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American Journal of Epidemiology Vol. 121, No. 5: 684-696
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health
ORIGINAL CONTRIBUTIONS |
PREVALENCE, DETECTION, AND CONTROL OF HYPERTENSION IN A BIETHNIC COMMUNITY
THE SAN ANTONIO HEART STUDY
1 Department of Preventive Medicine, Escola Pau lista cia Medicina Sao Paulo SP 04023, Brazil
2 Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio San Antonio, Texas 78284
(Reprint requests to Dr. Michael P. Stern.)
Received for publication May 3, 1984.
Revision received August 7, 1984.
A survey was carried out on a random sample of 1,288 MexIcan Americans and 929 Anglos living In three socially distinct neighborhoods In San Antonio, Texas. Hypertension was defined as diastolic blood pressure 
95 mmHg or currently taking antihypertensive medication. Overall age-adjusted prevalence rates of hypertension were similar for Mexican-American and Anglo men (10.0 and 9.8%, respectIvely); for women, the Mexican-American rate was slightly lower than that for Anglos (7.8 and 9.7%, respectIvely). After adjustment for obesity differences, Mexican Americans have a tendency toward lower hyperten sion rates than Angles of the same socioeconomic level. Only among women was a decline In the prevalence of hypertension with increasing socioeconomic status observed. Mexican Americans have a higher proportion of newly diagnosed hypertension, and, among previously diagnosed cases, a Lower proportion are on antihypertensive medIcation than Angios. The rates of hypertension control found In this survey are among the highest reported in the United States at the community level. Despite this, Mexican Americans sthi lag somewhat behind Angles of the same socioeconomIc level in awareness, treatment, and degree of hypertension control, suggesting the possibility of soclocuttural bafflers to ade quate medical care.
blood pressure; hypertension; Mexican Americans
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