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High blood pressure prevalence from 2019 ASA heart disease and stroke statistics

High blood pressure prevalence from 2019 ASA heart disease and stroke statistics
Population group Prevalence,
2013-2016, age ≥20 years
Mortality,*
2016, all ages
Hospital discharges,
2014, all ages
Estimated cost,
2014-2015
Both sexes 116,400,000 (46.0%) 82,735 292,000 $55.9 billion
Males 58,700,000 (49.0%) 39,577 (47.8%) 142,000 ...
Females 57,700,000 (42.8%) 43,158 (52.2 %) 150,000 ...
NH White males 48.2% 26,402 ... ...
NH White females 41.3% 30,638 ... ...
NH Black males 58.6% 8429 ... ...
NH Black females 56.0% 7897 ... ...
Hispanic males 47.4% 3063 ... ...
Hispanic females 40.8% 2856 ... ...
NH Asian males 46.4% 1153Δ ... ...
NH Asian females 36.4% 1362Δ ... ...
NH American Indian/Alaska Native ... 520 ... ...
Hypertension is defined in terms of NHANES (National Health and Nutrition Examination Survey) blood pressure measurements and health interviews. A subject was considered to have hypertension if systolic blood pressure was ≥130 mmHg or diastolic blood pressure was ≥80 mmHg, if the subject said "yes" to taking antihypertensive medication, or if the subject was told on 2 occasions that he or she had hypertension. A previous publication that used NHANES 2011 to 2014 data estimated there were 103.3 million noninstitutionalized US adults with hypertension.[1] The number of US adults with hypertension in this table includes both noninstitutionalized and institutionalized US individuals. Also, the previous study did not include individuals who reported having been told on 2 occasions that they had hypertension as having hypertension unless they met another criterion (systolic blood pressure was ≥130 mmHg or diastolic blood pressure was ≥80 mmHg, if the subject said "yes" to taking antihypertensive medication).
Ellipses (...): data not available; NH: non-Hispanic.
* Mortality for Hispanic, American Indian or Alaska Native, and Asian and Pacific Islander people should be interpreted with caution because of inconsistencies in reporting Hispanic origin or race on the death certificate compared with censuses, surveys, and birth certificates. Studies have shown underreporting on death certificates of American Indian or Alaska Native, Asian, and Pacific Islander, and Hispanic decedents, as well as undercounts of these groups in censuses.
¶ These percentages represent the portion of total high blood pressure mortality that is for males versus females.
Δ Includes Chinese, Filipino, Hawaiian, Japanese, and other Asian or Pacific Islander.
Reference:
  1. Muntner P, Carey RM, Gidding S, et al. Potential US population impact of the 2017 ACC/AHA high blood pressure guideline. Circulation 2018; 137:109.
Reprinted with permission. Circulation 2019; 139(10):e56-e528. Copyright © 2019 American Heart Association, Inc.
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