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Hypertension in Hispanics/Latinos: Epidemiology and Considerations for Management

Isac C Thomas1, Matthew A Allison2

  • 1Department of Medicine, Division of Cardiovascular Medicine, University of California San Diego, 9452 Medical Center Dr., La Jolla, CA, 92037-7411, USA. icthomas@ucsd.edu.

Current Hypertension Reports
|April 27, 2019
PubMed

Insights

Hypertension management in Hispanic/Latino Americans faces challenges due to varied prevalence and social factors. Culturally tailored interventions and further research into ancestral origins are crucial for improving cardiovascular health outcomes.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Health Disparities

Background:

  • Hispanic/Latino Americans are a rapidly growing demographic in the US.
  • Uncontrolled hypertension significantly contributes to cardiovascular morbidity and mortality in this population.
  • Existing research highlights variations in hypertension prevalence and control among Hispanic subgroups.

Purpose of the Study:

  • To review the epidemiology of hypertension in Hispanic/Latino Americans.
  • To discuss considerations for managing hypertension in this heterogeneous group.
  • To explore factors influencing hypertension control and potential interventions.

Main Methods:

  • Literature review of epidemiological data and clinical trial outcomes.
  • Analysis of factors contributing to hypertension disparities.
  • Evaluation of community-based and culturally tailored interventions.

Main Results:

  • Hypertension prevalence and control vary significantly across Hispanic subgroups.
  • Social factors and comorbidities like obesity present barriers to effective hypertension management.
  • Pharmacologic therapies show efficacy in clinical trials, but real-world outcomes are less favorable.
  • Culturally tailored interventions show promise for improving management and outcomes.

Conclusions:

  • Addressing social determinants and ancestral diversity is key to reducing hypertension disparities.
  • Community-based and culturally sensitive approaches are essential for effective hypertension care.
  • Further research, including trials disaggregated by ancestral origin, is needed to optimize hypertension management in Hispanic/Latino populations.
Abstract

Keywords:
DisparitiesHispanicHypertensionLatino

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