Cangiano J L
Hypertension Section, VA Medical Center, San Juan, PR 00927-5800.
Cleve Clin J Med. 1994 Sep-Oct;61(5):345-50. doi: 10.3949/ccjm.61.5.345.
People of Hispanic origin constitute a fast-growing segment of the US population.
To review the incidence and prevalence of hypertension in Hispanic Americans.
Some 22.4 million Hispanics live in the United States, but they are not a homogeneous group: Puerto Ricans appear to have a worse health status than Mexicans and Cubans, but different studies have yielded conflicting results. Only approximately half of hypertensive Hispanic Americans know that they have high blood pressure, and only approximately one fourth of these have their blood pressure under control. The prevalence of hypertension among Hispanic Americans falls between that of blacks and non-Hispanic whites, but appears to increase with the process of acculturation. In addition, the prevalence of hypertension and other cardiovascular risk factors increases with decreasing socioeconomic status. Although cardiovascular mortality is declining in the US population at large, it is declining more slowly for Hispanics than it is for blacks and non-Hispanic whites.
Hypertension is a major health threat in the Hispanic community. Barriers to care posed by poverty, language, and lack of education increase the risk of less-than-adequate diagnosis and treatment.
西班牙裔人群是美国人口中增长迅速的一部分。
回顾西班牙裔美国人高血压的发病率和患病率。
约2240万西班牙裔居住在美国，但他们并非同质群体：波多黎各人的健康状况似乎比墨西哥人和古巴人更差，但不同研究结果相互矛盾。只有约一半患有高血压的西班牙裔美国人知道自己患有高血压，其中只有约四分之一的人的血压得到控制。西班牙裔美国人高血压的患病率介于黑人和非西班牙裔白人之间，但似乎随着文化适应过程而增加。此外，高血压和其他心血管危险因素的患病率随着社会经济地位的降低而增加。尽管美国总体人口的心血管死亡率在下降，但西班牙裔的下降速度比黑人和非西班牙裔白人更慢。
高血压是西班牙裔社区的主要健康威胁。贫困、语言和教育程度低造成的就医障碍增加了诊断和治疗不足的风险。
