Effects Of Hypertension On African Americans Essay

Effects Of Hypertension On African Americans Essay

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Introduction:
Hypertension is one of the major public health problems that can be easily diagnosed and managed to prevent the further complications that not only affect the population in terms of physical health but also causes an emotional and financial burden on the population.1 Even though development of hypertension due to the complex range of factors. Ethnicity acts as a contributor for the early onset and it is linked to higher chances of acquiring end organ damages such as hypertensive nephropathy, left ventricular hypertrophy and hypertensive retinopathy.1 Among all the ethnicities, African Americans are the highest number of people who are diagnosed with hypertension.2 43% of African American men and 45.7% of African American women have high blood pressure whereas only 33.9% men and 31.3% women have hypertension among Caucasians.2 The Percentage of Caucasians with controlled blood pressure hypertension are higher compared to African Americans with controlled blood pressure.3 Even though biological differences could be the reason for the higher prevalence of hypertension, the fact that the blacks living in America have higher prevalence compared to the blacks living in Africa suggest that the environmental and behavioral factors also play a major role.3 Some of the factors other than genetics that contributed to the increased prevalence of hypertension are socioeconomic status, diet, stress and health behaviors.4
Factors contributing to increased prevalence of hypertension:
Racial discrimination and distrust on the treating physician also influence the adherence of hypertension treatment among blacks.4 Some studies supported that the racial discrimination is associated with poor maintenance of blood pressure after adjustin...


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...al and physiologic outcomes at 36 months:

In this study, hypertensive African American men were recruited and randomized into two groups.9 They are more intensive group which receives additional behavioral and educational intervention and less intensive group that receives regular care with a referral.9 At the end of 36 months, the more intensive group showed higher reductions in blood pressure compared to the less intensive group.9 This study demonstrated the need for an integrated approach from multiple levels of health care to achieve consistent control of blood pressure among the patients.9 It also suggests the home visits along with regular physician follow ups help in increasing the compliance and reduce the blood pressure.9 Addressing the other needs of patients like financial burden and counseling for substance abuse help in achieving higher control rates.9

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