Exploring differences in prevalence of diagnosed, measured and undiagnosed hypertension: the case of Ireland and the United States of America

TitleExploring differences in prevalence of diagnosed, measured and undiagnosed hypertension: the case of Ireland and the United States of America
Publication TypeJournal Article
Year of Publication2014
AuthorsMosca, I, Kenny, RA
JournalInternational Journal of Public Health
Volume59
Issue5
Pagination759-67
KeywordsCross-National, Demographics, Health Conditions and Status, Healthcare
Abstract

OBJECTIVES: To: (1) compare prevalence of diagnosed, measured, total and undiagnosed hypertension among late middle-aged adults in the United States of America and Ireland; (2) identify the most important predictors of hypertension and compare them across the two countries; (3) investigate whether cross-national differences in prevalence rates are explained by country differences in behavioural risk factors. METHODS: We use data from the 2008 and 2010 waves of the Health and Retirement Study (n = 1,938) and the first wave (2009/2011) of The Irish Longitudinal Study on Ageing (n = 1,455). We employ probit models to determine whether individual attributes, socioeconomic characteristics and behavioural health factors, including smoking, alcohol consumption and obesity, are associated with hypertension. We do not consider whether respondents are on antihypertensive medication. RESULTS: Prevalence of diagnosed hypertension is higher in the United States of America (48.6 versus 32.4 ). Prevalence of undiagnosed hypertension is higher in Ireland (41.2 versus 19.7 ). Little of the difference in prevalence rates is explained by country differences in behavioural risk factors. CONCLUSIONS: A greater focus on prevention of high blood pressure is necessary in Ireland.

Notes

Mosca, Irene Kenny, Rose Anne eng Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Switzerland 2014/06/20 06:00 Int J Public Health. 2014 Oct;59(5):759-67. doi: 10.1007/s00038-014-0573-7. Epub 2014 Jun 19.

URLhttp://www.ncbi.nlm.nih.gov/pubmed/24942996
DOI10.1007/s00038-014-0573-7
Endnote Keywords

hypertension/diagnosed hypertension/behavioral risk factors/socioeconomic Differences/cross-national comparison/TILDA

Endnote ID

999999

Citation Key8089