Table 4.
The prevalence and awareness of hypertension according to the 7th Joint National Committee blood pressure classification and treatment rates according to the 7th and 8th Joint National Committee guidelines for the treatment of high blood pressure according to race in 6,088 participants from the 5th visit of the Atherosclerosis Risk in Communities Study, 2011–13.
| Whites | JNC 7 Guidelines | JNC8P Guidelines | Reclassified to at goal |
|---|---|---|---|
| Overall (n=4,676) | |||
| Prevalence (% of n) | 3696 (79.0) | ‡ | |
| Awareness (%*) | 2874 (77.6) | ‡ | |
| At Goal BP (% of n) | 3,070 (65.7) | 3824 (81.8) | 754 (16.1) |
| On BP Medications (%†) | 2090 (68.1) | 2655 (69.4) | 565 (74.9) |
|
| |||
| No Diabetes or CKD (n=2,165) | Goal <140/90 | Goal <150/90 | |
| Prevalence (% of n) | 1410 (65.1) | ‡ | |
| Awareness (%*) | 1040 (73.8) | ‡ | |
| At Goal BP (% of n) | 1,706 (78.8) | 1,942 (89.7) | 236 (10.9) |
| On BP Medications (%†) | 951 (55.7) | 1087 (56.0) | 136 (57.6) |
|
| |||
| Diabetes or CKD (n=2,511) | Goal <130/80 | Goal <140/90 | |
| Prevalence (% of n) | 2286 (91.0) | ‡ | |
| Awareness (%*) | 1834 (80.2) | ‡ | |
| At Goal BP (% of n) | 1,364 (54.3) | 1,882 (75.0) | 518 (20.6) |
| On BP Medications (%†) | 1139 (83.5) | 1568 (83.3) | 429 (82.8) |
|
| |||
| Blacks | JNC 7 Guidelines | JNC8P Guidelines | Reclassified to at goal |
|
| |||
| Overall (n=1,412) | |||
| Prevalence (% of n) | 1290 (91.4) | ‡ | |
| Awareness (%*) | 1161 (90.0) | ‡ | |
| At Goal BP (% of n) | 752 (53.2) | 1,007 (71.3) | 255 (18.1) |
| On BP Medications (%†) | 630 (83.8) | 859 (85.3) | 229 (89.8) |
|
| |||
| No Diabetes or CKD (n=579) | Goal <140/90 | Goal <150/90 | |
| Prevalence (% of n) | 488 (84.3) | ‡ | |
| Awareness (%*) | 427 (87.5) | ‡ | |
| At Goal BP (% of n) | 400 (69.1) | 482 (83.3) | 82 (14.2) |
| On BP Medications (%†) | 309 (77.3) | 378 (78.4) | 69 (84.2) |
|
| |||
| Diabetes or CKD (n=833) | Goal <130/80 | Goal <140/90 | |
| Prevalence (% of n) | 802 (96.3) | ‡ | |
| Awareness (%*) | 734 (91.5) | ‡ | |
| At Goal BP (% of n) | 352 (42.3) | 525 (63.0) | 173 (20.8) |
| On BP Medications (%†) | 321 (91.2) | 481 (91.6) | 160 (92.5) |
Abbreviations: JNC – Joint National Committee, CKD – Chronic Kidney Disease, BP – Blood Pressure
*
Percentage of the number with hypertension
†
Percentage of the number at goal BP
‡
The JNC8P guidelines do not address definitions of hypertension and had not yet been released at the time of data collection so the prevalence and awareness of hypertension according to JNC8P was not analyzed.