Prevalence, awareness, treatment, and predictors of control of hypertension in New York city

Sonia Y. Angell, Renu K. Garg, R. Charon Gwynn, Lori Bash, Lorna Thorpe, Thomas R. Frieden

Research output: Contribution to journalArticle

Abstract

Background-Hypertension-related risk in urban areas may vary from national estimates; however, objective data on prevalence and treatment in local areas are scarce. We assessed hypertension prevalence, awareness, treatment, and control among New York City (NYC) adults. Methods and Results-The NYC Health And Nutrition Examination Survey (HANES), modeled on the national HANES, was conducted in 2004 with a representative sample of noninstitutionalized NYC residents ≥20 years of age. Hypertension outcomes were examined with interview and examination data (n=1975). Multiple logistic regression was used to assess factors associated with control among adults with hypertension. We found that 25.6% of NYC adults had hypertension. Blacks had a higher prevalence than whites (32.8% versus 21.1%, P<0.001), as did Hispanics (26.5% versus 21.1%, P<0.05). Foreign-born residents who had lived in the United States for <10 years had lower rates than those who had lived in the United States longer (20.0% versus 27.5%, P<0.05). Among adults with hypertension, 83.0% were diagnosed, 72.7% were treated, and 47.1% had hypertension controlled. Of those treated, 64.8% had hypertension controlled. After adjustment for sociodemographic variables among all adults with treated hypertension, lack of a routine place of medical care was most strongly associated with poor control levels (adjusted odds ratio 0.21, 95% confidence interval 0.07 to 0.66). Among nonelderly adults with treated hypertension, blacks had 4-fold lower odds than whites of having hypertension controlled (adjusted odds ratio 0.24, 95% confidence interval 0.06 to 0.92). Conclusions-In NYC, hypertension is common and frequently uncontrolled. Low levels of control are associated with poor access to care. Racial disparities in prevalence and control are evident among nonelderly adults.

Original languageEnglish (US)
Pages (from-to)46-53
Number of pages8
JournalCirculation: Cardiovascular Quality and Outcomes
Volume1
Issue number1
DOIs
StatePublished - Sep 2008

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Hypertension
Therapeutics
Nutrition Surveys
Odds Ratio
Confidence Intervals
Hispanic Americans
Logistic Models
Interviews
Health

Keywords

  • Blood pressure
  • Cardiovascular diseases
  • Epidemiology
  • Hypertension
  • Prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Prevalence, awareness, treatment, and predictors of control of hypertension in New York city. / Angell, Sonia Y.; Garg, Renu K.; Gwynn, R. Charon; Bash, Lori; Thorpe, Lorna; Frieden, Thomas R.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 1, No. 1, 09.2008, p. 46-53.

Research output: Contribution to journalArticle

Angell, Sonia Y. ; Garg, Renu K. ; Gwynn, R. Charon ; Bash, Lori ; Thorpe, Lorna ; Frieden, Thomas R. / Prevalence, awareness, treatment, and predictors of control of hypertension in New York city. In: Circulation: Cardiovascular Quality and Outcomes. 2008 ; Vol. 1, No. 1. pp. 46-53.
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AU - Angell, Sonia Y.

AU - Garg, Renu K.

AU - Gwynn, R. Charon

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AU - Thorpe, Lorna

AU - Frieden, Thomas R.

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AB - Background-Hypertension-related risk in urban areas may vary from national estimates; however, objective data on prevalence and treatment in local areas are scarce. We assessed hypertension prevalence, awareness, treatment, and control among New York City (NYC) adults. Methods and Results-The NYC Health And Nutrition Examination Survey (HANES), modeled on the national HANES, was conducted in 2004 with a representative sample of noninstitutionalized NYC residents ≥20 years of age. Hypertension outcomes were examined with interview and examination data (n=1975). Multiple logistic regression was used to assess factors associated with control among adults with hypertension. We found that 25.6% of NYC adults had hypertension. Blacks had a higher prevalence than whites (32.8% versus 21.1%, P<0.001), as did Hispanics (26.5% versus 21.1%, P<0.05). Foreign-born residents who had lived in the United States for <10 years had lower rates than those who had lived in the United States longer (20.0% versus 27.5%, P<0.05). Among adults with hypertension, 83.0% were diagnosed, 72.7% were treated, and 47.1% had hypertension controlled. Of those treated, 64.8% had hypertension controlled. After adjustment for sociodemographic variables among all adults with treated hypertension, lack of a routine place of medical care was most strongly associated with poor control levels (adjusted odds ratio 0.21, 95% confidence interval 0.07 to 0.66). Among nonelderly adults with treated hypertension, blacks had 4-fold lower odds than whites of having hypertension controlled (adjusted odds ratio 0.24, 95% confidence interval 0.06 to 0.92). Conclusions-In NYC, hypertension is common and frequently uncontrolled. Low levels of control are associated with poor access to care. Racial disparities in prevalence and control are evident among nonelderly adults.

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KW - Prevention

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