Hypertension in Women of Reproductive Age in the United States: NHANES 1999-2008
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Hypertension in Women of Reproductive Age in the United States: NHANES 1999-2008
| Title: | Hypertension in Women of Reproductive Age in the United States: NHANES 1999-2008 |
| Author: |
Shaw, Kate M.; Kuklina, Elena V.; Callaghan, William M.; Hernández-Díaz, Sonia; Bateman, Brian Thomas; Seely, Ellen Wells
Note: Order does not necessarily reflect citation order of authors. |
| Citation: | Bateman, Brian T., Kate M. Shaw, Elena V. Kuklina, William M. Callaghan, Ellen W. Seely, and Sonia Hernández-Díaz. 2012. Hypertension in women of reproductive age in the United States: NHANES 1999-2008. PLoS ONE 7(4): e36171. |
| Full Text & Related Files: |
3340351.pdf (234.6Kb; PDF) 
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| Abstract: | Objective: To examine the epidemiology of hypertension in women of reproductive age. Methods: Using NHANES from 1999–2008, we identified 5,521 women age 20–44 years old. Hypertension status was determined using blood pressure measurements and/or self-reported medication use. Results: The estimated prevalence of hypertension in women of reproductive age was 7.7% (95% confidence interval (CI): 6.9%–8.5%). The prevalence of anti-hypertensive pharmacologic therapy was 4.2% (95% CI 3.5%–4.9%). The prevalence of hypertension was relatively stable across the study period; the age and race adjusted odds of hypertension in 2007–2008 did not differ significantly from 1999–2000 (odds ratio 1.2, CI 0.8 to 1.7, p = 0.45). Significant independent risk factors associated with hypertension included older age, non-Hispanic black race (compared to non-Hispanic whites), diabetes mellitus, chronic kidney disease, and higher body mass index. The most commonly used antihypertensive medications included diuretics, angiotensin-converting enzyme inhibitors (ACE), and beta blockers. Conclusion: Hypertension occurs in about 8% of women of reproductive age. There are remarkable differences in the prevalence of hypertension between racial/ethnic groups. Obesity is a risk factor of particular importance in this population because it affects over 30% of young women in the U.S., is associated with more than 4 fold increased risk of hypertension, and is potentially modifiable. |
| Published Version: | doi:10.1371/journal.pone.0036171 |
| Other Sources: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3340351/pdf/ |
| Terms of Use: | This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA |
| Citable link to this page: | http://nrs.harvard.edu/urn-3:HUL.InstRepos:10399829 |
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