Estimated Hypertension Prevalence, Treatment, and Control Among U.S. Adults Tables
For more detailed information about the Estimated Hypertension Prevalence, Treatment, and Control Among U.S. Adults, please consult the following tables.
Table 1. Hypertension prevalence and control estimates among US adults aged 18 years and older applying criteria from the American College of Cardiology and American Heart Association’s (ACC/AHA) 2017 Hypertension Clinical Practice Guideline, by sex, age and race-Hispanic origin—NHANES 2015–2018
| Subgroup | Total Population | Hypertension | Recommended Treatment | Uncontrolled† | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lifestyle modification only |
Prescription blood pressure medication and lifestyle modification* |
Among those with hypertension |
Among those recommended medication and lifestyle modification | |||||||||||||
| N, millions |
% | (se) | N, millions |
% | (se) | N, millions |
% | (se) | N, millions |
% | (se) | N, millions |
% | (se) | N, millions | |
| Total | 245.2 | 47.3 | (0.8) | 116.0 | 21.0 | (1.2) | 24.3 | 79.0 | (1.2) | 91.7 | 79.4 | (1.1) | 92.1 | 73.9 | (1.2) | 67.8 |
| Men | 118.2 | 50.4 | (1.2) | 59.6 | 24.2 | (1.6) | 14.4 | 75.8 | (1.6) | 45.2 | 81.8 | (1.3) | 48.8 | 76.1 | (1.5) | 34.4 |
| Women | 127.1 | 44.3 | (1.0) | 56.3 | 17.5 | (1.3) | 9.8 | 82.5 | (1.3) | 46.4 | 76.7 | (1.4) | 43.2 | 71.8 | (1.5) | 33.3 |
| Age Group, years | ||||||||||||||||
| 18–44 | 114.0 | 25.0 | (1.0) | 28.5 | 52.4 | (2.2) | 14.9 | 47.6 | (2.2) | 13.6 | 91.6 | (1.2) | 26.1 | 82.4 | (2.3) | 11.2 |
| 45–64 | 83.3 | 59.4 | (1.5) | 49.5 | 19.3 | (1.8) | 9.6 | 80.7 | (1.8) | 39.9 | 77.5 | (1.7) | 38.3 | 72.1 | (2.0) | 28.8 |
| ≥65 | 48.0 | 75.7 | (1.7) | 36.3 | 0.0 | (0.0) | 0.0 | 100.0 | (0.0) | 36.3 | 73.0 | (1.6) | 26.5 | 73.0 | (1.6) | 26.5 |
| Race/Hispanic Origin | ||||||||||||||||
| NH White | 157.3 | 48.0 | (1.2) | 75.6 | 19.7 | (1.5) | 14.9 | 80.3 | (1.5) | 60.7 | 77.8 | (1.7) | 58.8 | 72.4 | (1.8) | 44.0 |
| NH Black | 28.8 | 56.2 | (1.1) | 16.2 | 17.8 | (1.5) | 2.9 | 82.2 | (1.5) | 13.3 | 81.9 | (1.1) | 13.2 | 78.0 | (1.2) | 10.4 |
| NH Asian | 14.0 | 46.3 | (1.8) | 6.5 | 27.5 | (2.6) | 1.8 | 72.5 | (2.6) | 4.7 | 86.4 | (1.5) | 5.6 | 81.2 | (1.9) | 3.8 |
| Hispanic | 38.6 | 38.9 | (1.2) | 15.0 | 27.6 | (2.6) | 4.1 | 72.4 | (2.6) | 10.9 | 85.6 | (1.4) | 12.9 | 80.1 | (1.6) | 8.7 |
| Other | 6.5 | 46.2 | (3.5) | 3.0 | 21.8 | (3.9) | 0.7 | 78.2 | (3.9) | 2.3 | 67.2 | (3.1) | 2.0 | 58.1 | (3.8) | 1.4 |
Data Source: National Center for Health Statistics, Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES), 2015–2018.
Definitions: ACC/AHA criteria adapted from Ritchey MD, Gillespie C, Wozniak G, Shay CM, Thompson-Paul AM, Loustalot F, et al. Potential need for expanded pharmacologic treatment and lifestyle modification services under the 2017 ACC/AHA Hypertension Guideline. J Clin Hypertens. 2018 Oct;20(10): 1377–91.
Abbreviation: NH, non-Hispanic.
*ACC/AHA 2017 Hypertension Guideline recommends the addition of lifestyle modifications when prescription medication treatment is indicated.
†Blood pressure ≥130/80 mm Hg; all adults recommended lifestyle modifications only are considered uncontrolled as their blood pressure is above the threshold.
Note: Values may not add up to totals due to rounding.
| Subgroup | Total Population with Uncontrolled Hypertension Recommended Medication |
Recommended Medication, but Untreated |
Treated with Medication, but Uncontrolled |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Prevalence | Subset with a Blood Pressure of ≥140/90 mmHg |
Overall Prevalence | Subset with a Blood Pressure of ≥140/90 mmHg | ||||||||||
| N, millions | % | (se) | N, millions | % | (se) | N, millions | % | (se) | N, millions | % | (se) | N, millions | |
| Total | 67.8 | 50.4 | (1.1) | 34.1 | 68.1 | (1.9) | 23.2 | 49.6 | (1.1) | 33.6 | 59.4 | (1.6) | 20.0 |
| Men | 34.4 | 55.2 | (1.9) | 19.0 | 68.9 | (2.4) | 13.1 | 44.8 | (1.9) | 15.4 | 56.8 | (2.7) | 8.7 |
| Women | 33.3 | 45.2 | (1.7) | 15.1 | 67.1 | (2.6) | 10.1 | 54.8 | (1.7) | 18.3 | 61.7 | (2.2) | 11.3 |
| Age Group | |||||||||||||
| 18–44 | 11.2 | 69.6 | (2.7) | 7.8 | 71.5 | (3.6) | 5.6 | 30.4 | (2.7) | 3.4 | 47.7 | (6.1) | 1.6 |
| 45–64 | 28.8 | 52.7 | (2.2) | 15.2 | 71.1 | (2.6) | 10.8 | 47.3 | (2.2) | 13.6 | 51.7 | (2.5) | 7.0 |
| ≥65 | 26.5 | 40.0 | (1.9) | 10.6 | 61.4 | (3.1) | 6.5 | 60.0 | (1.9) | 15.9 | 68.5 | (2.6) | 10.9 |
| Race/Hispanic Origin | |||||||||||||
| NH White | 44.0 | 50.2 | (1.8) | 22.1 | 68.2 | (2.8) | 15.1 | 49.8 | (1.8) | 21.9 | 57.2 | (2.3) | 12.5 |
| NH Black | 10.4 | 43.0 | (2.0) | 4.5 | 70.0 | (2.6) | 3.1 | 57.0 | (2.0) | 5.9 | 66.5 | (2.8) | 3.9 |
| NH Asian | 3.8 | 49.6 | (2.8) | 1.9 | 65.3 | (3.7) | 1.2 | 50.4 | (2.8) | 1.9 | 57.7 | (3.8) | 1.1 |
| Hispanic | 8.7 | 57.0 | (2.1) | 5.0 | 66.6 | (2.4) | 3.3 | 43.0 | (2.1) | 3.8 | 60.1 | (3.8) | 2.3 |
| Other | 1.4 | 59.9 | (4.2) | 0.8 | 70.8 | (6.9) | 0.6 | 40.1 | (4.2) | 0.5 | 71.4 | (7.3) | 0.4 |
Data Source: National Center for Health Statistics, Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES), 2015–2018.
Definitions: ACC/AHA criteria adapted from Ritchey MD, Gillespie C, Wozniak G, Shay CM, Thompson-Paul AM, Loustalot F, et al. Potential need for expanded pharmacologic treatment and lifestyle modification services under the 2017 ACC/AHA Hypertension Guideline. J Clin Hypertens. 2018 Oct;20(10): 1377–91.
Abbreviation: NH, non-Hispanic.
*Blood pressure ≥130/80 mmHg.
Note: Values may not add up to totals due to rounding.
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