title: Hypertension Prevalence in New York City Adults: Unmasking Undetected Racial/Ethnic Variation, NYC HANES 2004.
abstract: OBJECTIVE
  Using 2004 New York City Health and Nutrition Examination Survey (NYC HANES) data, we sought to examine variation in hypertension (HTN) prevalence across eight Asian and Hispanic subgroups.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  New York City, 2004.
  
  
  METHODS
  Logistic regression was performed to identify differences in HTN prevalence between ethnic subgroups controlling for age, sex, education and BMI.
  
  
  RESULTS
  Overall HTN prevalence among NYC adults was 25.5% (95% CI: 23.4-27.8), with 21.1% (95% CI: 18.2-24.3) among Whites, 32.8% (95% CI: 28.7-37.2) Black, 26.4% (95% CI: 22.3-31.0) Hispanics, and 24.7% (95% CI: 19.9-30.3) Asians. Among Hispanic subgroups, Dominicans had the highest HTN prevalence (32.2%), followed by Puerto Ricans (27.7%), while Mexicans had the lowest prevalence (8.1%). Among Asian subgroups, HTN prevalence was slightly higher among South Asians (29.9%) than among Chinese (21.3%). Adjusting for age, Dominican adults were nearly twice as likely to have HTN as non-Hispanic (NH) Whites (OR=1.96, 95% CI: 1.24-3.12), but this was attenuated after adjusting for sex and education (OR=1.27, 95% CI: .76 - 2.12). When comparing South Asians with NH Whites, results were also non-significant after adjustment (OR=2.00, 95% CI: .90-4.43).
  
  
  CONCLUSIONS
  When analyzing racial/ethnic subgroups, NH Black and Hispanic adults from Dominican Republic had the highest HTN prevalence followed by South Asian and Puerto Rican adults. Mexican adults had the lowest prevalence of all groups. These findings highlight that ethnic subgroup differences go undetected when stratified by broader racial/ethnic categories. To our knowledge, this is the first population-based study using objective measures to highlight these differences.
authors.affiliation: Department of Healthcare Policy and Research, Weill Cornell Medical College.
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Giambrone
authors.affiliation: City University of New York School of Public Health.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Gerber
authors.affiliation: City University of New York School of Public Health.
authors.forename: Jesica S
authors.initials: JS
authors.lastname: Rodriguez-Lopez
authors.affiliation: NYU Langone Medical Center.
authors.forename: Chau
authors.initials: C
authors.lastname: Trinh-Shevrin
authors.affiliation: NYU Langone Medical Center.
authors.forename: Nadia
authors.initials: N
authors.lastname: Islam
authors.affiliation: City University of New York School of Public Health.
authors.forename: Lorna E
authors.initials: LE
authors.lastname: Thorpe
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D044466:Asian People; D003430:Cross-Sectional Studies; D004293:Dominican Republic / Q000208:ethnology; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000208:ethnology*; D016015:Logistic Models; D008297:Male; D017058:Mexican Americans / Q000706:statistics & numerical data; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D009749:Nutrition Surveys; D015995:Prevalence; D011647:Puerto Rico / Q000208:ethnology; D044469:Racial Groups; D044465:White People / Q000706:statistics & numerical data
keywords: Asian Subgroups; Hispanic Subgroups; Hypertension; New York City; Race/Ethnicity