Hypertension

Blood Pressure Control and Maintenance in U.S. Veterans: Roles of Sex, Race, Ethnicity, and Deprivation

JACC AdvPublished Retrospective cohort study

Authors' conclusion

The first year of hypertension management portends future differences in BP control.

Study context

Population
Post-9/11-era US Veterans with new-onset hypertension receiving care in Veterans Affairs medical centres, 2001–2023of 1,280,441 Veterans
Participants
398,732 veterans
Exposure
Blood pressure (BP) control by sex, race and ethnicity
Outcome
BP control (<140/90 mm Hg)
Follow-up
1, 2, and 5 years after hypertension onset

Main finding

As reported in the abstract

BP control

Men

1 year
43%
5 years
59%

Women

1 year
60%
5 years
67%

1 year

Men43%
Women60%

5 years

Men59%
Women67%
Women vs MenOdds ratio (95% CI)
1 year, adjusted
1.85(1.81–1.90)
5 years, adjusted
1.39(1.34–1.44)
Hispanic vs NH White: greater odds of control through 5 years
23% to 17%
NH Black vs NH White: lower odds of control through 5 years
10% to 23%

Observational data: associations, not effects.

Further findings

Adjustment for Social Deprivation Index

Inclusion of the Social Deprivation Index did not change results

Original publication

Blood Pressure Control and Maintenance in U.S. Veterans: Roles of Sex, Race, Ethnicity, and Deprivation. JACC Adv. Published 24 October 2025. doi:10.1016/j.jacadv.2025.102267

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