A comparison of the effect of a hypertension education program among black and white participants

Black Americans face a higher risk of hypertension than other Americans. Because of the differences in risk status and environmental or genetic factors that may contribute to hypertension, it is important to compare the effectiveness of hypertension intervention for blacks and for whites. While a diminished effect of intervention among blacks might be expected due to such factors as lower socioeconomic status, high stress, and salt-sensitivity, a comparison between black and white participants in a six-session hypertension education series showed no significant differences in outcome. Overall, the program was successful in improving knowledge gained regarding control of blood pressure; encouraging positive behavior changes; and in reducing by 68 percent the number of participants whose blood pressure was elevated by the end of the program. However, program attendance was less frequent in black communities than in white communities. Marketing strategies to attract more black participants, and adherence strategies to retain those who are recruited, are discussed.