What ethnic differences have been found in the incidence of hypertension? What racial and psychosocial factors may be implicated in these ethnic differences? Explain why adherence to diabetic treatment programs is so difficult for most people to achieve. Ethnic Differences

In many industrialized countries, the decline in cardiovascular mortality over the past 30 years is largely attributable to early detection, drug treatment, and control of hypertension. However, the decline in mortality from cardiopulmonary disease in the United States has not been evenly distributed across racial groups, and hypertension directly accounts for half of the mortality gap between black and white Americans (Pan et al., 2020). Blood pressure (BP) is influenced by a variety of social, cultural, and environmental factors, including health behaviors, access to healthcare, and environmental exposures (Kramer et al., 2017). Education, money, and financial stress are factors that affect blood pressure, as shown by examining factors associated with interethnic differences in blood pressure. However, most of these studies focused on differences between African-Americans and whites, did not include Asian or Hispanic groups, and did not capture the changing demographics of the United States (Pan et al., 2020). Few studies have looked at how the use of certain antihypertensive medications varies by race/ethnicity. The Joint Central Committee on the Detection, Evaluation, and Drug Treatment of Hypertension recommends diuretics as first-line treatment for most hypertensive patients. continue…
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