Questions for Ryne Paulose, NHANES’ Associate Director for Science and Lead Author of “Characteristics of Adults with Hypertension who are Unaware of their Hypertension, NHANES 2011–2014”
Q: What made you want to do a report on adults with hypertension who are unaware of their hypertension?
RP: We have a number of NCHS brief reports on prevalence of hypertension, awareness, control, and treatment. We wanted to publish a brief report that further characterizes adults who are unaware of their hypertension. Being undiagnosed and unaware of having hypertension is a problem since these blood pressure for these adults will remain above normal levels and have potentially damaging effects.
Q: It looks there was a major decline in the number of adults with hypertension that were unaware they had it since 1999-2002 data? Do you know why there has been a significant decline?
RP: Yes, there was a 46% decline from 1999-2002 to 2011-2014, in the percent of adults with hypertension who were unaware. The decline was seen across all age groups. But the decline was greater for those 60 years and older.
We did not specifically examine reasons for the decline in this brief report. But in our report, we do see that the percent unware was lower among adults with health insurance or with increased healthcare visits in the prior year. This implies that increased contact with a healthcare provider increases the chances that high blood pressure will be identified and diagnosed.
Q: Were there major differences in income and education level among adults with hypertension who were unaware of their hypertension?
RP: Generally, there were no differences by income or education level in the percent of adults with hypertension who were unaware. About 14-18% of adults at different income levels were unaware and about 14-19% of adults at different education levels were unaware.
Q: Was there anything in your report that surprised you?
RP: The oversampling of Asian Americans in NHANES is new as of 2011. So, the estimates for Non-Hispanic Asians was an unknown from earlier years. So, the differences we reported did surprise me. Further analysis is in progress to better understand these differences.
Q: What is the take home message from this report?
RP: Although we’ve seen a significant decline in the percent of adults with hypertension who were unaware of their hypertension, nearly 1 in 6 adults with hypertension is unaware of his/her hypertension. Additional efforts may be needed to identify and diagnose these individuals for management and control of their high blood pressure.
QuickStats: Number of Deaths from 10 Leading Causes by Sex — National Vital Statistics System, United States, 2015April 24, 2017
In 2015, a total of 1,339,226 deaths among females and 1,373,404 deaths among males occurred.
Heart disease and cancer were the top two causes of death for both females and males; other leading causes varied in rank by sex.
The 10 leading causes of death accounted for approximately three-quarters of all deaths.
CDC’s National Center for Health Statistics has updated its “Stats of the States” feature on the NCHS web site. This resource features the latest state-by-state comparisons on key health indicators ranging from birth topics such as teen births and cesarean deliveries to leading causes of death and health insurance coverage.
Tabs have been added to the color-coded maps to compare trends on these topics between the most recent years (2015 and 2014) and going back a decade (2005) and in some cases further back.
To access the main “Stats of the States” page, use the following link:
QuickStats: Percentage Distribution of Gestational Age in Weeks for Infants Who Survived to Age 1 Year and Infants Who Died Before Age 1 Year — National Vital Statistics System, United States, 2014April 17, 2017
Infants who do not survive the first year of life are more likely to be born at earlier gestational ages.
In 2014, 66% of infants who survived to age 1 year were delivered at full term or later (≥39 completed weeks) compared with 16% of infants who died before reaching age 1 year.
Fifty-eight percent of infants who died before age 1 year were delivered at <32 weeks gestation compared with only 1% of infants who survived to age 1 year.