Interventions to improve adherence of antihypertensive medication in African-Americans

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Hypertension is considered to be the most important reversible risk factor for disease and death by the WHO as recently pointed out in the publication of the 2015 Global Burden of Disease Study [1]. The prevalence and severity of hypertension vary between different continents and countries. The prevalence of hypertension in the African-American population is about 40% [2], and largely uncontrolled, whereas other ethnic groups including whites have better blood pressure (BP) control and less-severe hypertension [2]. The reasons for this disparity between ethnic groups are partly unknown, but genetic and environmental factors may partly explain the high BP levels among the African-American people. Differences in awareness of high BP, screening and follow-up of African-Americans may also contribute to the high prevalence of uncontrolled hypertension.

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