Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017
| Autor: | Jing Fang, Kurt J. Greenlund, Kamil E. Barbour, Yan Wang, Yong Liu, Linda Schieb, Claudine M. Samanic, Hua Lu |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population Telemedicine Health (social science) Adolescent Urban Population Epidemiology Health Toxicology and Mutagenesis MEDLINE 01 natural sciences 03 medical and health sciences Underserved Population Young Adult 0302 clinical medicine Health Information Management Risk Factors Environmental health Health care Prevalence Medicine Humans 030212 general & internal medicine Full Report 0101 mathematics Young adult Antihypertensive Agents Aged Behavioral Risk Factor Surveillance System business.industry 010102 general mathematics General Medicine Health Status Disparities Middle Aged United States Blood pressure Hypertension Female Self Report Rural area business |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X 0149-2195 |
| Popis: | In 2017, approximately one in three U.S. adults reported having been told by a health care professional that they had high blood pressure (hypertension) (1). Although hypertension prevalence is well documented at national and state levels, less is known about rural-urban variation and county-level prevalence. To examine prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and county, CDC analyzed data reported by 442,641 adults aged ≥18 years who participated in the 2017 Behavioral Risk Factor Surveillance System (BRFSS). In rural (noncore) areas, 40.0% (unadjusted prevalence) of adults reported having hypertension, whereas in the most urban (large central metro) areas, 29.4% reported having hypertension. Age-standardized hypertension prevalence was significantly higher in the most rural areas, compared with the most urban areas within nearly all categories of age, sex, and other demographic characteristics. Model-based hypertension prevalence across counties ranged from 18.0% to 55.0% and was highest in Southeastern* and Appalachian† counties. Model-based county-level prevalence of antihypertensive medication use among adults with hypertension ranged from 54.3% to 84.7%. Medication use also was higher in rural areas compared with use in most urban areas, with prevalence highest in Southeastern and Appalachian counties as well as counties in the Dakotas and Nebraska. CDC is working with states to enhance hypertension awareness and management through a strategy of team-based care that involves physicians, nurses, pharmacists, dietitians, and community health workers. The increased use of telemedicine to support this strategy might improve access to care among underserved populations. |
| Databáze: | OpenAIRE |
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