|Title||Racial and ethnic differences in hypertension risk: new diagnoses after age 50.|
|Publication Type||Journal Article|
|Year of Publication||2012|
|Authors||Quinones, AR, Liang, J, Ye, W|
|Journal||Ethnicity & Disease|
|Keywords||African 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|
OBJECTIVES: 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.
DESIGN, SETTING, AND PARTICIPANTS: 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.
MAIN OUTCOME MEASURE: Estimated odds of developing hypertension.
RESULTS: 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%.
CONCLUSIONS: 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.
|Endnote Keywords|| |
Hypertension/minorities/socioeconomic factors/african-americans/mexican Americans/Hispanic/morbidity
|Endnote ID|| |
|PubMed Central ID||PMC4084710|
|Grant List||R01-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