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. 2017 Apr 20:14:E33.
doi: 10.5888/pcd14.160478.

Racial and Ethnic Subgroup Disparities in Hypertension Prevalence, New York City Health and Nutrition Examination Survey, 2013-2014

Kezhen Fei  1   2 , Jesica S Rodriguez-Lopez  1   3 , Marcel Ramos  1 , Nadia Islam  4 , Chau Trinh-Shevrin  4 , Stella S Yi  4 , Claudia Chernov  5 , Sharon E Perlman  5 , Lorna E Thorpe  4
Affiliations

Racial and Ethnic Subgroup Disparities in Hypertension Prevalence, New York City Health and Nutrition Examination Survey, 2013-2014

Kezhen Fei et al. Prev Chronic Dis. .

Abstract

Introduction: Racial/ethnic minority adults have higher rates of hypertension than non-Hispanic white adults. We examined the prevalence of hypertension among Hispanic and Asian subgroups in New York City.

Methods: Data from the 2013-2014 New York City Health and Nutrition Examination Survey were used to assess hypertension prevalence among adults (aged ≥20) in New York City (n = 1,476). Hypertension was measured (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or self-reported hypertension and use of blood pressure medication). Participants self-reported race/ethnicity and country of origin. Multivariable logistic regression models assessed differences in prevalence by race/ethnicity and sociodemographic and health-related characteristics.

Results: Overall hypertension prevalence among adults in New York City was 33.9% (43.5% for non-Hispanic blacks, 38.0% for Asians, 33.0% for Hispanics, and 27.5% for non-Hispanic whites). Among Hispanic adults, prevalence was 39.4% for Dominican, 34.2% for Puerto Rican, and 27.5% for Central/South American adults. Among Asian adults, prevalence was 43.0% for South Asian and 39.9% for East/Southeast Asian adults. Adjusting for age, sex, education, and body mass index, 2 major racial/ethnic minority groups had higher odds of hypertension than non-Hispanic whites: non-Hispanic black (AOR [adjusted odds ratio], 2.6; 95% confidence interval [CI], 1.7-3.9) and Asian (AOR, 2.0; 95% CI, 1.2-3.4) adults. Two subgroups had greater odds of hypertension than the non-Hispanic white group: East/Southeast Asian adults (AOR, 2.8; 95% CI, 1.6-4.9) and Dominican adults (AOR, 1.9; 95% CI, 1.1-3.5).

Conclusion: Racial/ethnic minority subgroups vary in hypertension prevalence, suggesting the need for targeted interventions.

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Figures

Figure
Figure
Prevalence of age standardized hypertension by major racial/ethnic group, Hispanic and Asian subgroups, and body mass index, New York City Health and Nutrition Examination Survey, 2013–2014. Relative standard errors for estimates were <30% for all races and ethnicities, except normal/underweight Dominicans (33%). We could not produce reliable estimates for South Asians in the overweight and obese categories, so no bars appear for those categories.
See this image and copyright information in PMC

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