Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension: The National Health and Nutrition Examination Survey, 2003 to 2012
Racial and Ethnic Differences in Antihypertensive Medication Use and Blood Pressure Control Among US Adults With Hypertension: The National Health and Nutrition Examination Survey, 2003 to 2012
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DOI：
10.1161/circoutcomes.116.003166
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发表时间：
2017-01-01
影响因子：
6.9
通讯作者：
Argulian, Edgar
中科院分区：
文献类型：
--
作者：
Gu, Anna;Yue, Yu;Argulian, Edgar
减少和消除高血压结局种族差异的关键是了解其原因。我们的目的是评估种族差异的抗高血压药物的使用模式和血压控制的保险状态，年龄，性别，和存在的comorbidity.Methods和结果共8796高血压个体18岁的确定从全国健康和营养检查调查（2003-2012）在一个重复的横断面研究。在研究期间，所有3个种族组（白人、黑人和西班牙裔）的高血压治疗和控制均大幅增加。总治疗率为73.9%（95%置信区间[CI]，71.6%-76.2%），70.8%（95% CI，68.6%-73.0%）和60.7%（95%CI，57.0%~ 64.3%），高血压控制率为42.9%（95% CI，40.5%-45.2%）、36.9%（95% CI，34.7%-39.2%）和31.2%（95% CI，28.6%-33.9%）。当按保险状况分层时，（有保险的比值比为0.74 [95% CI，0.64-0.86]，无保险的比值比为0.59 [95% CI，0.36-0.94]）和西班牙裔（有保险的比值比为0.74 [95%CI，0.60-0.91]，无保险的比值比为0.58 [95%CI，0.36-0.94]）与白人相比，高血压控制率持续较低。在按年龄分层的亚组中，种族差异也持续存在（60岁和60岁）。
Background A key to reduce and eradicate racial disparities in hypertension outcomes is to understand their causes. We aimed at evaluating racial differences in antihypertensive drug utilization patterns and blood pressure control by insurance status, age, sex, and presence of comorbidities.Methods and Results A total of 8796 hypertensive individuals 18 years of age were identified from the National Health and Nutrition Examination Survey (2003-2012) in a repeated cross-sectional study. During the study period, all 3 racial groups (whites, blacks, and Hispanics) experienced substantial increase in hypertension treatment and control. The overall treatment rates were 73.9% (95% confidence interval [CI], 71.6%-76.2%), 70.8% (95% CI, 68.6%-73.0%), and 60.7% (95% CI, 57.0%-64.3%) and hypertension control rates were 42.9% (95% CI, 40.5%-45.2%), 36.9% (95% CI, 34.7%-39.2%), and 31.2% (95% CI, 28.6%-33.9%) for whites, blacks, and Hispanics, respectively. When stratified by insurance status, blacks (odds ratio, 0.74 [95% CI, 0.64-0.86] for insured and 0.59 [95% CI, 0.36-0.94] for uninsured) and Hispanics (odds ratio, 0.74 [95% CI, 0.60-0.91] for insured and 0.58 [95% CI, 0.36-0.94] for uninsured) persistently had lower rates of hypertension control compared with whites. Racial disparities also persisted in subgroups stratified by age (60 and