Gillespie Cathleen D, Hurvitz Kimberly A
MMWR Suppl. 2013 Nov 22;62(3):144-8.
Hypertension is a major risk factor for heart disease and stroke. As the first and fourth leading causes of death in the United States, heart disease and stroke occur in approximately 30% of adults aged ≥18 years in the United States. Disparities in the prevalence of hypertension among racial/ethnic groups have persisted at least since 1960, with the prevalence remaining highest among non-Hispanic black adults. Blood pressure control among those with hypertension can reduce the risk of subsequent cardiovascular diseases. Among adults with hypertension, Mexican-American persons born outside the United States, and persons without health insurance had lower rates of blood pressure control in 2005-2008. Not only do non-Hispanic black adults have higher rates of hypertension, but among those with hypertension they also have lower rates of blood pressure control than non-Hispanic white adults.
高血压是心脏病和中风的主要危险因素。作为美国第一和第四大死因,心脏病和中风在美国约30%的18岁及以上成年人中发生。至少自1960年以来,种族/族裔群体之间高血压患病率的差异一直存在,非西班牙裔黑人成年人的患病率仍然最高。高血压患者的血压控制可以降低随后发生心血管疾病的风险。在高血压成年人中,2005 - 2008年出生在美国境外的墨西哥裔美国人以及没有医疗保险的人血压控制率较低。非西班牙裔黑人成年人不仅高血压患病率较高,而且在高血压患者中,他们的血压控制率也低于非西班牙裔白人成年人。