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Reasons for uncontrolled blood pressure among US adults: Data from the US National Health and Nutrition Examination Survey

Hypertension Oct 19, 2021

Sakhuja S, Colvin CL, Akinyelure OP, et al. - Populations exhibiting low hypertension awareness and a common prevalence of uncontrolled blood pressure (BP) despite antihypertensive medication use should be targeted by interventions in order to increase BP control.

  • This study involved US adults with uncontrolled BP identified from the 2015 to 2018 National Health and Nutrition Examination Surveys (N=2282).

  • Among participants, 38.0% were unaware they had hypertension, 15.6% were aware but not treated and 46.4% had awareness and received antihypertensive medication.

  • Likelihood of being unaware of hypertension was more in US adults who were 18-39 vs ≥70 years old (prevalence ratio, 1.49) and was less in those who had a healthcare visit in the past year (prevalence ratio, 0.61), post-multivariable adjustment.

  • Among individuals aware of hypertension, more chances of not being treated vs being treated with antihypertensive medication were evident in those 18 to 39, 40 to 49, 50 to 59, and 60 to 69 vs ≥70 years old.

  • Not being treated vs being treated and having uncontrolled BP was less common in those with vs without a usual source of health care (prevalence ratio, 0.69) and who stated having vs not having a healthcare visit in the previous year (prevalence ratio, 0.46).

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