Ethnic variation in attitudes toward hypertension in adults ages 75 and older

Background, Although critical to the management of hypertension, the attitu des of geriatric patients and possible ethnic group differences in attitude s concerning the disease are poorly understood, Methods. Data from a 1995-1996 population-based survey of 507 Hispanic Amer ican, African American, and non-Hispanic white adults ages 75 and older wer e used to assess ethnic differences in perceptions regarding the cause, pre vention, and treatment of hypertension, as well as associations between per ceptions and use of preventive health services. Results. African Americans were more likely to attribute hypertension to health behaviors and stress, In contrast, Hispanic Americans were more likely consider the disease a nor mal part of aging, whereas non-Hispanic whites were more likely to attribut e hypertension to heredity or mechanistic causes. Non-Hispanic whites were less likely to perceive hypertension as preventable, whereas Hispanic Ameri cans were less likely to feel that hypertension was treatable. The odds of having a primary care physician, blood pressure checked, or glaucoma checke d were lower among older African Americans and Hispanic Americans than olde r non-Hispanic whites. The odds of having had a recent physical and of emer gency room use were higher among African Americans and lower among Hispanic Americans, in relation to non-Hispanic whites, Conclusion. Ethnic differences regarding hypertension were clearly evident in this sample of older adults. In addition, attitudes regarding the cause and treatment of hypertension were found to be associated with both the use and the underuse of preventive health services in all three ethnic groups. (C) 1999 American Health Foundation and Academic Press.