Table 3.
Factors associated with newly classified hypertension.
| Not hypertension by JNC7 |
Newly classified as hypertension by 2017 ACC/AHA |
|||
|---|---|---|---|---|
| n | Weighted n | % | Adjusted RR (95% CI) | |
| Overall | 4,194 | 37,069,511 | 9.4 | |
| Age (years) | ||||
| 20-24 | 909 | 7,878,013 | 5.0 | 1.00 |
| 25-29 | 793 | 7,249,297 | 4.0 | 0.76 (0.45–1.27) |
| 30-34 | 829 | 7,097,569 | 8.3 | 1.52 (1.01–2.29) |
| 35-39 | 823 | 7,326,420 | 12.9 | 2.33 (1.56–3.49) |
| 40-44 | 840 | 7,518,212 | 16.9 | 3.01 (1.96–4.63) |
| Race/Ethnicity | ||||
| Non-Hispanic White | 1,709 | 23,129,824 | 9.5 | 1.00 |
| Non-Hispanic Black | 787 | 4,269,687 | 13.2 | 1.21 (0.90–1.62) |
| Hispanic | 1214 | 6,538,669 | 6.8 | 0.60 (0.43–0.84) |
| Non-Hispanic Other | 484 | 3,131,331 | 8.7 | 1.01 (0.65–1.57) |
| Education | ||||
| Less than High School | 824 | 5,289,427 | 10.8 | 1.30 (0.92–1.84) |
| High School | 793 | 6,626,742 | 8.0 | 1.00 |
| Some College | 1,466 | 13,336,746 | 10.1 | 1.27 (0.93–1.75) |
| College and Above | 1,106 | 11,784,244 | 8.8 | 1.11 (0.78–1.59) |
| Household Income ($) | ||||
| <35,000 | 1,658 | 11,663,857 | 9.2 | 1.00 |
| 35,000-54999 | 689 | 6,023,876 | 9.3 | 1.03 (0.78–1.36) |
| 55,000-74999 | 469 | 4,859,849 | 8.5 | 0.99 (0.70–1.41) |
| ≥75,000 | 933 | 10,174,482 | 9.1 | 1.03 (0.78–1.36) |
| Unknown | 445 | 4,347,446 | 12.0 | 1.35 (0.95–1.92) |
| Body Mass Index (kg/m2) | ||||
| Underweight (<18.5) | 137 | 1,236,275 | 3.9 | 0.60 (0.26–1.36) |
| Normal Weight (18.5–24.9) | 1,577 | 15,190,529 | 6.0 | 1.00 |
| Overweight (25–29.9) | 1,132 | 9,756,410 | 8.4 | 1.37 (0.98–1.92) |
| Obese (≥30) | 1,348 | 10,886,298 | 15.7 | 2.42 (1.79–3.27) |
| Health Insurance | ||||
| Insured | 2,917 | 27,976,419 | 9.5 | 1.00 |
| Uninsured | 1,273 | 9,051,761 | 9.1 | 1.10 (0.88–1.36) |
| Current Cigarette User | ||||
| No | 3,305 | 28,902,307 | 9.2 | 1.00 |
| Yes | 889 | 8,167,204 | 10.2 | 1.08 (0.81–1.46) |
| High CVD Risk | ||||
| No | 4,143 | 36,628,788 | 9.4 | 1.00 |
| Yes | 51 | 440,723 | 11.3 | 0.76 (0.30–1.95) |
| Diabetes | ||||
| No | 4,029 | 35,909,880 | 8.9 | 1.00 |
| Yes | 165 | 1,159,631 | 24.9 | 1.68 (1.17–2.42) |
| Survey Cycle | ||||
| 2005–2006 | 630 | 6,689,161 | 9.6 | 1.00 |
| 2007–2008 | 809 | 7,236,296 | 8.9 | 1.08 (0.65–1.81) |
| 2009–2010 | 1,020 | 7,996,577 | 11.1 | 1.31 (0.82–2.09) |
| 2011–2012 | 822 | 7,350,341 | 10.3 | 1.29 (0.76–2.19) |
| 2013–2014 | 913 | 7,797,137 | 7.1 | 0.84 (0.53–1.33) |
2017 ACC/AHA guideline - 2017 American College of Cardiology/American Heart Association Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults (Reference #4).
JNC7 guideline - Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (Reference #5).
CVD: cardiovascular disease; RR: relative risk; CI: confidence interval.
Bolded adjusted RRs are statistically significant.
All analyses of % and aRRs are weighted.
Adjusted for age, race/ethnicity, education, household income, body mass index, health insurance, current cigarette user, high risk of CVD, diabetes, and survey cycle.