Level of control of hypertension in Mexican Americans and non-Hispanic whites

Steven M. Haffner, Philip A. Morales, Helen P. Hazuda, Michael P. Stern

Research output: Contribution to journalArticle

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Abstract

Compared with non-Hispanic whites, Mexican Americans have a higher prevalence of diabetes, greater adiposity, and an unfavorable body fat distribution. The prevalence of hypertension, however, is similar or lower in Mexican Americans than in non-Hispanic whites. There is little information on the level of blood pressure control in Mexican Americans. We compared the mean blood pressure levels of Mexican American and non-Hispanic white hypertensive subjects in the San Antonio Heart Study, a populationbased study of diabetes and cardiovascular disease. Hypertension was defined as one or more of a systolic blood pressure a 160 mm Hg, a diastolic blood pressure ≥95 mm Hg, and current use of antihypertensive medications. Three hundred and fifty-eight Mexican Americans and 241 non-Hispanic whites met these criteria. Poor hypertension control was defined as a systolic blood pressure ≥160, a diastolic blood pressure ≥95 mm Hg, or both. After adjustment for age, gender, obesity, body fat distribution, and level of educational attainment, Mexican American hypertensive subjects were in significantly poorer control than non-Hispanic white hypertensive subjects. The reasons for their poorer control are unknown, but our findings emphasize the importance of hypertension in this ethnic group.

Original languageEnglish (US)
Pages (from-to)83-88
Number of pages6
JournalHypertension
Volume21
Issue number1
DOIs
StatePublished - Jan 1993

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Keywords

  • Blood pressure
  • Diabetes mellitus
  • Hypertension, essential
  • Mexican Americans
  • Obesity

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Haffner, S. M., Morales, P. A., Hazuda, H. P., & Stern, M. P. (1993). Level of control of hypertension in Mexican Americans and non-Hispanic whites. Hypertension, 21(1), 83-88. https://doi.org/10.1161/01.HYP.21.1.83