Community programs for hypertension: A means of identification and intervention in the highest-risk population

Joseph E. Ravenell, Gbenga Ogedegbe

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The prevalence rate of hypertension among blacks in the United States currently exceeds 41 % and is among the highest in the world. Black men in particular have the greatest burden of death from hypertension (HTN), with death rates from hypertension being three times greater for black men compared to whites. A major reason for the disproportionate morbidity and mortality from HTN and its complications in blacks is suboptimal blood pressure (BP) control. In fact, the disparity in hypertension control between blacks and whites accounts for nearly 8,000 excess cardiovascular deaths annually for African Americans. Widespread hypertension control requires the engagement of patients and physicians and other clinical providers alike, and the involvement of individuals, health systems, and communities to facilitate two critical processes: (1) identification of individuals who have hypertension or at risk for developing hypertension and (2) therapeutic intervention to lower blood pressure and prevent complications of uncontrolled hypertension. Community-based hypertension programs have long been recognized as means to achieve these two requisite steps to achieve blood pressure control, particularly among high-risk populations such as black men who tend to underutilize primary care settings. In this chapter, we will briefly review the history of community-based hypertension control efforts and highlight selected community-based strategies from the peer-reviewed literature that have aimed to address blood pressure control in hypertensive African Americans.

Original languageEnglish (US)
Title of host publicationHypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations
PublisherSpringer New York
Pages59-70
Number of pages12
ISBN (Print)9781493920105, 9781493920099
DOIs
StatePublished - Jan 1 2015

Fingerprint

Hypertension
Population
Blood Pressure
African Americans
Community Health Planning
Patient Participation
Mortality
Primary Health Care
History
Morbidity
Physicians

Keywords

  • African american churches
  • African american community outreach
  • High-risk african american
  • Hypertension

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ravenell, J. E., & Ogedegbe, G. (2015). Community programs for hypertension: A means of identification and intervention in the highest-risk population. In Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations (pp. 59-70). Springer New York. https://doi.org/10.1007/978-1-4939-2010-5_4

Community programs for hypertension : A means of identification and intervention in the highest-risk population. / Ravenell, Joseph E.; Ogedegbe, Gbenga.

Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations. Springer New York, 2015. p. 59-70.

Research output: Chapter in Book/Report/Conference proceedingChapter

Ravenell, JE & Ogedegbe, G 2015, Community programs for hypertension: A means of identification and intervention in the highest-risk population. in Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations. Springer New York, pp. 59-70. https://doi.org/10.1007/978-1-4939-2010-5_4
Ravenell JE, Ogedegbe G. Community programs for hypertension: A means of identification and intervention in the highest-risk population. In Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations. Springer New York. 2015. p. 59-70 https://doi.org/10.1007/978-1-4939-2010-5_4
Ravenell, Joseph E. ; Ogedegbe, Gbenga. / Community programs for hypertension : A means of identification and intervention in the highest-risk population. Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations. Springer New York, 2015. pp. 59-70
@inbook{8b384ec9fa0c4d33be2e82c78a734a03,
title = "Community programs for hypertension: A means of identification and intervention in the highest-risk population",
abstract = "The prevalence rate of hypertension among blacks in the United States currently exceeds 41 {\%} and is among the highest in the world. Black men in particular have the greatest burden of death from hypertension (HTN), with death rates from hypertension being three times greater for black men compared to whites. A major reason for the disproportionate morbidity and mortality from HTN and its complications in blacks is suboptimal blood pressure (BP) control. In fact, the disparity in hypertension control between blacks and whites accounts for nearly 8,000 excess cardiovascular deaths annually for African Americans. Widespread hypertension control requires the engagement of patients and physicians and other clinical providers alike, and the involvement of individuals, health systems, and communities to facilitate two critical processes: (1) identification of individuals who have hypertension or at risk for developing hypertension and (2) therapeutic intervention to lower blood pressure and prevent complications of uncontrolled hypertension. Community-based hypertension programs have long been recognized as means to achieve these two requisite steps to achieve blood pressure control, particularly among high-risk populations such as black men who tend to underutilize primary care settings. In this chapter, we will briefly review the history of community-based hypertension control efforts and highlight selected community-based strategies from the peer-reviewed literature that have aimed to address blood pressure control in hypertensive African Americans.",
keywords = "African american churches, African american community outreach, High-risk african american, Hypertension",
author = "Ravenell, {Joseph E.} and Gbenga Ogedegbe",
year = "2015",
month = "1",
day = "1",
doi = "10.1007/978-1-4939-2010-5_4",
language = "English (US)",
isbn = "9781493920105",
pages = "59--70",
booktitle = "Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations",
publisher = "Springer New York",

}

TY - CHAP

T1 - Community programs for hypertension

T2 - A means of identification and intervention in the highest-risk population

AU - Ravenell, Joseph E.

AU - Ogedegbe, Gbenga

PY - 2015/1/1

Y1 - 2015/1/1

N2 - The prevalence rate of hypertension among blacks in the United States currently exceeds 41 % and is among the highest in the world. Black men in particular have the greatest burden of death from hypertension (HTN), with death rates from hypertension being three times greater for black men compared to whites. A major reason for the disproportionate morbidity and mortality from HTN and its complications in blacks is suboptimal blood pressure (BP) control. In fact, the disparity in hypertension control between blacks and whites accounts for nearly 8,000 excess cardiovascular deaths annually for African Americans. Widespread hypertension control requires the engagement of patients and physicians and other clinical providers alike, and the involvement of individuals, health systems, and communities to facilitate two critical processes: (1) identification of individuals who have hypertension or at risk for developing hypertension and (2) therapeutic intervention to lower blood pressure and prevent complications of uncontrolled hypertension. Community-based hypertension programs have long been recognized as means to achieve these two requisite steps to achieve blood pressure control, particularly among high-risk populations such as black men who tend to underutilize primary care settings. In this chapter, we will briefly review the history of community-based hypertension control efforts and highlight selected community-based strategies from the peer-reviewed literature that have aimed to address blood pressure control in hypertensive African Americans.

AB - The prevalence rate of hypertension among blacks in the United States currently exceeds 41 % and is among the highest in the world. Black men in particular have the greatest burden of death from hypertension (HTN), with death rates from hypertension being three times greater for black men compared to whites. A major reason for the disproportionate morbidity and mortality from HTN and its complications in blacks is suboptimal blood pressure (BP) control. In fact, the disparity in hypertension control between blacks and whites accounts for nearly 8,000 excess cardiovascular deaths annually for African Americans. Widespread hypertension control requires the engagement of patients and physicians and other clinical providers alike, and the involvement of individuals, health systems, and communities to facilitate two critical processes: (1) identification of individuals who have hypertension or at risk for developing hypertension and (2) therapeutic intervention to lower blood pressure and prevent complications of uncontrolled hypertension. Community-based hypertension programs have long been recognized as means to achieve these two requisite steps to achieve blood pressure control, particularly among high-risk populations such as black men who tend to underutilize primary care settings. In this chapter, we will briefly review the history of community-based hypertension control efforts and highlight selected community-based strategies from the peer-reviewed literature that have aimed to address blood pressure control in hypertensive African Americans.

KW - African american churches

KW - African american community outreach

KW - High-risk african american

KW - Hypertension

UR - http://www.scopus.com/inward/record.url?scp=84944723974&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944723974&partnerID=8YFLogxK

U2 - 10.1007/978-1-4939-2010-5_4

DO - 10.1007/978-1-4939-2010-5_4

M3 - Chapter

AN - SCOPUS:84944723974

SN - 9781493920105

SN - 9781493920099

SP - 59

EP - 70

BT - Hypertension in High Risk African Americans: Current Concepts, Evidence-based Therapeutics and Future Considerations

PB - Springer New York

ER -