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Published on: May 17, 2024
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.
Abstract:
This study aimed to examine whether hypertension prevalence varies by race/ethnicity and within age groups in a nationally representative sample of men in the United States. Hypertension was defined as blood pressure (BP) readings of 140 mm Hg and higher for systolic BP, 90 mm Hg and higher for diastolic BP, or self-reports of taking medication for hypertension. Modified Poisson models estimated prevalence ratios (PRs) and 95% confidence intervals (CI) for race and age group associations with hypertension. The prevalence of hypertension was 38% overall and 46% of the men were aged 50 and older. Analyses that focused on older men (50 years of age or older) found that non-Hispanic Black men had a higher prevalence of hypertension (PR = 1.28, 95% CI: 1.19 - 1.37) compared to non-Hispanic White men. We suggest future research utilize life course perspectives to better identify which cumulative experiences impact hypertension disparities.
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