Racial and ethnic differences in hypertension risk: new diagnoses after age 50.

TitleRacial and ethnic differences in hypertension risk: new diagnoses after age 50.
Publication TypeJournal Article
Year of Publication2012
AuthorsQuiñones, AR, Liang, J, Ye, W
JournalEthn Dis
Volume22
Issue2
Pagination175-80
Date Published2012 Spring
ISSN Number1049-510X
KeywordsAfrican Americans, Age Factors, Aged, Cohort Studies, European Continental Ancestry Group, Female, Health Status Disparities, Humans, Hypertension, Incidence, Male, Mexican Americans, Middle Aged, Risk Factors, Socioeconomic factors
Abstract

<p><b>OBJECTIVES: </b>Our study examines the differences in estimated risk of developing hypertension in Whites, Blacks, and Mexican-Americans aged > or = 50 for a period of 11 years.</p><p><b>DESIGN, SETTING, AND PARTICIPANTS: </b>Data came from 9,259 respondents who reported being hypertension-free at the baseline in the Health and Retirement Study (HRS) with up to five time intervals (1998-2006). Discrete-time survival models were used to analyze ethnic variations in the probability of developing hypertension.</p><p><b>MAIN OUTCOME MEASURE: </b>Estimated odds of developing hypertension.</p><p><b>RESULTS: </b>The risk of newly diagnosed hypertension increased between 1995 and 2006 for HRS participants aged > or = 50. After adjusting for demographic and health status, the probability of incident hypertension among Black Americans was .10 during the period of 1995/96-1998, which increased steadily to .17 in 2004-2006, with cumulative incidence over the 11-year period at 51%. In contrast, among White Americans the risk was .07 during 1995/96-1998 and .13 in 2004-2006, with cumulative incidence at 43%. For Mexican-Americans, the probability also increased from .08 during 1995/ 96-1998 to .14 during 2004-2006, with cumulative incidence at 42%.</p><p><b>CONCLUSIONS: </b>Relative to White and Mexican-Americans, Black Americans had an elevated risk of incident hypertension throughout the 11-year period of observation. These variations persisted even when differences in health behaviors, socioeconomic status, demographic, and time-varying health characteristics were accounted for.</p>

Notes

Quinones, Ana R Liang, Jersey Ye, Wen F31-AG029783/AG/NIA NIH HHS/United States R01-AG015124/AG/NIA NIH HHS/United States R01-AG028116/AG/NIA NIH HHS/United States Research Support, N.I.H., Extramural United States Ethn Dis. 2012 Spring;22(2):175-80.

User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/22764639?dopt=Abstract

Endnote Keywords

Hypertension/minorities/socioeconomic factors/african-americans/mexican Americans/Hispanic/morbidity

Endnote ID

69575

Alternate JournalEthn Dis
Citation Key7698
PubMed ID22764639
PubMed Central IDPMC4084710
Grant ListR01-AG015124 / AG / NIA NIH HHS / United States
R01 AG028116 / AG / NIA NIH HHS / United States
R36 AG031570 / AG / NIA NIH HHS / United States
F31-AG029783 / AG / NIA NIH HHS / United States
R01 AG015124 / AG / NIA NIH HHS / United States
F31 AG029783 / AG / NIA NIH HHS / United States
R01-AG028116 / AG / NIA NIH HHS / United States