title: Improving actions to control high blood pressure in Hispanic communities - Racial and Ethnic Approaches to Community Health Across the U.S. Project, 2009-2012.
abstract: BACKGROUND
  Compared with the general population in the United States (U.S.), Hispanics with hypertension are less likely to be aware of their condition, to take antihypertensive medication, and to adopt healthy lifestyles to control high blood pressure. We examined whether a multi-community intervention successfully increased the prevalence of actions to control hypertension among Hispanics.
  
  
  METHODS
  Annual survey from 2009-2012 was conducted in six Hispanic communities in the Racial and Ethnic Approaches to Community Health (REACH) Across the U.S.
  
  
  METHODS
  The survey used address based sampling design that matched the geographies of intervention program.
  
  
  RESULTS
  Age- and sex-standardized prevalences of taking hypertensive medication, changing eating habits, cutting down on salt, and reducing alcohol use significantly increased among Hispanics with self-reported hypertension in REACH communities. The 3-year relative percent increases were 5.8, 6.8, 7.9, and 35.2% for the four indicators, respectively. These favorable (healthier) trends occurred in both foreign-born and U.S.-born Hispanics.
  
  
  CONCLUSIONS
  This large community-based participatory intervention resulted in more Hispanic residents in the communities taking actions to control high blood pressure.
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, United States. Electronic address: ycl1@cdc.gov.
authors.forename: Youlian
authors.initials: Y
authors.lastname: Liao
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, United States.
authors.forename: Paul Z
authors.initials: PZ
authors.lastname: Siegel
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, United States.
authors.forename: Shannon
authors.initials: S
authors.lastname: White
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, United States.
authors.forename: Rick
authors.initials: R
authors.lastname: Dulin
authors.affiliation: Division of Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, United States.
authors.forename: April
authors.initials: A
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D055812:Community-Based Participatory Research / Q000379:methods*; D005260:Female; D006306:Health Surveys; D006630:Hispanic or Latino / Q000193:education*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D014481:United States; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents
keywords: Community intervention; Health disparity; Hispanic; Hypertension