liu

Tsilimingras

et al. 2013

ISRN Hypertension

Self Cite

View full text Add to dashboard Cite

show abstract

“…18 It has been used to study the pattern of hypertension subtypes 3,17 and racial disparity in cardiovascular risk factors, 21 as well as the prevalence, awareness, treatment, and control of hypertension in the United States. 22–24 Our analysis estimates the prevalence and changes of untreated ISH over time in the population of US adults and in the subpopulations of adults stratified by age, gender, race/ethnicity, and education.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and trends of isolated systolic hypertension among untreated adults in the United States

Rodríguez

Wang

2015

Journal of the American Society of Hypertension

Self Cite

View full text Add to dashboard Cite

The prevalence and long–term trends of isolated systolic hypertension (ISH) among untreated adults have not been reported. Data from 24,653 participants aged ≥18 years were selected from the National Health and Nutrition Examination Survey 1999–2010. The prevalence and 95% confidence intervals (CIs) of untreated ISH were estimated by conducting the independent survey t–test. The prevalence of untreated ISH was 9.4% and decreased from 10.3% in 1999–2004 to 8.5% in 2005–2010 (P = .00248). Old persons, females, and non–Hispanic blacks had higher prevalence of untreated ISH. Compared with 1999–2004, the prevalence of untreated ISH in 2005–2010 decreased among older (33.6%; 95% CI, 30.9%–36.3% vs. 25.1%; 95% CI, 22.7%–27.5%) and female individuals (8.3%; 95% CI, 7.5–9.2% vs. 11.4%; 95% CI, 10.4–12.3%). The stratified prevalence of untreated ISH declined in 2005–2010 (vs. 1999–2004) for older non–Hispanic whites (24.6% vs. 32.8%; P < .0001) and blacks (27.7% vs. 40.8%; P = .0013), non–Hispanic white females (7.5% vs. 10.8%; P < .0001), older individuals with higher education (21.0% vs. 30.6%; P = .0024), and females with lower education (10.1% vs. 13.1%; P = .006). Untreated ISH is more prevalent in older adults and females. Significant decreases in untreated ISH prevalence over time among these groups suggest that public health measures and/or treatment patterns are trending in the right direction.

show abstract

Impact of Individual and Neighborhood Factors on Cardiovascular Risk in White Hispanic and Non‐Hispanic Women and Men

Cohn

Miller

Fogg

et al. 2016

Research in Nursing & Health

View full text Add to dashboard Cite

Cardiovascular disease (CVD) is the leading cause of mortality for adults in the US, regardless of ethnicity. A cross-sectional correlational design was used to describe and compare CVD risk and cardiac mortality in White Hispanic and non-Hispanic women and men. Data from 3,317 individuals (1,523 women and 1,794 men) hospitalized for non-cardiac causes during 2012-2013, and data from the 2010 United States Census were included. The sex-specific 10-year Framingham General Cardiovascular Risk Score (FRS-10) was used to estimate long-term risk for major cardiac events. Approximately three-quarters of the sample was White Hispanic. FRS-10 scores were generally low, but a high prevalence of risk factors not included in the standard FRS-10 scoring formula was seen. White Hispanic women had significantly lower estimated CVD risk scores compared to White Hispanic and non-Hispanic men despite higher non-FRS-10 risks. Neighborhood median household income had a significant negative relationship and Hispanic neighborhood concentration had a significant positive relationship with cardiac mortality. Hispanic concentration was the only predictor of estimated CVD risk in a multilevel model. CVD risk assessment tools that are calibrated for ethnic groups and socioeconomic status may be more appropriate for Hispanic individuals than the FRS-10. Neighborhood-level factors should be included in clinical cardiac assessment in addition to individual characteristics and behavioral risks. Researchers should continue to seek additional risk factors that may contribute to or protect against CVD in order to close the gap between estimated CVD risk and actual cardiac mortality for Hispanics in the US. © 2016 Wiley Periodicals, Inc.

show abstract

Racial disparities in cardiovascular risk factors among diagnosed hypertensive subjects

Cited by 17 publications

References 30 publications

Racial Disparity in the Associations of Microalbuminuria and Macroalbuminuria with Odds of Hypertension: Results from the NHANES Study in the United States

Racial Disparity in the Associations of Microalbuminuria and Macroalbuminuria with Odds of Hypertension: Results from the NHANES Study in the United States

Prevalence and trends of isolated systolic hypertension among untreated adults in the United States

Impact of Individual and Neighborhood Factors on Cardiovascular Risk in White Hispanic and Non‐Hispanic Women and Men

Contact Info

Product

Resources

About