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J Clin Hypertens (Greenwich). 2015 Oct;17(10):812-8. doi: 10.1111/jch.12483. Epub 2015 Feb 3.

Prevalence of Hypertension and Associated Risk Factors in Western Alaska Native People: The Western Alaska Tribal Collaborative for Health (WATCH) Study.

Author information

1
General Internal Medicine, Cleveland Clinic Medicine Institute, Cleveland, OH.
2
Alaska Native Tribal Health Consortium, Anchorage, AK.
3
MedStar Health Research Institute, Hyattsville, MD.
4
Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska-Fairbanks, Fairbanks, AK.
5
Department of Epidemiology, University of Washington, Seattle, WA.
6
Global Institute of Public Health, New York University, New York, NY.
7
Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC.

Abstract

Hypertension is a common chronic disease and a key risk factor in the development of cardiovascular disease. The Western Alaska Tribal Collaborative for Health study consolidates baseline data from four major cohorts residing in the Norton Sound and Yukon-Kuskokwim regions of western Alaska. This consolidated cohort affords an opportunity for a systematic analysis of high blood pressure and its correlates in a unique population with high stroke rates over a wide age range. While the prevalence of hypertension among western Alaska Native people (30%, age-standardized) is slightly less than that of the US general population (33%), cardiovascular disease is a leading cause of mortality in this rural population. The authors found that improvement is needed in hypertension awareness as about two thirds (64%) of patients reported awareness and only 39% with hypertension were controlled on medication. Future analyses assessing risk and protective factors for incident hypertension in this population are indicated.

PMID:
25644577
PMCID:
PMC4523474
DOI:
10.1111/jch.12483
[Indexed for MEDLINE]
Free PMC Article

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