Incidence of Hypertension Among US Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos, 2008 to 2017
Incidence of Hypertension Among US Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos, 2008 to 2017
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DOI：
10.1161/jaha.119.015031
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发表时间：
2020-06-16
影响因子：
5.4
通讯作者：
Schneiderman, Neil
中科院分区：
文献类型：
--
作者：
Elfassy, Tali;Al Hazzouri, Adina Zeki;Schneiderman, Neil
背景：美国西班牙裔/拉丁裔是美国最大的少数民族人口，其高血压发病率尚未得到彻底报道。本研究的目的是描述具有不同西班牙裔/拉丁裔背景的美国西班牙裔/拉丁裔男性和女性的高血压发病率。 方法和结果：我们研究了西班牙裔社区健康研究/拉丁裔研究的 6171 名参与者，这是来自 4 个美国城市社区的一组自我认定的西班牙裔/拉丁裔，年龄在 18 岁至 74 岁之间，在 2008 年至 2011 年期间没有患高血压。 2014年至2017年重新审查。高血压的定义为自我报告使用抗高血压药物，或测量的收缩压≥130毫米汞柱，或舒张压≥80毫米汞柱。鉴于复杂的调查设计，对结果进行加权以反映目标人群。在男性中，6 岁年龄调整后患高血压的概率为 21.7%（95% CI，19.5-24.1），并且因西班牙裔/拉丁裔背景而异。具体而言，古巴裔（27.1%；95% CI，20.2-35.2）和多米尼加裔（28.1%；95% CI，19.5-38.8）男性的这一概率显着高于墨西哥裔美国人（17.6%；95% CI：14.5-21.2）。在女性中，6 岁年龄调整后患高血压的概率为 19.7%（95% CI，18.1-21.5），并且因西班牙裔/拉丁裔背景而异。具体而言，古巴裔（22.6%；95% CI，18.3-27.5）、多米尼加裔（23.3%；95% CI，18.0-29.5）和波多黎各裔（28.2%；95% CI，22.7-34.4）女性的这一概率显着高于墨西哥裔美国人（16.0%；95% CI，18.0-29.5）。 13.9-18.4).结论：高血压发病率因西班牙裔/拉丁裔背景而异，其中加勒比裔背景的发病率最高。
BACKGROUND: Among US Hispanics/Latinos, the largest ethnic minority population in the United States, hypertension incidence has not been thoroughly reported. The goal of this study was to describe the incidence of hypertension among US Hispanic/Latino men and women of diverse Hispanic/Latino background.METHODS AND RESULTS: We studied 6171 participants of the Hispanic Community Health Study/Study of Latinos, a diverse group of self-identified Hispanics/Latinos from 4 US urban communities, aged 18 to 74 years, and free from hypertension in 2008 to 2011 and re-examined in 2014 to 2017. Hypertension was defined as self-reported use of anti-hypertension medication, or measured systolic blood pressure >= 130 mm Hg, or diastolic blood pressure >= 80 mm Hg. Results were weighted given the complex survey design to reflect the target population. Among men, the 6-year age-adjusted probability of developing hypertension was 21.7% (95% CI, 19.5-24.1) and differed by Hispanic/Latino background. Specifically, the probability was significantly higher among men of Cuban (27.1%; 95% CI, 20.2-35.2) and Dominican (28.1%; 95% CI, 19.5-38.8) backgrounds compared with Mexican Americans (17.6%; 95% CI: 14.5-21.2). Among women, the 6-year age-adjusted probability of developing hypertension was 19.7% (95% CI, 18.1-21.5) and also differed by Hispanic/Latino background. Specifically, the probability was significantly higher among women of Cuban (22.6%; 95% CI, 18.3-27.5), Dominican (23.3%; 95% CI, 18.0-29.5), and Puerto Rican (28.2%; 95% CI, 22.7-34.4) backgrounds compared with Mexican Americans (16.0%; 95% CI, 13.9-18.4).CONCLUSIONS: Hypertension incidence varies by Hispanic/Latino background, with highest incidence among those of Caribbean background.