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HDS-11 Data Details

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HDS-11 Increase the proportion of adults with hypertension who are taking the prescribed medications to lower their blood pressure

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health and Nutrition Examination Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
63.2 (2005–08)
Target: 
69.5
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with high blood pressure/hypertension who are taking high blood pressure medications

Denominator: 

Number of persons aged 18 years and over with high blood pressure/hypertension

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
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
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 that 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 Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-49, 50-59, 60-69, 70-79, 80+
    • Sex: 18-49, 50-59, 60-69, 70-79, 80+
    • Race/Ethnicity: 18-49, 50-59, 60-69, 70-79, 80+
    • Educational Attainment: 25-49, 50-59, 60-69, 70-79, 80+
    • Family Income (percent poverty threshold): 18-49, 50-59, 60-69, 70-79, 80+
    • Country of Birth: 18-49, 50-59, 60-69, 70-79, 80+
    • Disability Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Health Insurance Status: 18-49, 50-59, 60-64
    • Diabetes Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Marital Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Veteran Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Obesity Status: 20-49, 50-59, 60-69, 70-79, 80+
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 12-11 in that it is a component of the Healthy People 2010 objective. Healthy People 2010 objective 12-11 tracked adults with high blood pressure who were taking action to help control blood their blood pressure through diet, sodium and alcohol reduction, exercise, or high blood pressure medication. This objective tracks those adults with high blood pressure/hypertension who are taking high blood pressure medication. The data source was changed from the National Health Interview Survey to the National Health and Nutrition Examination Survey to enable direct measurement of some of the action components tracked by other Healthy People 2020 objectives.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2012, the original baseline was revised from 70.4 to 63.2 due to a programming error. The original data were accidentally not age adjusted. The target was adjusted from 77.4 to 69.5 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2005-2006, Public Use Medical Conditions Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, November 2007.