Race Disparities in Hypertension Prevalence Among Older Men

Samuel L K Baxter1, Hossein Zare2,3, Roland J Thorpe4

  • 1Department of Public Health Sciences, Clemson University, Clemson, SC, USA.

Insights

Hypertension is more prevalent in older non-Hispanic Black men compared to non-Hispanic White men in the U.S. Further research should explore life course factors contributing to these hypertension disparities.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiovascular Disease Research

Background:

  • Hypertension prevalence varies significantly across different demographic groups.
  • Understanding racial and age-related disparities in hypertension is crucial for public health interventions.
  • Previous studies indicate potential differences in hypertension rates among men of various racial/ethnic backgrounds.

Purpose of the Study:

  • To investigate hypertension prevalence differences based on race/ethnicity and age groups in a U.S. national sample of men.
  • To identify specific demographic factors associated with higher hypertension rates.
  • To inform targeted strategies for reducing hypertension disparities.

Main Methods:

  • Utilized a nationally representative sample of men in the United States.
  • Defined hypertension based on blood pressure readings (≥140/90 mmHg) or medication use.
  • Employed modified Poisson regression models to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs).

Main Results:

  • Overall hypertension prevalence was 38%, with 46% of men aged 50 or older.
  • Older non-Hispanic Black men (≥50 years) exhibited a higher prevalence of hypertension (PR=1.28, 95% CI: 1.19-1.37) compared to older non-Hispanic White men.
  • Significant racial disparities in hypertension prevalence were observed within older age groups.

Conclusions:

  • Hypertension prevalence is not uniform across racial/ethnic groups, particularly in older men.
  • Non-Hispanic Black men face a disproportionately higher burden of hypertension compared to non-Hispanic White men.
  • Future research should adopt a life course perspective to elucidate cumulative experiences influencing hypertension disparities.

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