Race, Ethnicity, Hypertension, and Heart Disease: JACC Focus Seminar 1/9

Modele O Ogunniyi1, Yvonne Commodore-Mensah2, Keith C Ferdinand3

  • 1Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA; Grady Health System, Atlanta, Georgia, USA. Electronic address: https://twitter.com/modeldoc.

Insights

Racial and ethnic disparities in hypertension prevalence and control persist in the U.S. Addressing social determinants of health is crucial for improving cardiovascular care and outcomes for all adults.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Health Disparities

Background:

  • Hypertension is a primary global cause of cardiovascular morbidity and mortality.
  • Approximately 45% of U.S. adults have hypertension (blood pressure ≥130/80 mm Hg).
  • Significant racial and ethnic disparities exist in hypertension prevalence and control, particularly affecting Black adults.

Purpose of the Study:

  • To review the epidemiology of racial/ethnic disparities in hypertension.
  • To examine the impact of social determinants of health on cardiovascular care quality and outcomes.
  • To discuss clinical practice guidelines and national programs for hypertension control.

Main Methods:

  • Clinical review of existing literature and data.
  • Analysis of epidemiological trends in hypertension.
  • Examination of social determinants of health influencing cardiovascular care.

Main Results:

  • Hypertension disproportionately affects minority groups, especially Black adults.
  • Suboptimal hypertension control rates are prevalent, particularly among racial/ethnic minorities.
  • Social determinants of health significantly impact cardiovascular care quality and patient outcomes.

Conclusions:

  • Urgent action is needed to address the public health crisis of hypertension control.
  • Eliminating racial/ethnic disparities in hypertension is essential to reduce cardiovascular and stroke burden.
  • Implementing guideline recommendations and targeted national programs can help mitigate these disparities.

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