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Racial/ethnic variation in hypertension-related lifestyle behaviours among US women with self-reported hypertension

Journal of Human Hypertension volume 22, pages 608–616 (2008)Cite this article

Abstract

Healthy lifestyles such as regular physical activity, frequent consumption of fruits and vegetables, weight control/weight loss and limited alcohol consumption are effective and recommended in hypertension control. Using data collected from a total of 131 788 female participants (aged ⩾18 years) of the 2003 Behavioral Risk Factor Surveillance System, we examined the racial/ethnic disparities in hypertension-related lifestyle behaviours in 36 770 US women with self-reported hypertension from five races/ethnicities (non-Hispanic white (29 237), non-Hispanic black (4288), Asian (445), American Indian/Alaska native (553) and Hispanic (2247)). The prevalence of hypertension varied by race/ethnicity, with the highest seen in non-Hispanic black population (36.9 versus 20.2–26.8% in other racial/ethnic groups). Of all hypertensive women, using non-Hispanic white women as the referent, we found that non-Hispanic black (adjusted odds ratio (AOR): 0.65; 95% confidence interval (CI): 0.55–0.77), American Indian/Alaska native (AOR: 0.72; 95% CI: 0.52–1.00) and Hispanic women (AOR: 0.70; 95% CI: 0.57–0.86) were significantly less likely to engage in physical activity at recommended levels; non-Hispanic black women were more likely to consume⩾8 servings per day of fruits and vegetables (AOR: 1.70; 95% CI: 1.24–2.34), and less likely to report losing weight (AOR: 0.61; 95% CI: 0.53–0.71). In addition, Hispanic hypertensive women were significantly more likely than non-Hispanic white women to receive weight-loss advice (AOR: 1.97; 95% CI: 1.60–2.44). In contrast, non-Hispanic white women were significantly more likely than those from other races/ethnicities to consume alcoholic beverages or engage in binge drinking. Our results demonstrate that race/ethnicity is an independent predictor of lifestyle behaviours related to hypertension control among American women with hypertension.

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Authors and Affiliations

  1. Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA

    G Zhao, E S Ford & A H Mokdad

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  1. G Zhao
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  2. E S Ford
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Correspondence to G Zhao.

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Zhao, G., Ford, E. & Mokdad, A. Racial/ethnic variation in hypertension-related lifestyle behaviours among US women with self-reported hypertension. J Hum Hypertens 22, 608–616 (2008). https://doi.org/10.1038/jhh.2008.52

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