HDS-12 Increase the proportion of adults with hypertension whose blood pressure is under control

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
43.7 (2005-2008)
Target
61.2
Target-Setting Method
Projection/trend analysis
Numerator
Number of persons aged 18 years and over, excluding pregnant women, with hypertension whose mean systolic blood pressure is less than 140 mm Hg and mean diastolic blood pressure is less than 90 mm Hg
Denominator
Number of persons with high blood pressure/hypertension aged 18 years and over, excluding pregnant women
Questions Used to Obtain the National Baseline Data

From the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey:

[NUMERATOR AND DENOMINATOR:]

Have you ever been told by a doctor or other health professional that you had hypertension, also called high blood pressure?

  1. Yes
  2. No
  3. Refused
  4. Don't know

Because of your high blood pressure/hypertension, have you ever been told by a doctor or other health professional to take prescribed medication?

  1. Yes
  2. No
  3. Refused
  4. Don't know

Are you now taking prescribed medication?

  1. Yes
  2. No
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Leading Health Indicator
Clinical Preventive Services

Comments

Methodology Notes

Adults are defined as having high blood pressure/hypertension if they either: (a) have a measurement of mean systolic blood pressure (SBP) ≥140 mm Hg or (b) mean diastolic blood pressure (DBP) ≥90 mm Hg or (c) report they are taking high blood pressure medicine.

Blood pressure is measured by averaging up to 3 blood pressure readings taken during the physical examination in the NHANES mobile examination center

Blood pressure has been measured with the mercury sphygmomanometer for many years but with new technologies available, alternative blood pressure devices have taken center stage. The rapid pace of the development of automated sphygmomanometers with improving accuracy and reliability combined with increasing affordability has meant that these devices have now replaced the mercury sphygmomanometer in many settings. A detailed description of the procedures for blood pressure measurement in the NHANES has been published elsewhere.

Age Adjustment

This Indicator uses Age-Adjustment Groups for four-year data:

  • Total: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Sex: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Race/Ethnicity: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Educational Attainment: 25-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Family Income: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Country of Birth: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Disability Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Health Insurance Status: 18-29, 30-39, 40-49, 50-59, 60-64
  • Diabetes Status: 18-49, 50-59, 60-69, 70-79, 80+
  • Marital Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Veteran Status: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Obesity Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+

This Indicator uses Age-Adjustment Groups for two-year data:

  • Total: 18-39, 40-59, 60+
  • Sex: 18-39, 40-59, 60+
  • Race/Ethnicity: 18-39, 40-59, 60+
  • Educational Attainment: 25-39, 40-59, 60+
  • Family Income: 18-39, 40-59, 60+
  • Country of Birth: 18-39, 40-59, 60+
  • Disability Status: 20-39, 40-59, 60+
  • Health Insurance Status: 18-39, 40-59, 60-64
  • Diabetes Status: 18-39, 40-59, 60+
  • Marital Status: 20-39, 40-59, 60+
  • Veteran Status: 18-39, 40-59, 60+
  • Obesity Status: 20-39, 40-59, 60+
Trend Issues
Two-year data are used as a placeholder to provide the latest data available and will be replaced with four-year data when available. Two-year and four-year data are not comparable. Different age adjustment groups are used for the two year and four year data. Two-year estimates are generally less stable and reliable than four-year estimates.

References and More Information

  1. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2005-2006, Public Use Blood Pressure and Cholesterol Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, November 2007.
  2. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2007-2008, Public Use Blood Pressure and Cholesterol Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, September 2009.
  3. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2009-2010, Health Tech/Blood Pressure Procedures Manual. Hyattsville, MD: Centers for Disease Control and Prevention, May 2009.