{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:38:57Z","timestamp":1790181537352,"version":"4.1.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2014,11,4]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>To reduce the cardiovascular disease burden, Healthy People 2020 established US hypertension goals for adults to (1) decrease the prevalence to 26.9% and (2) raise treatment to 69.5% and control to 61.2%, which requires controlling 88.1% on treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              To assess the current status and progress toward these Healthy People 2020 goals, time trends in National Health and Nutrition Examination Surveys 1999 to 2012 data in 2-year blocks were assessed in adults \u226518 years of age age-adjusted to US 2010. From 1999 to 2000 to 2011 to 2012, prevalent hypertension was unchanged (30.1% versus 30.8%,\n              <jats:italic>P<\/jats:italic>\n              =0.32). Hypertension treatment (59.8% versus 74.7%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and proportion of treated adults controlled (53.3%\u201368.9%,\n              <jats:italic>P<\/jats:italic>\n              =0.0015) increased. Hypertension control to &lt;140\/&lt;90 mm Hg rose every 2 years from 1999 to 2000 to 2009 to 2010 (32.2% versus 53.8%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) before declining to 51.2% in 2011 to 2012. Modifiable factor(s) significant in multivariable logistic regression modeling include: (1) increasing body mass index with prevalent hypertension (odds ratio [OR], 1.44); (2) lack of health insurance (OR, 1.68) and &lt;2 healthcare visits per year (OR, 4.24) with untreated hypertension; (3) healthcare insurance (OR, 1.69), \u22652 healthcare visits per year (OR, 3.23), and cholesterol treatment (OR, 1.90) with controlled hypertension.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>The National Health and Nutrition Examination Survey 1999 to 2012 analysis suggests that Healthy People 2020 goals for hypertension ([1] prevalence shows no progress, [2] treatment was exceeded, and [3] control) have flattened below target. Findings are consistent with evidence that (1) obesity prevention and treatment could reduce prevalent hypertension, and (2) healthcare insurance, \u22652 healthcare visits per year, and guideline-based cholesterol treatment could improve hypertension control.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.114.010676","type":"journal-article","created":{"date-parts":[[2014,10,21]],"date-time":"2014-10-21T02:54:32Z","timestamp":1413860072000},"page":"1692-1699","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":192,"title":["Hypertension in the United States, 1999 to 2012"],"prefix":"10.1161","volume":"130","author":[{"given":"Brent M.","family":"Egan","sequence":"first","affiliation":[{"name":"From the Care Coordination Institute and University of South Carolina School of Medicine\u2013Greenville, Greenville Health System, Greenville, SC (B.M.E.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); Medical University of South Carolina and Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC (F.N.H.); and Tulane University School of Medicine, New Orleans, LA (K.C.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiexiang","family":"Li","sequence":"additional","affiliation":[{"name":"From the Care Coordination Institute and University of South Carolina School of Medicine\u2013Greenville, Greenville Health System, Greenville, SC (B.M.E.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); Medical University of South Carolina and Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC (F.N.H.); and Tulane University School of Medicine, New Orleans, LA (K.C.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence N.","family":"Hutchison","sequence":"additional","affiliation":[{"name":"From the Care Coordination Institute and University of South Carolina School of Medicine\u2013Greenville, Greenville Health System, Greenville, SC (B.M.E.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); Medical University of South Carolina and Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC (F.N.H.); and Tulane University School of Medicine, New Orleans, LA (K.C.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith C.","family":"Ferdinand","sequence":"additional","affiliation":[{"name":"From the Care Coordination Institute and University of South Carolina School of Medicine\u2013Greenville, Greenville Health System, Greenville, SC (B.M.E.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); Medical University of South Carolina and Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC (F.N.H.); and Tulane University School of Medicine, New Orleans, LA (K.C.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.13805"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.112.000500"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1110421"},{"key":"e_1_3_3_5_2","unstructured":"Healthy People 2010. 12: Heart disease and stroke. http:\/\/www.cdc.gov\/dhdsp\/docs\/hp2010.pdf Accessed March 19 2014)."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.650"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.026"},{"key":"e_1_3_3_8_2","unstructured":"Healthy People 2020 Hypertension Control Goal (HDS-12). http:\/\/www.healthypeople.gov\/2020\/topicsobjectives2020\/DataDetails.aspx?hp2020id=HDS-5.1 Accessed May 28 2014."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.108769"},{"key":"e_1_3_3_10_2","unstructured":"Medicaid and Community Health Centers: the Relationship between Coverage for Adults and Primary Care Capacity in Medically Underserved Communities. Kaiser Commission on Medicaid and the Uninsured. http:\/\/kaiserfamilyfoundation.files.wordpress.com\/2013\/01\/8293.pdf Accessed May 28 2014."},{"key":"e_1_3_3_11_2","unstructured":"Radford AD Kirk DA Howard HA Holmes M. Profile of rural health clinics: Clinic & Medicare patient characteristics. Review of 2009 Medicare Outpatient Claims Data. Chapel Hill NC: NC Rural Health Research & Policy Analysis Center; Findings Brief #108 March 2013. http:\/\/www.shepscenter.unc.edu\/rural\/pubs\/finding_brief\/FB108.pdf. Accessed May 28 2014."},{"key":"e_1_3_3_12_2","unstructured":"National Health and Nutrition Examination Survey III Cycle 2. http:\/\/www.cdc.gov\/nchs\/data\/nhanes\/nhanes3\/cdrom\/nchs\/manuals\/phys.pdf. Accessed April 5 2010."},{"key":"e_1_3_3_13_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Survey","unstructured":"National Health and Nutrition Examination Survey. Physician Examination Procedures Manual. Original 1999; revised 2000. http:\/\/www.cdc.gov\/nchs\/nhanes\/nhanes_01_02\/physician_year_3.pdf. Accessed April 5, 2010."},{"key":"e_1_3_3_14_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Survey","unstructured":"National Health and Nutrition Examination Survey. Physician Examination Procedures Manual. January 2003. http:\/\/www.cdc.gov\/nchs\/nhanes\/nhanes_03_04\/PE.pdf. Accessed April 5, 2010."},{"key":"e_1_3_3_15_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Survey","unstructured":"National Health and Nutrition Examination Survey. Physician Examination Procedures Manual. Revised January 2004. http:\/\/www.cdc.gov\/nchs\/data\/nhanes\/nahnes_05_06\/PE.pdf. Accessed April 5, 2010."},{"key":"e_1_3_3_16_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Survey","unstructured":"National Health and Nutrition Examination Survey. Physician Examination Procedures Manual. January 2007. http:\/\/www.cdc.gov\/nchs\/data\/nhanes\/nhanes_07_08\/manual_pe.pdf. Accessed April 5, 2010."},{"key":"e_1_3_3_17_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Surveys (NHANES)","unstructured":"National Health and Nutrition Examination Surveys (NHANES). Physician Examination Procedures Manual. August 2009. http:\/\/www.cdc.gov\/nchs\/data\/nhanes\/nhanes_09_10\/physician.pdf. Accessed July 17, 2014."},{"key":"e_1_3_3_18_2","volume-title":"Physician Examination Procedures Manual","author":"National Health and Nutrition Examination Surveys (NHANES)","unstructured":"National Health and Nutrition Examination Surveys (NHANES). Physician Examination Procedures Manual. September 2011. http:\/\/www.cdc.gov\/nchs\/data\/nhanes\/nhanes_11_12\/Physician_Exam_Manual.pdf. Accessed July 17, 2014."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.113.007699"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj124"},{"key":"e_1_3_3_21_2","unstructured":"US Census Bureau. Population by sex and selected age groups: 2000 and 2010. http:\/\/www.census.gov\/prod\/cen2010\/briefs\/c2010br-03.pdf Accessed March 21 2014."},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-S011"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440420033005"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2007.08.020"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-199412000-00018"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1060"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2006.10.011"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-134-1-200101020-00007"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa060838"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2006.11.007"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2010.02.013"},{"key":"e_1_3_3_33_2","unstructured":"Accountable Care Organizations 2013: Program analysis (ACO21). Preventive screening: Screening for high blood pressure. December 21 2012. http:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/sharedsavingsprogram\/Downloads\/ACO-NarrativeMeasures-Specs.pdf. Accessed March 14 2014."},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2007.32"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.7106"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1161\/hypertensionaha.108.122853"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.7326\/M13-2981"},{"key":"e_1_3_3_38_2","unstructured":"Million Hearts\u00ae 2013 hypertension control challenge champions announced. http:\/\/millionhearts.hhs.gov\/newsevents\/hypertension_control_champions.html Accessed March 19 2014."},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12081"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e32834a8a42"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1315665"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2014.03.323"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.111.030189"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.114.010676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:42:52Z","timestamp":1715582572000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.114.010676"}},"subtitle":["Progress Toward Healthy People 2020 Goals"],"short-title":[],"issued":{"date-parts":[[2014,11,4]]},"references-count":42,"journal-issue":{"issue":"19","published-print":{"date-parts":[[2014,11,4]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.114.010676"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.114.010676","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,4]]},"assertion":[{"value":"2014-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-08-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}