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Review

Hypertension in Hispanic Americans

José L. Cangiano, MD
Cleveland Clinic Journal of Medicine September 1994, 61 (5) 345-350;
José L. Cangiano
Hypertension Section, VA Medical Center, San Juan, Puerto Rico.
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ABSTRACT

BACKGROUND People of Hispanic origin constitute a fast-growing segment of the US population.

OBJECTIVE To review the incidence and prevalence of hypertension in Hispanic Americans.

SUMMARY Some 22.4 million Hispanics live in the United States, but they are not a homogeneous group: Puerto Ricans appear to have a worse health status than Mexicans and Cubans, but different studies have yielded conflicting results. Only approximately half of hypertensive Hispanic Americans know that they have high blood pressure, and only approximately one fourth of these have their blood pressure under control. The prevalence of hypertension among Hispanic Americans falls between that of blacks and non-Hispanic whites, but appears to increase with the process of acculturation. In addition, the prevalence of hypertension and other cardiovascular risk factors increases with decreasing socioeconomic status. Although cardiovascular mortality is declining in the US population at large, it is declining more slowly for Hispanics than it is for blacks and non-Hispanic whites.

CONCLUSIONS Hypertension is a major health threat in the Hispanic community. Barriers to care posed by poverty, language, and lack of education increase the risk of less-than-adequate diagnosis and treatment.

INDEX TERMS
  • HYPERTENSION
  • HISPANIC AMERICANS
  • Copyright © 1994 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 61 (5)
Cleveland Clinic Journal of Medicine
Vol. 61, Issue 5
1 Sep 1994
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Hypertension in Hispanic Americans
José L. Cangiano
Cleveland Clinic Journal of Medicine Sep 1994, 61 (5) 345-350;

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Hypertension in Hispanic Americans
José L. Cangiano
Cleveland Clinic Journal of Medicine Sep 1994, 61 (5) 345-350;
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