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Ethnic Diversities, Hypertension and Global Cardiovascular Risk pp 139–153Cite as

Disparities in Hypertension in the Ethnic Minority Groups: Beneficial Aspects of Minority Ethnic Group Cultures

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Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

Abstract

During the last decades, increased prevalence of hypertension, limited access to diagnostic procedures, and treatments with inadequate blood pressure control have been increasingly observed among ethnic minorities living in Europe. Consistent with raised BP levels, an excess risk of cardiovascular events is being observed among minority populations living in Europe. The high prevalence of severe hypertension accompanied by lack of medication treatment among subjects originating from sub-Saharan African countries is worrying. In this scenario, the health service must be able to shift attention from the traditional focus on infectious diseases to the problems that characterize a population that is permanently present, therefore more exposed to chronic health problems but also related to socioeconomic inequalities in health. Despite the fact that low-cost treatments are easily available, poor adherence to prescribed medication and lifestyle recommendations has been identified as the most important modifiable cause for disparities in blood pressure control and, consequently, the occurrence of hypertension-related complications. Most importantly, the importance of cultural barriers is to be considered because patient perceptions about the onset, symptoms, and treatment of hypertension can differ substantially from those of their healthcare providers, and this may have a profound impact on adherence to treatment. Hypertension care providers are therefore advised to employ “patient-centred” educational approaches that allow them to explore the individual beliefs and needs of their patients and to find common ground regarding treatment.

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Authors and Affiliations

  1. Department of Clinical and Experimental Medicine, University of Florence, Firenze, Italy

    Pietro Amedeo Modesti

  2. Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

    Charles Agyemang

  3. University of Warwick, Warwick Medical School, and University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK

    Francesco P. Cappuccio

  4. Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy

    Gianfranco Parati

  5. Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

    Gianfranco Parati

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  1. Pietro Amedeo Modesti
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  2. Charles Agyemang
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  3. Francesco P. Cappuccio
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  4. Gianfranco Parati
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Correspondence to Pietro Amedeo Modesti .

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Editors and Affiliations

  1. Department of Clinical and Experimental Medicine, University of Florence, Firenze, Italy

    Pietro Amedeo Modesti

  2. University of Warwick, Warwick Medical School, and University, Hospitals Coventry and Warwickshire, NHS Trust, Coventry, UK

    Francesco P. Cappuccio

  3. Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy

    Gianfranco Parati

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Modesti, P.A., Agyemang, C., Cappuccio, F.P., Parati, G. (2018). Disparities in Hypertension in the Ethnic Minority Groups: Beneficial Aspects of Minority Ethnic Group Cultures. In: Modesti, P., Cappuccio, F., Parati, G. (eds) Ethnic Diversities, Hypertension and Global Cardiovascular Risk. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-319-93148-7_11

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  • DOI: https://doi.org/10.1007/978-3-319-93148-7_11

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