This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Deubner, D. C. Articles by Becker, C. Search for Related Content PubMed PubMed Citation Articles by Deubner, D. C. Articles by Becker, C.

Circulation, Vol 52, 901-908, Copyright © 1975 by American Heart Association

ARTICLES

Attributable risk, population attributable risk, and population attributable fraction of death associated with hypertension in a biracial population

DC Deubner, HA Tyroler, JC Cassel, CG Hames and C Becker

In 1961, blood pressure was measured in the 40-69-year-old segment of the population of Evans County, Georgia. Mortality was monitored for up to ten years. The relationship found between hypertension and mortality is characterized in this report by four parameters: attributable risk, prevalence, population attributable risk, and population attributable fraction. Attributable risk of death, a measure of the over-all impact of hypertension on those in each race-sex group with hypertension, is high in white males, black males, and black females, and is lowest in white females. Population attributable risk, a measure of the impact of hypertension on each entire race-sex group, is highest in black males and females due to the high prevalence of hypertension in blacks. It is somewhat lower in white males and lowest in white females. The fraction of all deaths attributable to hypertension (population attributable fraction) is highest in black females and lower in the other three groups. The population attributable fraction (ranging from 0.26 to 0.54 for systolic hypertension) is of such magnitude that if the 50% reduction in mortality achieved in the Veteran Administration Cooperative Study could be repeated in the general population, life expectancy after 40 years of age could be substantially increased.

This article has been cited by other articles:

				A. Ahmed, I. B. Aban, M. T. Weaver, W. S. Aronow, and J. L. Fleg Serum digoxin concentration and outcomes in women with heart failure: A bi-directional effect and a possible effect modification by ejection fraction Eur J Heart Fail, June 1, 2006; 8(4): 409 - 419. [Abstract] [Full Text] [PDF]

				A. Castillo-Richmond, R. H. Schneider, C. N. Alexander, R. Cook, H. Myers, S. Nidich, C. Haney, M. Rainforth, and J. Salerno Effects of Stress Reduction on Carotid Atherosclerosis in Hypertensive African Americans Stroke, March 1, 2000; 31(3): 568 - 573. [Abstract] [Full Text] [PDF]

				M. R. Weir, J. M. Gray, R. Paster, and E. Saunders Differing Mechanisms of Action of Angiotensin-Converting Enzyme Inhibition in Black and White Hypertensive Patients Hypertension, July 1, 1995; 26(1): 124 - 130. [Abstract] [Full Text]

				E. Saunders, M. R. Weir, B. W. Kong, J. Hollifield, J. Gray, V. Vertes, J. R. Sowers, M. B. Zemel, C. Curry, J. Schoenberger, et al. A Comparison of the Efficacy and Safety of a {beta}-Blocker, a Calcium Channel Blocker, and a Converting Enzyme Inhibitor in Hypertensive Blacks Arch Intern Med, August 1, 1990; 150(8): 1707 - 1713. [Abstract] [PDF]

				W. B. Kannel and D. L. McGee Diabetes and Cardiovascular Disease: The Framingham Study JAMA, May 11, 1979; 241(19): 2035 - 2038. [Abstract] [PDF]