Abstract
Hypertension, which affects nearly one third of adults in the United States, is a major risk factor for heart disease and stroke (1), and only approximately half of those with hypertension have their hypertension under control (2). The prevalence of hypertension is highest among non-Hispanic blacks, whereas the prevalence of antihypertensive medication use is lowest among Hispanics (1). Geographic variations have also been identified: a recent report indicated that the Southern region of the United States had the highest prevalence of hypertension as well as the highest prevalence of medication use (3). Using data from the Behavioral Risk Factor Surveillance System (BRFSS), this study found minimal change in state-level prevalence of hypertension awareness and treatment among U.S. adults during the first half of the current decade. From 2011 to 2015, the age-standardized prevalence of self-reported hypertension decreased slightly, from 30.1% to 29.8% (p = 0.031); among those with hypertension, the age-standardized prevalence of medication use also decreased slightly, from 63.0% to 61.8% (p<0.001). Persistent differences were observed by age, sex, race/ethnicity, level of education, and state of residence. Increasing hypertension awareness, as well as increasing hypertension control through lifestyle changes and consistent antihypertensive medication use, requires diverse clinical and public health intervention.
Highlights
Improvements have been seen in hypertension management, Healthy People 2020 hypertension targets have yet to be realized
Whereas Healthy People 2020 objectives and targets are set for the United States, data from this report highlighting sociodemographic and geographic differences in the prevalence and treatment of hypertension can be used by state partners to target interventions to improve hypertension management within their populations and communities
CDC has been working with state and local public health communities to improve hypertension awareness, treatment, and control through multiple strategies within the CDC State Heart Disease and Stroke Prevention programs (9)
Summary
Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use Among Adults Aged ≥18 Years — United States, 2011–2015. Using data from the Behavioral Risk Factor Surveillance System (BRFSS), this study found minimal change in state-level prevalence of hypertension awareness and treatment among U.S adults during the first half of the current decade. Persistent differences were observed by age, sex, race/ethnicity, level of education, and state of residence. For your high blood pressure?” Hypertension and treatment were assessed by age group (18–44 years, 45–64 years, and ≥65 years), sex, race/ethnicity (non-Hispanic whites [whites]; non-Hispanic blacks [blacks]; Hispanics; non-Hispanic Asians [Asians]; non-Hispanic Native Hawaiian/Pacific Islanders [NH/PIs]; non-Hispanic American Indian/Alaskan Natives [AI/ANs]); and non-Hispanic others [others]), highest level of education attained (less than high school graduate, high school graduate, some college, college graduate or higher), and state of residence.
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