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Published on: May 17, 2024
Hypertension and race/ethnicity
Bradley P Deere1, Keith C Ferdinand
1Tulane University School of Medicine, New Orleans, LA, USA.
Insights
Racial/ethnic minorities face higher hypertension risks and outcomes. Addressing social determinants and using team-based interventions are key to reducing these health disparities.
Area of Science:
- Public Health
- Genetics
- Health Disparities
Background:
- Racial/ethnic minorities in the U.S. experience disproportionately high rates of hypertension (HTN) morbidity and mortality.
- Despite advances in genomics, understanding HTN disparities is limited by underrepresentation in studies.
- Social determinants of health are increasingly recognized as critical factors in HTN disparities.
Purpose of the Study:
- To review recent literature on the differential impact of hypertension on racial/ethnic minorities.
- To highlight current research and concepts related to HTN and race/ethnicity.
Main Methods:
- Literature review of recent studies on hypertension in racial/ethnic minorities.
- Analysis of epidemiological research and genomic findings.
- Examination of social determinants of health and intervention strategies.
Main Results:
- Persistent disparities in HTN prevalence, control, and outcomes exist for racial/ethnic minorities compared to non-Hispanic Whites.
- Genomic insights into HTN have not yet yielded clinically applicable solutions for disparities.
- Team-based approaches and multilevel interventions show promise in overcoming barriers faced by minority populations.
Conclusions:
- Racial/ethnic minorities remain at elevated risk for HTN-related morbidity and mortality despite extensive research.
- Translational research efforts are crucial to address the specific impacts of HTN in these populations.
- Targeted, multilevel interventions are necessary to mitigate health disparities in hypertension.
Purpose Of Review:
United States racial/ethnic minorities may experience disproportionate hypertension (HTN) morbidity and mortality. This review discusses recent literature regarding the differential impact of HTN, especially among African Americans and Hispanics.
Recent Findings:
Although disparities in HTN prevalence, control, and outcomes persist in racial/ethnic minorities relative to non-Hispanic Whites, racial/ethnic minorities are frequently underrepresented in genetic and clinical studies. Genomics have improved our understanding of HTN, but with no clinically useful application, the role of social determinants of health in HTN disparities is increasingly recognized. Team-based approaches with targeted, multilevel interventions may overcome barriers that uniquely impact racial/ethnic minorities.
Summary:
Despite extensive epidemiological research, racial/ethnic minorities remain at higher risk HTN-related morbidity and mortality. Translational efforts may address the differential impact of HTN in racial/ethnic minorities. This review highlights recent research and concepts related to HTN and race/ethnicity.
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Hypertension I: Introduction
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension II: Pathophysiology
Stereotypes, Prejudice, and Discrimination
Factors affecting Blood pressure
Physiological Factors:

