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Randomized trials have demonstrated that antihypertensive medications lower blood pressure and prevent cardiovascular disease and mortality.

Antihypertensive medication use in the overall US population

The percentage of US adults with hypertension that are taking blood pressure lowering medication increased from 1999-2000 to 2009-2010. However, the percentage has not increased from 2009-2010 through 2017-2020.

Among those with hypertension

Antihypertensive medication use by gender

Among US adults with hypertension, women are more likely to take antihypertensive medication compared with men. However, there is a treatment gap with many women and men with hypertension not taking antihypertensive medication.

Among those with hypertension

Antihypertensive medication use by age group

The percentage of US adults with hypertension that is taking antihypertensive medication is higher at older age. In 2017-2020, only about 1 in 5 US adults 18 to 44 years of age with hypertension was taking antihypertensive medication.

Among those with hypertension

Antihypertensive medication use by race/ethnicity

Among US adults with hypertension, non-Hispanic Black adults are more likely to take antihypertensive medication compared with non-Hispanic White and Asian adults and Hispanic adults.

Among those with hypertension

Antihypertensive medication use definition

For this analysis, our definition of antihypertensive medication use was:

Self-reported use of antihypertensive medication

Who is included in this analysis

There were 107,622 NHANES 1999-2000 to 2017-March 2020 participants. We restricted the the dataset to adults >=18 years of age. This exclusion was applied because statistics for BP levels and hypertension in children and adolescents are markedly different than for adults. We further restricted the population to participants who completed the in-home interview and study examination, with one or more SBP and DBP measurement, and who had data on self-reported antihypertensive medication use. Last, we restricted the sample to non-pregnant adults.

After these exclusions, a total of 54102 participants were included for the current analysis.

Inclusion Overall 1999-2000 2001-2002 2003-2004 2005-2006 2007-2008 2009-2010 2011-2012 2013-2014 2015-2016 2017-2020
Participants 107622 9965 11039 10122 10348 10149 10537 9756 10175 9971 15560
>=18 years old 63041 5448 5993 5620 5563 6228 6527 5864 6113 5992 9693
Completed interview and examination 59799 4976 5592 5303 5334 5995 6360 5615 5924 5735 8965
Had SBP and DBP measurements 56286 4755 5251 4902 5028 5670 6053 5436 5700 5557 8024
Had self-reported information on antihypertensive medication 56035 4694 5184 4838 5015 5665 6043 5337 5694 5552 8013
Not pregnant 54084 4369 4822 4550 4633 5590 5945 5248 5588 5444 7895

Age adjustment

For age adjustment in this analysis, we set the age distribution for the standard population to represent US adults from 1999 to 2020: 26.4%, 43.5%, 17%, and 13.2% being 18 to 44, 45 to 64, 65 to 74, and 75+ years of age, respectively

Make your own results

You can find the online application where customized graphs can be made here: https://bcjaeger.shinyapps.io/nhanesShinyBP/