Trends in Hypertension Prevalence, Awareness, Treatment and Control in Older Mexican Americans, 1993-2005

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Abstract

Purpose: To describe trends in hypertension prevalence, awareness, treatment, and control among older Mexican Americans living in the Southwestern United States from 1993-1994 to 2004-2005. Methods: This study is a comparison between two separate cross-sectional cohorts of non-institutionalized Mexican Americans 75 years of age or older from the Hispanic Established Population for the Epidemiological Study of the Elderly (919 subjects from the 1993-1994 cohort and 738 from the 2004-2005 cohort). Data were collected on self-reported hypertension, measured blood pressure, medications, as well as sociodemographic and other health-related factors. Results: Hypertension prevalence increased from 73.0% in the period 1993-1994 to 78.4% in 2004-2005. Cross-cohort multivariate analyses showed that the higher odds of hypertension in the 2004-2005 cohort was attenuated by adding diabetes and obesity to the model. There was a significant increase in hypertension awareness among (63.0% to 82.6%) and in control among treated hypertensives (42.5% to 55.4%). Cross-cohort multivariate analyses showed that the higher odds of control in 2004-2005 cohorts were accentuated by adding diabetes to the model. There were no significant changes in treatment rates (62.2% to 65.6%). Conclusion: Hypertension prevalence in very old Mexican Americans residing in the Southwestern United States was higher in 2004-2005 than in 1993-1994 and was accompanied by a significant increase in awareness and control rates.

Original languageEnglish (US)
Pages (from-to)15-25
Number of pages11
JournalAnnals of Epidemiology
Volume21
Issue number1
DOIs
StatePublished - Jan 2011

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Hypertension
Southwestern United States
Cohort Studies
Therapeutics
Multivariate Analysis
Hispanic Americans
Epidemiologic Studies
Obesity
Blood Pressure
Health
Population

Keywords

  • Awareness
  • Control
  • Hypertension
  • Mexican American elders
  • Treatment
  • Trends

ASJC Scopus subject areas

  • Epidemiology

Cite this

@article{2793555a85de4105a834680a3b9e88ce,
title = "Trends in Hypertension Prevalence, Awareness, Treatment and Control in Older Mexican Americans, 1993-2005",
abstract = "Purpose: To describe trends in hypertension prevalence, awareness, treatment, and control among older Mexican Americans living in the Southwestern United States from 1993-1994 to 2004-2005. Methods: This study is a comparison between two separate cross-sectional cohorts of non-institutionalized Mexican Americans 75 years of age or older from the Hispanic Established Population for the Epidemiological Study of the Elderly (919 subjects from the 1993-1994 cohort and 738 from the 2004-2005 cohort). Data were collected on self-reported hypertension, measured blood pressure, medications, as well as sociodemographic and other health-related factors. Results: Hypertension prevalence increased from 73.0{\%} in the period 1993-1994 to 78.4{\%} in 2004-2005. Cross-cohort multivariate analyses showed that the higher odds of hypertension in the 2004-2005 cohort was attenuated by adding diabetes and obesity to the model. There was a significant increase in hypertension awareness among (63.0{\%} to 82.6{\%}) and in control among treated hypertensives (42.5{\%} to 55.4{\%}). Cross-cohort multivariate analyses showed that the higher odds of control in 2004-2005 cohorts were accentuated by adding diabetes to the model. There were no significant changes in treatment rates (62.2{\%} to 65.6{\%}). Conclusion: Hypertension prevalence in very old Mexican Americans residing in the Southwestern United States was higher in 2004-2005 than in 1993-1994 and was accompanied by a significant increase in awareness and control rates.",
keywords = "Awareness, Control, Hypertension, Mexican American elders, Treatment, Trends",
author = "{Al Ghatrif}, Majd and Kuo, {Yong Fang} and {Al Snih al snih}, Soham and Mukaila Raji and Ray, {Laura A.} and Kyriakos Markides",
year = "2011",
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doi = "10.1016/j.annepidem.2010.06.002",
language = "English (US)",
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pages = "15--25",
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T1 - Trends in Hypertension Prevalence, Awareness, Treatment and Control in Older Mexican Americans, 1993-2005

AU - Al Ghatrif, Majd

AU - Kuo, Yong Fang

AU - Al Snih al snih, Soham

AU - Raji, Mukaila

AU - Ray, Laura A.

AU - Markides, Kyriakos

PY - 2011/1

Y1 - 2011/1

N2 - Purpose: To describe trends in hypertension prevalence, awareness, treatment, and control among older Mexican Americans living in the Southwestern United States from 1993-1994 to 2004-2005. Methods: This study is a comparison between two separate cross-sectional cohorts of non-institutionalized Mexican Americans 75 years of age or older from the Hispanic Established Population for the Epidemiological Study of the Elderly (919 subjects from the 1993-1994 cohort and 738 from the 2004-2005 cohort). Data were collected on self-reported hypertension, measured blood pressure, medications, as well as sociodemographic and other health-related factors. Results: Hypertension prevalence increased from 73.0% in the period 1993-1994 to 78.4% in 2004-2005. Cross-cohort multivariate analyses showed that the higher odds of hypertension in the 2004-2005 cohort was attenuated by adding diabetes and obesity to the model. There was a significant increase in hypertension awareness among (63.0% to 82.6%) and in control among treated hypertensives (42.5% to 55.4%). Cross-cohort multivariate analyses showed that the higher odds of control in 2004-2005 cohorts were accentuated by adding diabetes to the model. There were no significant changes in treatment rates (62.2% to 65.6%). Conclusion: Hypertension prevalence in very old Mexican Americans residing in the Southwestern United States was higher in 2004-2005 than in 1993-1994 and was accompanied by a significant increase in awareness and control rates.

AB - Purpose: To describe trends in hypertension prevalence, awareness, treatment, and control among older Mexican Americans living in the Southwestern United States from 1993-1994 to 2004-2005. Methods: This study is a comparison between two separate cross-sectional cohorts of non-institutionalized Mexican Americans 75 years of age or older from the Hispanic Established Population for the Epidemiological Study of the Elderly (919 subjects from the 1993-1994 cohort and 738 from the 2004-2005 cohort). Data were collected on self-reported hypertension, measured blood pressure, medications, as well as sociodemographic and other health-related factors. Results: Hypertension prevalence increased from 73.0% in the period 1993-1994 to 78.4% in 2004-2005. Cross-cohort multivariate analyses showed that the higher odds of hypertension in the 2004-2005 cohort was attenuated by adding diabetes and obesity to the model. There was a significant increase in hypertension awareness among (63.0% to 82.6%) and in control among treated hypertensives (42.5% to 55.4%). Cross-cohort multivariate analyses showed that the higher odds of control in 2004-2005 cohorts were accentuated by adding diabetes to the model. There were no significant changes in treatment rates (62.2% to 65.6%). Conclusion: Hypertension prevalence in very old Mexican Americans residing in the Southwestern United States was higher in 2004-2005 than in 1993-1994 and was accompanied by a significant increase in awareness and control rates.

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