Navigation Links
Hispanics' hypertension better controlled with equal access to care
Date:9/13/2007

With equal access to medical care and medication, Hispanic men and women have as good or greater chance as non-Hispanics of controlling their high blood pressure, researchers reported in Hypertension: Journal of the American Heart Association.

Poor blood pressure control in Hispanics is not due to biological factors associated with race or ethnicity, said Karen L. Margolis, M.D., M.P.H., senior clinical investigator at the HealthPartners Research Foundation in Minneapolis, Minn. If treated aggressively with a good medication regimen, Hispanics have an equal chance of controlling blood pressure.

Population-based research has shown that hypertension awareness, treatment and control is lower among Hispanics compared to non-Hispanic whites and blacks.

When researchers studied blood pressure control in Hispanics as part of the ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial), they found that Hispanics responded as well or better than non-Hispanics.

Hispanics were less likely to have their blood pressure controlled when entering the study despite a similar proportion being on blood pressure medication. But at the four-year follow-up, blood pressure was controlled in 72 percent of Hispanic whites and 69 percent of Hispanic blacks compared to 67 percent of non-Hispanic whites and 59 percent of non-Hispanic blacks.

At two years, Hispanic whites had 20 percent greater odds of achieving blood pressure control compared to non-Hispanic whites, after researchers adjusted for demographic differences and co-morbidities such as diabetes, smoking and existing cardiovascular disease. Hispanic blacks had similar odds of achieving blood pressure control; however, non

Hispanic blacks had 27 percent lower odds of achieving blood pressure control at two years. When participants from Puerto Rico and the Virgin Islands were excluded in a separate analysis at two years, blood pressure control was equivalent in Hispanics and non-Hispanic whites enrolled at sites in the mainland U.S. and Canada.

The ALLHAT study included 32,642 Hispanic whites, Hispanic blacks, non-Hispanic whites and non-Hispanic blacks in a randomized practice-based trial in 623 sites in the United States, Canada, Puerto Rico and the U.S. Virgin Islands.

Researchers conducted ALLHAT to determine what type of drug was more effective in preventing the cardiovascular complications of hypertension in high-risk men and women. Participants were seen every three months the first year and every four months thereafter. All had hypertension and at least one additional risk factor for coronary heart disease.

Participants were treated with one of three initial drugs, and then additional therapy if the hypertension was not controlled. The goal was for participants to reach a blood pressure less than 140/90 mmHg.

This was the first study to compare blood pressure control in these four race-ethnicity categories, said Margolis, who is also an associate professor of medicine at the University of Minnesota. Hispanic ALLHAT participants were more likely than non-Hispanic participants to have higher, uncontrolled blood pressure despite treatment at the time of enrollment, she said.

Margolis stressed the importance of controlling blood pressure in Hispanics, the largest ethnic minority in the United States at 14 percent of the population. Blood pressure was controlled in more than two-thirds of Hispanic ALLHAT participants with commonly available medications, she said. The low rate of blood pressure control in U.S. Hispanics is does not appear to be a result of biological factors.

Hispanics are less likely to have health insurance or a regular source of medical care and are less likely to receive preventive services. This suggests methods we can use to attack the problem of blood pressure control in Hispanic populations.

Efforts to improve blood pressure control in Hispanics should also focus on improving hypertension knowledge and awareness, doctor-patient communication, access to medical care and affordable medications, the researchers concluded.

Physicians treating Hispanic hypertension patients should treat them with the same medications as non-Hispanics, she said. If they use the right medications with aggressive follow-up, Hispanic patients blood pressure can be controlled just as well as non-Hispanics.

The Hispanic population needs to know that high blood pressure is a serious and common problem and must be treated, Margolis said.


'/>"/>

Contact: Karen Astle
karen.astle@heart.org
214-706-1396
American Heart Association
Source:Eurekalert

Related medicine news :

1. Poor Glycaemic Control In Hispanics With Diabetes Causes Severe Depression
2. Invasive Skin Cancer On The Rise in Hispanics
3. Black Women Have More Severe Cases of Breast Cancer Than Whites, Hispanics
4. Colorado Smoking Cessation Program Targets Hispanics
5. HIV Tests Offered to Los Angeles Hispanics Insufficient: Study
6. More Aggressive Breast Cancer in Hispanics Independent of Health Care Utilization
7. Campaign Aims To Improve Nutrition Among Hispanics
8. Campaign Aims To Improve Nutrition Among Hispanics
9. PRIMARY PULMONARY HYPERTENSION GENE DISCOVERED
10. New viewpoint on Hypertension
11. Hypertension drugs could lower Disability
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... ... through a world of exterior design possibilities. CertainTeed, North America’s leading brand of ... by expanding the product offerings showcased in the mobile version of the ColorView® ...
(Date:2/12/2016)... ... ... Coast Autism Spectrum Center (CCASC) invites teens ages 11-18 to its annual Winter Teen Dance. ... and without special needs to gather in a safe and supportive environment. Volunteers will be ... place on Saturday, Feb. 13 from 7 to 9:30 p.m. at Elks Lodge, 322 Elks ...
(Date:2/12/2016)... ... 2016 , ... Planet Future is a Final Cut Pro X ... for showcasing pictures, videos as well as text in an exciting cartoon environment. Planet ... and a beautiful frame overlay. Pixel Film Studios makes editing easy; simply insert media ...
(Date:2/11/2016)... ... February 11, 2016 , ... “ HEALING MIND : ... Well Managed Mind” (published by Balboa Press) teaches readers how to become their own ... profound love, author Janice McDermott, M.Ed., LCSW, offers an understanding of how to heal ...
(Date:2/11/2016)... Jersey (PRWEB) , ... February 11, 2016 , ... Registered ... a free CEU seminar titled, “Stroke Management: Time to Act, Time to Heal” on ... Community in Whippany, N.J. The presenter is Vishal Chedda, president of ANSA Consultants, ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... IRVINE, Calif., Feb. 11, 2016 PRO-DEX, INC. (NasdaqCM: ... quarter ended December 31, 2015. The Company also filed its ... fiscal year 2016 with the Securities and Exchange Commission today. ... December 31, 2015 --> --> ... 2015 increased $2.6 million, or 95%, to $5.4 million from ...
(Date:2/11/2016)... has committed to provide drug disposal kiosks in ... as part of a program to combat drug ... organization As You Sow. Conrad MacKerron , Senior ... to unneeded drugs because they lack easily accessible collection and ... Conrad MacKerron , Senior Vice President at As You ...
(Date:2/11/2016)... -- Potrero Medical, Inc., the developer of the Accuryn™ critical ... George M. Rapier, III , MD, to its Board ... WellMed is one of the nation,s largest physician owned practice ... Texas and Florida ... internal medicine practice, he has been instrumental to the company,s ...
Breaking Medicine Technology: