Related Experiment Video
Updated: May 21, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Prevalence, awareness, treatment, and control of hypertension among Arab Americans
Ayman Tailakh1, Janet C Mentes, Donald E Morisky
1College of Nursing, Sultan Qaboos University, Muscat, Oman. atailakh@squ.edu.om
Insights
Hypertension (HTN) and pre-hypertension are highly prevalent in Arab Americans, with low rates of awareness and control. Public health strategies are urgently needed to improve HTN prevention and management in this community.
Area of Science:
- Cardiovascular Health
- Public Health
- Epidemiology
Background:
- Hypertension (HTN) is a significant risk factor for heart disease and stroke in the U.S.
- Arab Americans, a population of over 3.5 million, lack specific national or regional HTN prevalence data.
- Effective HTN detection and blood pressure (BP) control are crucial for mitigating cardiovascular risks.
Purpose of the Study:
- To determine the prevalence of HTN within a community sample of Arab Americans.
- To evaluate awareness, treatment, and control levels among hypertensive Arab Americans.
- To describe and compare lifestyle behaviors, including physical activity, nutrition, and weight management.
Main Methods:
- A cross-sectional, descriptive study involving 126 participants.
- Self-administered questionnaires assessed physical activity, nutrition, and medical history.
- Objective measurements included height, weight, and three BP readings after a 5-minute rest period.
Main Results:
- The study found high prevalence rates: 36.5% had HTN and 39.7% had pre-HTN.
- Among those with HTN, awareness was low (67.4%), treatment was suboptimal (52.2% on medication), and control was inadequate (46% of those on medication).
- HTN prevalence was higher in men (45.9%) than women (23.2%) and increased with age and higher body mass index (BMI).
Conclusions:
- Hypertension and pre-hypertension are highly prevalent in the Arab American community.
- Awareness and control rates for HTN are significantly lower compared to national averages.
- There is an urgent need for targeted public health interventions to enhance HTN prevention, detection, and management in Arab Americans.
Background:
Hypertension (HTN) is a major risk factor for heart disease, which is the leading cause of death in the United States. Hypertension detection and blood pressure (BP) control are critically important for reducing the risk of myocardial infarction and strokes. Although there are more than 3.5 million Arab Americans in the United States, there are no national or regional data on HTN prevalence among Arab Americans.
Objective:
This study aims to estimate the prevalence of HTN in a community sample of Arab Americans; assess levels of awareness, treatment, and control in hypertensive patients; and describe and compare lifestyle behaviors (eg, physical activity, nutrition, and weight control).
Methods:
In this cross-sectional, descriptive study, 126 participants completed a self-administered questionnaire to measure physical activity, nutrition, and medical history. Height and weight were measured. Three BP measurements were obtained at 60-second intervals after resting for 5 minutes. Hypertension was defined as a mean systolic BP of 140 mm Hg or higher, or a diastolic BP 90 mm Hg or higher, and/or taking antihypertensive medications.
Results:
Overall, 36.5% of participants had HTN and 39.7% had pre-HTN. Among hypertensive participants, only 67.4% were aware of their high BP, and 52.2% were taking antihypertensive medication. Among those taking medication, 46% had controlled BP. The prevalence of HTN was higher in men than in women (45.9% and 23.2%, respectively; P = .029) and increased with age (P = .01). Hypertensive participants also had higher body mass index (mean, 31.55 kg/m) compared with normotensive participants (mean, 28.37 kg/m; P = .01).
Conclusion:
Our results indicate that HTN and pre-HTN are highly prevalent in Arab Americans. Hypertension awareness and control rates were inadequate and low compared with national data. These results emphasize the urgent need to develop public health strategies to improve the prevention, detection, and treatment of HTN among Arab Americans.
Related Concept Videos
Hypertension IV: Drug Therapy and Lifestyle Modifications
Hypertension V: Nursing Management
Hypertension I: Introduction
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension and Regulation of Blood Pressure
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart beats)...