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Ethnic Differences in Childhood Blood Pressure

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Pediatric Hypertension

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Essential hypertension (HTN) in the African-American community has reached epidemic proportions. According to the 2002 report of the American Heart Association (1), the age-adjusted prevalence of HTN for African-Americans 20 yr and older was 36.7% for men and 36.6% for women. The high prevalence of HTN for African-Americans contributed to the increased morbidity and mortality among African-Americans compared to Caucasians including: (1) a 1.3 times greater rate of nonfatal stroke and a 1.8 times greater rate of fatal stroke; (2) a 1.5 times greater rate of heart disease and death; and (3) a 4.2 times greater rate of renal disease. Furthermore, African-American compared to Caucasian women have an 85% greater rate of hypertension-related ambulatory care visits. Perhaps the most telling statistic is that HTN contributes to 30% of all deaths for African-American males and 20% for all females.

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Authors
  1. Gregory A. Harshfield PhD
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  2. Martha E. Wilson MA
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Editors and Affiliations

  1. Division of Pediatric Nephrology and Hypertension, University of Texas-Houston, Medical School, Houston, TX, USA

    Ronald J. Portman MD (Chairman, Executive Committee, International Pediatric Hypertension Association, and Professor and Director) & Jonathan M. Sorof MD (Vice Chairman, Executive Committee, International Pediatric Hypertension Association, and Associate Professor) (Chairman, Executive Committee, International Pediatric Hypertension Association, and Professor and Director) &  (Vice Chairman, Executive Committee, International Pediatric Hypertension Association, and Associate Professor)

  2. Department of Pediatrics, Harvard Medical School, and Division of Pediatric Nephrology, Massachusetts General Hospital, Boston, MA, USA

    Julie R. Ingelfinger MD (Liaison, Executive Committee, International Pediatric Hypertension Association, Professor of Pediatrics, Senior Consultant in Pediatric Nephrology) (Liaison, Executive Committee, International Pediatric Hypertension Association, Professor of Pediatrics, Senior Consultant in Pediatric Nephrology)

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Harshfield, G.A., Wilson, M.E. (2004). Ethnic Differences in Childhood Blood Pressure. In: Portman, R.J., Sorof, J.M., Ingelfinger, J.R. (eds) Pediatric Hypertension. Clinical Hypertension and Vascular Diseases. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-797-0_17

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  • DOI: https://doi.org/10.1007/978-1-59259-797-0_17

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