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High blood pressure worsening in all states for women; begins to stagnate for men
Date:2/11/2008

en decreased from 19 percent to 17 percent. Even if blood pressure among American women had stayed at its levels of a decade ago, American women of different ages would have between 2 percent and 4 percent less heart disease and stroke, Ezzati said.

When researchers determined the prevalence in individual states they found that some are doing far worse than others. The worst uncontrolled hypertension rates in the United States are in the District of Columbia and in the South (Mississippi, Alabama, Louisiana, Texas, Georgia and South Carolina).

The prevalence of uncontrolled hypertension among men in these states hovers between 18 percent and 21 percent, Ezzati said. And about a quarter of adult women in these states (24 percent to 26 percent) have uncontrolled hypertension.

The states with lower hypertension prevalence rates are Vermont, Minnesota, Connecticut, New Hampshire, Iowa and Colorado. They have rates between 15 percent and 16 percent for men and about 21 percent for women.

We also found that in every state in the United States women have higher uncontrolled hypertension prevalence rates than men do. The difference between men and women is as low as 4 percent and as high as 7 percent, he said.

In the 1990s, according to the study, uncontrolled hypertension for women increased the most in Idaho and Oregon (up 6 percentage points) and the least in Washington, D.C., and Mississippi (down 3 percentage points). For men, the worst-performing (smallest decline) states were New Mexico and Louisiana and the best-performing states were Vermont and Indiana.

The variation in increases should be interpreted with caution, Ezzati said. We cant tell from our study why this is happening. It could be that the states have done a better job in their public health efforts to reduce hypertension or it could be that rates are already so high that they didnt have much higher to go.

Researchers determined that betwe
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Contact: Karen Astle
karen.astle@heart.org
214-706-1392
American Heart Association
Source:Eurekalert

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