Abstract: FR-PO0368
Incidence of Hypertension over 12 Years in the Hispanic Community Health Study/Study of Latinos, 2008-2024
Session Information
- Hypertension and CVD: Clinical - 2
November 07, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Hypertension and CVD
- 1602 Hypertension and CVD: Clinical
Authors
- Drexler, Yelena, University of Miami Miller School of Medicine, Miami, Florida, United States
- Pathak, Shreya P, University of Miami Miller School of Medicine, Miami, Florida, United States
- Cordero, Christina, University of Miami, Coral Gables, Florida, United States
- Llabre, Maria M, University of Miami, Coral Gables, Florida, United States
- Gallo, Linda C., San Diego State University, San Diego, California, United States
- Talavera, Gregory A., San Diego State University, San Diego, California, United States
- McCurley, Jessica L, San Diego State University, San Diego, California, United States
- Perreira, Krista, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
- Wassertheil-Smoller, Sylvia, Albert Einstein College of Medicine, New York, New York, United States
- Pirzada, Amber, University of Illinois Chicago, Chicago, Illinois, United States
- Daviglus, Martha L., University of Illinois Chicago, Chicago, Illinois, United States
- Penedo, Frank J, University of Miami, Coral Gables, Florida, United States
- Sotres-Alvarez, Daniela, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
- Elfassy, Tali, University of Miami Miller School of Medicine, Miami, Florida, United States
Background
Hispanic/Latino adults represent 20% of the population in the United States, yet long-term data on hypertension incidence remain limited. Here, we describe the 12-year incidence of hypertension among diverse US Hispanic/Latino adults.
Methods
The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a population-based study of diverse Hispanic/Latino adults aged 18-74 years from four US communities, who underwent examination at visit 1 (V1, 2008-2011), V2 (2014-2017) and V3 (2020-2024). Hypertension was defined as self-reported antihypertensive medication use, systolic blood pressure ≥130 mmHg, or diastolic blood pressure ≥80 mmHg. Among 5,082 individuals without hypertension at V1 who participated in V3, we calculated the age-adjusted incidence rate of hypertension per 1,000 person years (PY) according to demographic factors. Using Cox Proportional Hazards models, we estimated the risk of hypertension adjusted for demographic, socioeconomic, and clinical factors. All analyses incorporated sampling weights and accounted for the complex survey design.
Results
Over a median of 12.4 years of follow-up, 51.0% (95% CI: 48.2, 53.7) developed hypertension, with an age-adjusted incidence rate of 36.8 per 1,000PY (95% CI: 34.5, 39.2). The incidence rate was higher with older age, among men, and differed by country of origin (Figure 1). In adjusted models, older age, male sex, Dominican and Cuban compared with Mexican background, lower income, higher BMI, and greater alcohol intake were significantly associated with increased hypertension risk.
Conclusion
Over 12 years, more than half of Hispanic/Latino adults developed hypertension. Hypertension incidence varied by country of origin and was strongly associated with several modifiable risk factors.
Figure 1: 12-Year age-adjusted Incidence of hypertension among US Hispanic/Latinos Adults (2008-2024).
*P< 0.05, compared with the reference group
Funding
- NIDDK Support