{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:07:58Z","timestamp":1792451278302,"version":"4.5.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100016274","name":"Omron Healthcare Co., Ltd.","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertension prevalence remains high among US young adults, and the role of social needs in their hypertension management remains poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 2017 to 2020 National Health and Nutrition Examination Surveys (N\u2009=\u20098,024, representing 244 million adults) were used to study hypertension, defined per 2017 ACC\/AHA guidelines or self-report of blood pressure-lowering medications. Prevalences of hypertension, awareness of condition, treatment if aware, and control if treated were estimated among young (18-39 years), middle-aged (40-64 years), and older adults (\u226565 years). Weighted log binomial regression estimated associations between social needs (0, 1, or \u22652) and hypertension outcomes, adjusted for age, sex, and race\/ethnicity. Social needs included less than high school education, family income &amp;lt;100% of the federal poverty level, no health insurance, food insecurity based on the U.S. Food Security Survey, and current unemployment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 2,680 young adults (weighted N\u2009=\u200992 million; 51% female, 58% NHW), hypertension prevalence was 22.6% (95% CI, 19.5-25.7). Among those with hypertension, 19.3% of young, 20.2% of middle-aged, and 10.0% of older adults had \u22652 social needs. Among treated adults, those with \u22652 vs no social needs were less likely to have controlled hypertension (adjusted risk ratio [aRR]: 0.74; 95% CI, 0.59-0.92). This aRR was 0.75 (95% CI, 0.43-1.32) in young adults, 0.74 (95% CI, 0.57-0.96) in middle-aged adults, and 0.73 (95% CI, 0.51-1.04) in older adults (p for interaction\u2009=\u20090.12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Unmet social needs, more prevalent among young adults, were associated with lower rates of hypertension control, highlighting directions for interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf203","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T13:02:19Z","timestamp":1763038939000},"page":"425-431","source":"Crossref","is-referenced-by-count":1,"title":["Hypertension in Young Adults: Social Determinants of\u00a0Prevalence, Awareness, Treatment, and Control"],"prefix":"10.1093","volume":"39","author":[{"given":"Thomas 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