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Increasing prevalence of hypertension in low income residents within Louisiana State University Health Care Services Division Hospital System
Authors:Yurong Zhang  Wei Li  Yujie Wang  Liwei Chen  Ronald Horswell  Ke Xiao  Jay Besse  Jolene Johnson  Donna H. Ryan  Gang Hu
Affiliation:1. Pennington Biomedical Research Center, Baton Rouge, LA, USA;2. First Affiliated Hospital of Medical School, Xi''an Jiaotong University, Xi''an, Shaanxi, China;3. School of Public Health, Louisiana State University Health Science Center, New Orleans, LA, USA;4. Health Care Service Division, Louisiana State University Health Science Center, Baton Rouge, LA, USA;5. Earl K Long Medical Center, Louisiana State University Health Science Center, Baton Rouge, LA, USA;1. Department of Internal Medicine, American University of Beirut Medical Center, PO Box 11-0236, Riad El-Solh 1107-2020, Beirut, Lebanon;2. Department of Medicine, Emory University School of Medicine, 1648 Pierce Drive, N.E., Atlanta, GA 30322, USA;3. Department of Medicine, MedStar Good Samaritan Hospital, 5601 Loch Raven Boulevard, Baltimore, MD 21239, USA;4. Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, 1400S, Coulter Street, Amarillo, TX 79106, USA;1. Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, Mantova, Italy;2. Scientific Direction, IRCCS Cà Granda Foundation Maggiore Hospital, Milan, Italy;1. Tropical Diseases Unit, Policlinico Umberto I, Rome, Italy;2. Department of Experimental and Clinical Medicine, University “Magna Graecia” of Catanzaro, Viale Europa, Loc. Germaneto, 88100 Catanzaro, Italy;3. National Institute of Health, Viale Regina Elena 299, Rome, Italy;4. Department of Medical Sciences, University “Magna Graecia” of Catanzaro, Viale Europa, Loc. Germaneto, 88100 Catanzaro, Italy;5. “Sersale''s Study” Collaborating Group: C. Costa, M. R. Scarpino, V. Aiello, G. Pandolfo, L. Scalise (Chair of Infectious Diseases, University “Magna Graecia” of Catanzaro); S. Scalzi (Person responsible for the Sersale Polyambulatories); A. Elia, F. Lia, T. Perri, P. Valente (General Practitioners, Sersale); F. Scalise (Pediatrician, Sersale);1. Department of Gastroenterology and Hepatology, The Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;2. Clinical Research Center, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;3. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;4. Department of Internal Medicine, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;5. Department of Gastroenterology and Hepatology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;1. Department of Gastrointestinal Medical Oncology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;2. Department of Biostatistics, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;3. Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;4. Department of Thoracic Oncology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;5. Department of Gastroenterology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;6. Department of Clinical Pharmacy, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;7. Department of Pathology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA;8. Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd (FC10.3022), Houston, TX 77030, USA
Abstract:BackgroundHypertension risk in local areas may vary from national estimates; however, the data on the prevalence of hypertension in some local areas are limited. We investigate the trend in the prevalence of hypertension in Louisiana from 2000 to 2009.MethodsWe conducted a retrospective study among the subjects aged ≥ 20 years who received medical care from the Louisiana State University Health Care Services Division (LSUHCSD) hospital system during 2000–2009. Hypertensive cases were identified by using ICD-9 codes. The annual hypertension prevalence was calculated as the number of unique hypertensive individuals during the year divided by the number of unique individuals visiting the LSUHCSD hospital during the year.ResultsThe age-standardized prevalence of hypertension in LSUHCSD hospital patients aged ≥ 20 years increased by 49.4% during 2000–2009, from 24.1% in 2000 to 36.0% in 2009. The rise in age-standardized prevalence of hypertension from 2000 to 2009 occurred in both men (from 20.1% to 32.8%) and women (from 26.8 % to 38.3%), and in White (from 20.1% to 33.0%), African (from 27.4% to 37.6%) and other race Americans (from 14.9% to 22.3%). The age-standardized prevalence of hypertension was higher in women than in men, and higher in African Americans than in White and other race Americans.ConclusionThe annual prevalence of hypertension has dramatically increased from 2000 to 2009 in both men and women and in all races of the population served by the LSUHCSD hospitals.
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