HypAwa Hypertension; high blood pressure HypAwa.UT_US The percentage of adults who have ever been told by a doctor, nurse, or other health professionals that they have high blood pressure. This indicator is used to estimate the prevalence of high blood pressure in Utah. Data are from the Utah Behavioral Risk Factor Surveillance System (BRFSS). The number of survey respondents who report they have ever been told by a doctor, nurse, or other health professionals that they have high blood pressure. The total number of survey respondents (BRFSS survey) excluding those with missing or refused values in the numerator. Doctor-diagnosed hypertension is based on the answer to the question: "Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?" Response options are: "Yes", "No", "Yes but females told only during pregnancy, and "Told borderline high or pre-hypertensive." Women who report having hypertension only during pregnancy and individuals who are told they are borderline high are considered as having answered "No." In 2016, Utah BRFSS modified its methodology for age adjustment to increase the precision of the estimate. Data in IBIS charts have been updated back to 2011 forward to reflect this change. With this change, age adjustment for Utah is more consistent with both the U.S. and other states using IBIS. Data are self-reported and subject to respondents' recall and accuracy of reporting. To reduce sampling bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2011, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. More details about these changes can be found at: [[a href="pdf/opha/resource/brfss/RakingImpact2011.pdf" Raking Fact Sheet 2011]]. 11/25/2022 High blood pressure (hypertension) is an important risk factor for heart disease and stroke. In most cases, it can be effectively managed with medication and lifestyle changes (such as diet, exercise, and abstaining from tobacco use). Treatment works best when high blood pressure is identified early. Because high blood pressure does not produce symptoms, regular screening is recommended. In most cases, high blood pressure is defined as a systolic (upper) number of 140 or greater and a diastolic (lower) number of 90 or greater. HDS-5.1 The proportion of Utah adults who reported being told they had high blood pressure has remained relatively stable over the past decade. In 2021, more than one in four (27.6%) Utah adults reported being told they had high blood pressure (age-adjusted rate). The percentage of adults who reported being told they had high blood pressure was much lower for females than males in every age group. The gender differences were less pronounced by age 65 and over. In this age group, the rate of high blood pressure was 54.9% among men and 52.0% for women in 2021 (crude rates). Rates of doctor-diagnosed high blood pressure are somewhat similar among income categories. The rate was 25.5% among those with annual household income above $75,000, and 30.2% among those with household income below $25,000 in 2021 (age-adjusted rate). Doctor-diagnosed high blood pressure varied by educational level. Among college graduates, the rate was 26.0%, lower than the rate for those with less than a high school education (34.2%) in 2021. These rates represent adults aged 25 and over (age-adjusted rates). The rate of doctor-diagnosed high blood pressure was not significantly different between Hispanic (29.0%) and non-Hispanic Utahns (27.6%) in 2021 (age-adjusted rates). In 2021, Utah had a lower age-adjusted high blood pressure prevalence (27.6%) than the U.S. (30.3%). The Healthy Environments Active Living (HEAL) Program was previously known as the Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program. EPICC was created in 2013, consolidating three Utah Department of Health and Human Services (DHHS) programs (the Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition, and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes. HEAL aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity, and nutritious food consumption, and improving diabetes and hypertension control. HEAL is part of the Utah Million Hearts Coalition. [https://millionhearts.hhs.gov/index.html Million Hearts 2027] is an initiative co-led by the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services. Million Hearts aimed to reduce the number of heart attacks and strokes in the U.S. by 1 million by 2027. The Utah Million Hearts Coalition has initiated efforts to educate staff in primary care clinics on the proper techniques for measuring high blood pressure. Health care organizations can improve high blood pressure control among their patient populations. Some strategies that have proven effective and sustainable include: *Maximizing the use of electronic medical records that allow providers to track patient care over time, and incorporate prompts and reminders to improve care. *Integrating team based care that makes full use of the skills of health care team members to identify and treat patients with high blood pressure, provide patient support and follow-up care, and help patients manage their medicines and stick to a blood pressure control plan. *Reinforcing the importance of maintaining behaviors that affect blood pressure, such as eating a healthy, low sodium diet; being physically active; maintaining a healthy weight; and abstaining from smoking. In 2012, DHHS published a statistical report titled The Impact of Heart Disease and Stroke in Utah. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah sub-populations (age group, sex, race, ethnicity, and Utah Small Area). To download the full report, please click [https://heal.health.utah.gov/wp-content/uploads/2021/11/Heart-Disease-and-Stroke-Burden-Report-2012.pdf here]. The Utah Department of Health and Human Services, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program (HEAL) was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Visit [https://heal.health.utah.gov/ HEAL?s website] for more information. The Utah Department of Health and Human Services Healthy Environments Active Living (HEAL) Program works with health care organizations and other partners to improve the accuracy of blood pressure measurement and to improve medication adherence for people with high blood pressure. See the HEAL website for more details: [https://heal.utah.gov/heart%20health/]. '''Impact of Heart Disease and Stroke in Utah''' In 2012, the Utah Heart Disease and Stroke Prevention Program published a statistical report titled the Impact of Heart Disease and Stroke in Utah. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah subpopulations (age group, sex, race, ethnicity, and Utah Small Area). '''Million Hearts Initiative''' Heart disease and stroke are the first and fifth leading causes of death in the United States (CDC 2022). Heart disease is responsible for 1 of every 3 deaths in the country. Million Hearts is a national initiative that has set an ambitious goal to prevent 1 million heart attacks and strokes within 5 years (by 2027). Million Hearts aims to prevent heart disease and stroke by: *Improving access to effective care *Improving the quality of care for the ABCS (appropriate aspirin prescription, blood pressure control, cholesterol control, and smoking cessation) *Focusing clinical attention on the prevention of heart attack and stroke *Activating the public to lead a heart-healthy lifestyle *Improving the prescription and adherence to appropriate medications for the ABCS See what you can do to be part of the solution. Visit https://millionhearts.hhs.gov/ for more information. CDC's Blood Pressure website: http://www.cdc.gov/bloodpressure/ American Heart Association http://www.heart.org/HEARTORG/ HEAL karleewalker@utah.gov A 07/26/2024 Detail modified by: cjasumback@utah.gov, 11/25/2022 updated: thoj@utah.gov around Nov 24, 2020 Detail modified by: pnechodom@utah.gov, 09/09/2019 The data notes were updated to reflect that women who are hypertensive only during pregnancy and adults who are borderline are counted as "NO" on 7 -11-16 10-15-18 Notes were updated by BRalls. Data interpretation issues were changed from "In order to be accurately diagnosed with hypertension a patient must have had a blood pressure reading of more than 140/90 on two separate visits.he questionnaire does not capture whether a patient was told they had high blood pressure on a single visit or whether they were actually diagnosed with hypertension" TO data were self-reported and subject to recall and respondent bias. 10/23/18 BR updated definition-changed "proportion" to "percentage" to be consistent with other indicator definitions. Added "from BRFSS" 11/15/18 BR added missing word in graph view. Updated 11/03/2021 CJasumback Updated 11/25/2022 CJasumback & BRalls 3 x 07/26/2024 Status changed by: kimneerings@utah.gov 07/26/2024 HDS-5.1 HDS HDS-5.1 Reduce the proportion of adults with hypertension 26.9 percent 22.8 percent 596 08/15/2011 x PopChar High blood pressure is one of the most common primary diagnoses in the U.S. (Institute of Medicine, 2010). Risk for developing hypertension increases with age. Oral contraceptives may increase risk of high blood pressure in women, especially if the women are older or obese (American Heart Association Heart Disease and Stroke Statistical Update, 2009). AgeDistPop AgeDistPop.Ut_US EduLevPop EduLevPop.Ut_US HHInc HHInc.UT_US HII HII.SA Pov Pov.UT_US RacEthPop RacEthPop.RaceYear SystemFactors In 2017, the CDC published a guide titled [https://www.cdc.gov/dhdsp/pubs/guides/best-practices/index.htm "Best Practices for Cardiovascular Disease Prevention Programs"]. This guide outlines 8 effective strategies for lowering high blood pressure and cholesterol levels that can be implemented in health care systems and that involve community-clinical links. These strategies are 1) team-based care, 2) collaborative practice agreements, 3) self-measured blood pressure, 4) self-management and education, 5) reducing medication costs, 6) clinical decision support, 7) community health workers, and 8) medication therapy management. BloCholScr BloCholScr.Ut_USYear CosBarHtlhCar CosBarHtlhCar.UT_US HlthIns HlthIns.UT_US_ACS PriProvUsuPl PriProvUsuPl.Age_Sex RouMedCarVis RouMedCarVis.AgeSex RiskFactors Some risk factors for high blood pressure cannot be changed, such as family history and genetics, but some can be reduced through lifestyle changes. These include engaging in regular physical activity, reducing excess weight, tobacco cessation or abstinence, and low-sodium diet. Social and environmental factors such as access to preventive health services, income, and discrimination are also related to the risk of high blood pressure. Certain medications, including over-the-counter medications, can affect blood pressure as well. Individuals are encouraged to discuss their risk factors with a physician and monitor their blood pressure regularly. 5aDayFruit 5aDayFruit.UT_US 5aDayVeg 5aDayVeg.UT_US CigSmokAdlt CigSmokAdlt.Ut_US Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US PhysActAdol PhysActAdol.Sex.Year PreDiab PreDiab.Age HealthStatus Uncontrolled high blood pressure is a major risk factor for heart attack, stroke, congestive heart failure, and kidney failure. Controlling high blood pressure through medication and/or lifestyle change can help to reduce the risk. BloCholDrDiag BloCholDrDiag.UT_US DiabPrev DiabPrev.LHD FPHlth FPHlth.Ut_USYear HeaAttHosp HeaAttHosp.NumYr HrtDisDth HrtDisDth.Ut_USYear StrDth StrDth.UT_US HypAwa.UT_US Utah and U.S., 1995-2021 Age-adjusted Percentage of Adults HypAwa.Age_Sex by Age and Sex, Utah, 2021 Percentage of Adults HypAwa.Eth by Ethnicity, Utah, 2021 Age-adjusted Percentage of Adults HypAwa.Race by Race, Utah, 2021 Age-adjusted Percentage of Adults HypAwa.Dis by Disability, Utah, 2021 HypAwa.LHD by Local Health District, Utah, 2021 Age-adjusted Percentage of Adults HypAwa.Edu by Education Level, Utah Adults 25+, 2021 Age-adjusted Percentage of Adults 25+ HypAwa.Inc by Income Level, Utah, 2021 Age-adjusted Percentage of Adults HypAwa.SA by Utah Small Area, 2019 and 2021 Age-adjusted Percentage of Adults