Racial and ethnic subgroup disparities in hypertension prevalence, New York City health and nutrition examination survey, 2013-2014

Kezhen Fei, Jesica S. Rodriguez-Lopez, Marcel Ramos, Nadia Islam, Chau Trinh-Shevrin, Stella S. Yi, Claudia Chernov, Sharon E. Perlman, Lorna Thorpe

Research output: Contribution to journalArticle

Abstract

Introduction Racial/ethnic minority adults have higher rates of hypertension than non-Hispanic white adults. We examined the prevalence of hypertension among Hispanic and Asian subgroups in New York City. Methods Data from the 2013-2014 New York City Health and Nutrition Examination Survey were used to assess hypertension prevalence among adults (aged ≥20) in New York City (n = 1,476). Hypertension was measured (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or self-reported hypertension and use of blood pressure medication). Participants self-reported race/ethnicity and country of origin. Multivariable logistic regression models assessed differences in prevalence by race/ethnicity and sociodemographic and health-related characteristics. Results Overall hypertension prevalence among adults in New York City was 33.9% (43.5% for non-Hispanic blacks, 38.0% for Asians, 33.0% for Hispanics, and 27.5% for non-Hispanic whites). Among Hispanic adults, prevalence was 39.4% for Dominican, 34.2% for Puerto Rican, and 27.5% for Central/South American adults. Among Asian adults, prevalence was 43.0% for South Asian and 39.9% for East/Southeast Asian adults. Adjusting for age, sex, education, and body mass index, 2 major racial/ethnic minority groups had higher odds of hypertension than non-Hispanic whites: non-Hispanic black (AOR [adjusted odds ratio], 2.6; 95% confidence interval [CI], 1.7-3.9) and Asian (AOR, 2.0; 95% CI, 1.2-3.4) adults. Two subgroups had greater odds of hypertension than the non-Hispanic white group: East/Southeast Asian adults (AOR, 2.8; 95% CI, 1.6-4.9) and Dominican adults (AOR, 1.9; 95% CI, 1.1-3.5). Conclusion Racial/ethnic minority subgroups vary in hypertension prevalence, suggesting the need for targeted interventions.

Original languageEnglish (US)
Article numberE33
JournalPreventing chronic disease
Volume14
Issue number4
DOIs
StatePublished - Apr 1 2017

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Nutrition Surveys
Hypertension
Health
Blood Pressure
Hispanic Americans
Confidence Intervals
Logistic Models
Minority Groups
Sex Education
Ethnic Groups
Body Mass Index
Odds Ratio

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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Racial and ethnic subgroup disparities in hypertension prevalence, New York City health and nutrition examination survey, 2013-2014. / Fei, Kezhen; Rodriguez-Lopez, Jesica S.; Ramos, Marcel; Islam, Nadia; Trinh-Shevrin, Chau; Yi, Stella S.; Chernov, Claudia; Perlman, Sharon E.; Thorpe, Lorna.

In: Preventing chronic disease, Vol. 14, No. 4, E33, 01.04.2017.

Research output: Contribution to journalArticle

Fei, Kezhen ; Rodriguez-Lopez, Jesica S. ; Ramos, Marcel ; Islam, Nadia ; Trinh-Shevrin, Chau ; Yi, Stella S. ; Chernov, Claudia ; Perlman, Sharon E. ; Thorpe, Lorna. / Racial and ethnic subgroup disparities in hypertension prevalence, New York City health and nutrition examination survey, 2013-2014. In: Preventing chronic disease. 2017 ; Vol. 14, No. 4.
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abstract = "Introduction Racial/ethnic minority adults have higher rates of hypertension than non-Hispanic white adults. We examined the prevalence of hypertension among Hispanic and Asian subgroups in New York City. Methods Data from the 2013-2014 New York City Health and Nutrition Examination Survey were used to assess hypertension prevalence among adults (aged ≥20) in New York City (n = 1,476). Hypertension was measured (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or self-reported hypertension and use of blood pressure medication). Participants self-reported race/ethnicity and country of origin. Multivariable logistic regression models assessed differences in prevalence by race/ethnicity and sociodemographic and health-related characteristics. Results Overall hypertension prevalence among adults in New York City was 33.9{\%} (43.5{\%} for non-Hispanic blacks, 38.0{\%} for Asians, 33.0{\%} for Hispanics, and 27.5{\%} for non-Hispanic whites). Among Hispanic adults, prevalence was 39.4{\%} for Dominican, 34.2{\%} for Puerto Rican, and 27.5{\%} for Central/South American adults. Among Asian adults, prevalence was 43.0{\%} for South Asian and 39.9{\%} for East/Southeast Asian adults. Adjusting for age, sex, education, and body mass index, 2 major racial/ethnic minority groups had higher odds of hypertension than non-Hispanic whites: non-Hispanic black (AOR [adjusted odds ratio], 2.6; 95{\%} confidence interval [CI], 1.7-3.9) and Asian (AOR, 2.0; 95{\%} CI, 1.2-3.4) adults. Two subgroups had greater odds of hypertension than the non-Hispanic white group: East/Southeast Asian adults (AOR, 2.8; 95{\%} CI, 1.6-4.9) and Dominican adults (AOR, 1.9; 95{\%} CI, 1.1-3.5). Conclusion Racial/ethnic minority subgroups vary in hypertension prevalence, suggesting the need for targeted interventions.",
author = "Kezhen Fei and Rodriguez-Lopez, {Jesica S.} and Marcel Ramos and Nadia Islam and Chau Trinh-Shevrin and Yi, {Stella S.} and Claudia Chernov and Perlman, {Sharon E.} and Lorna Thorpe",
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T1 - Racial and ethnic subgroup disparities in hypertension prevalence, New York City health and nutrition examination survey, 2013-2014

AU - Fei, Kezhen

AU - Rodriguez-Lopez, Jesica S.

AU - Ramos, Marcel

AU - Islam, Nadia

AU - Trinh-Shevrin, Chau

AU - Yi, Stella S.

AU - Chernov, Claudia

AU - Perlman, Sharon E.

AU - Thorpe, Lorna

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Introduction Racial/ethnic minority adults have higher rates of hypertension than non-Hispanic white adults. We examined the prevalence of hypertension among Hispanic and Asian subgroups in New York City. Methods Data from the 2013-2014 New York City Health and Nutrition Examination Survey were used to assess hypertension prevalence among adults (aged ≥20) in New York City (n = 1,476). Hypertension was measured (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or self-reported hypertension and use of blood pressure medication). Participants self-reported race/ethnicity and country of origin. Multivariable logistic regression models assessed differences in prevalence by race/ethnicity and sociodemographic and health-related characteristics. Results Overall hypertension prevalence among adults in New York City was 33.9% (43.5% for non-Hispanic blacks, 38.0% for Asians, 33.0% for Hispanics, and 27.5% for non-Hispanic whites). Among Hispanic adults, prevalence was 39.4% for Dominican, 34.2% for Puerto Rican, and 27.5% for Central/South American adults. Among Asian adults, prevalence was 43.0% for South Asian and 39.9% for East/Southeast Asian adults. Adjusting for age, sex, education, and body mass index, 2 major racial/ethnic minority groups had higher odds of hypertension than non-Hispanic whites: non-Hispanic black (AOR [adjusted odds ratio], 2.6; 95% confidence interval [CI], 1.7-3.9) and Asian (AOR, 2.0; 95% CI, 1.2-3.4) adults. Two subgroups had greater odds of hypertension than the non-Hispanic white group: East/Southeast Asian adults (AOR, 2.8; 95% CI, 1.6-4.9) and Dominican adults (AOR, 1.9; 95% CI, 1.1-3.5). Conclusion Racial/ethnic minority subgroups vary in hypertension prevalence, suggesting the need for targeted interventions.

AB - Introduction Racial/ethnic minority adults have higher rates of hypertension than non-Hispanic white adults. We examined the prevalence of hypertension among Hispanic and Asian subgroups in New York City. Methods Data from the 2013-2014 New York City Health and Nutrition Examination Survey were used to assess hypertension prevalence among adults (aged ≥20) in New York City (n = 1,476). Hypertension was measured (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or self-reported hypertension and use of blood pressure medication). Participants self-reported race/ethnicity and country of origin. Multivariable logistic regression models assessed differences in prevalence by race/ethnicity and sociodemographic and health-related characteristics. Results Overall hypertension prevalence among adults in New York City was 33.9% (43.5% for non-Hispanic blacks, 38.0% for Asians, 33.0% for Hispanics, and 27.5% for non-Hispanic whites). Among Hispanic adults, prevalence was 39.4% for Dominican, 34.2% for Puerto Rican, and 27.5% for Central/South American adults. Among Asian adults, prevalence was 43.0% for South Asian and 39.9% for East/Southeast Asian adults. Adjusting for age, sex, education, and body mass index, 2 major racial/ethnic minority groups had higher odds of hypertension than non-Hispanic whites: non-Hispanic black (AOR [adjusted odds ratio], 2.6; 95% confidence interval [CI], 1.7-3.9) and Asian (AOR, 2.0; 95% CI, 1.2-3.4) adults. Two subgroups had greater odds of hypertension than the non-Hispanic white group: East/Southeast Asian adults (AOR, 2.8; 95% CI, 1.6-4.9) and Dominican adults (AOR, 1.9; 95% CI, 1.1-3.5). Conclusion Racial/ethnic minority subgroups vary in hypertension prevalence, suggesting the need for targeted interventions.

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