title: Prevalence of Hypertension and Associated Risk Factors in Western Alaska Native People: The Western Alaska Tribal Collaborative for Health (WATCH) Study.
abstract: Hypertension is a common chronic disease and a key risk factor in the development of cardiovascular disease. The Western Alaska Tribal Collaborative for Health study consolidates baseline data from four major cohorts residing in the Norton Sound and Yukon-Kuskokwim regions of western Alaska. This consolidated cohort affords an opportunity for a systematic analysis of high blood pressure and its correlates in a unique population with high stroke rates over a wide age range. While the prevalence of hypertension among western Alaska Native people (30%, age-standardized) is slightly less than that of the US general population (33%), cardiovascular disease is a leading cause of mortality in this rural population. The authors found that improvement is needed in hypertension awareness as about two thirds (64%) of patients reported awareness and only 39% with hypertension were controlled on medication. Future analyses assessing risk and protective factors for incident hypertension in this population are indicated.
authors: General Internal Medicine, Cleveland Clinic Medicine Institute, Cleveland, OH.
authors: Stacey E
authors: SE
authors: Jolly
authors: Alaska Native Tribal Health Consortium, Anchorage, AK.
authors: Kathryn R
authors: KR
authors: Koller
authors: Alaska Native Tribal Health Consortium, Anchorage, AK.
authors: Jesse S
authors: JS
authors: Metzger
authors: Alaska Native Tribal Health Consortium, Anchorage, AK.
authors: Gretchen M
authors: GM
authors: Day
authors: MedStar Health Research Institute, Hyattsville, MD.
authors: Angela
authors: A
authors: Silverman
authors: Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska-Fairbanks, Fairbanks, AK.
authors: Scarlett E
authors: SE
authors: Hopkins
authors: Department of Epidemiology, University of Washington, Seattle, WA.
authors: Melissa A
authors: MA
authors: Austin
authors: Global Institute of Public Health, New York University, New York, NY.
authors: Bernadette
authors: B
authors: Boden-Albala
authors: Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska-Fairbanks, Fairbanks, AK.
authors: Sven O E
authors: SO
authors: Ebbesson
authors: Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska-Fairbanks, Fairbanks, AK.
authors: Bert B
authors: BB
authors: Boyer
authors: MedStar Health Research Institute, Hyattsville, MD.|Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC.
authors: Barbara V
authors: BV
authors: Howard
authors: MedStar Health Research Institute, Hyattsville, MD.|Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC.
authors: Jason G
authors: JG
authors: Umans
mesh_terms: D000328:Adult; D000413:Alaska / Q000453:epidemiology; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods / Q000706:statistics & numerical data; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000208:ethnology / Q000401:mortality; D003299:Cooperative Behavior; D005260:Female; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology* / Q000208:ethnology*; D004930:Inuit / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000208:ethnology; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data
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