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.
Abstract

Related Concept Videos

Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.5K
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
562
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
364
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
613
Stereotypes, Prejudice, and Discrimination02:55

Stereotypes, Prejudice, and Discrimination

Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
94.6K
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
6.2K