Table 4

Number of U.S. Adults, in Millions, Meeting the Definitions for Hypertension and for Treatment With Antihypertensive Medication According to the 2017 ACC/AHA Guideline and the JNC7 Guideline Based on the 2011–2014 NHANES

2017 ACC/AHA GuidelineJNC7 GuidelineDifference (2017 ACC/AHA vs. JNC7)
HypertensionRecommended Antihypertensive MedicationHypertensionRecommended Antihypertensive MedicationHypertensionRecommended Antihypertensive Medication
Overall103.3 (92.7–114.0)81.9 (73.8–90.1)72.2 (65.3–79.1)77.7 (70.0–85.5)31.1 (26.6–35.6)4.2 (3.3–5.1)
Age group, yrs
 20–4424.7 (21.6–27.9)12.9 (11.3–14.4)10.9 (9.6–12.2)12.6 (11.1–14.1)13.9 (11.7–16.0)0.3 (0.1–0.5)
 45–5420.1 (17.7–22.6)14.3 (12.6–15.9)12.6 (11.2–14.0)14.0 (12.4–15.6)7.5 (5.9–9.1)0.3 (0.1–0.4)
 55–6426.2 (22.4–30.0)22.9 (19.6–26.2)20.6 (17.7–23.5)21.6 (18.5–24.7)5.6 (4.2–6.9)1.3 (0.7–1.8)
 65–7418.5 (16.1–20.9)18.1 (15.9–20.4)15.6 (13.5–17.6)16.4 (14.3–18.4)2.9 (2.1–3.8)1.8 (1.1–2.4)
 ≥7513.8 (11.7–15.8)13.8 (11.7–15.8)12.6 (10.9–14.3)13.1 (11.2–15.1)1.2 (0.8–1.6)0.6 (0.4–0.9)
Men52.8 (46.6–59.1)40.6 (35.7–45.5)34.8 (30.6–39.0)37.9 (33.2–42.6)18.1 (15.3–20.8)2.7 (2.0–3.4)
Women50.5 (45.4–55.6)41.4 (37.6–45.1)37.4 (34.1–40.8)39.9 (36.2–43.5)13.1 (10.8–15.4)1.5 (0.9–2.1)
Race/ethnicity
 Non-Hispanic white70.8 (58.3–83.3)56.8 (47.1–66.4)50.1 (41.7–58.4)53.5 (44.4–62.7)20.7 (16.0–25.4)3.2 (2.2–4.2)
 Non-Hispanic black14.3 (11.3–17.2)11.6 (9.2–14.1)10.7 (8.4–12.9)11.3 (8.9–13.7)3.6 (2.8–4.4)0.3 (0.2–0.5)
 Non-Hispanic Asian4.4 (3.5–5.3)3.3 (2.6–4.1)2.9 (2.3–3.6)3.2 (2.5–3.9)1.5 (1.1–1.8)0.1 (0.0–0.2)
 Hispanic11.3 (8.4–14.2)8.4 (6.0–10.8)6.9 (4.8–9.0)8.0 (5.7–10.3)4.4 (3.4–5.3)0.4 (0.2–0.5)
Risk categories
 <5%38.2 (33.6–42.7)20.4 (18.0–22.8)18.4 (16.2–20.6)20.4 (18.0–22.8)19.8 (16.9–22.6)0.0 (0.0–0.0)
 5% to <10%17.1 (14.3–19.9)13.5 (11.3–15.7)11.9 (9.9–14.0)13.0 (11.0–15.1)5.2 (3.8–6.6)0.5 (0.1–0.9)
 10% to <20%17.5 (15.3–19.8)17.5 (15.3–19.8)14.3 (12.4–16.1)15.3 (13.4–17.3)3.3 (2.3–4.3)2.2 (1.5–2.9)
 ≥20%16.1 (13.8–18.5)16.1 (13.8–18.5)14.6 (12.5–16.7)15.3 (13.0–17.7)1.6 (1.2–1.9)0.8 (0.6–1.1)
History of CVD14.3 (12.6–16.1)14.3 (12.6–16.1)13.0 (11.4–14.7)13.7 (12.0–15.4)1.3 (0.8–1.8)0.7 (0.3–1.0)

Values are number of U.S. adults in millions (95% CI). See Table 1 for the definitions of hypertension and antihypertensive medication treatment recommendations.

Abbreviations as in Tables 1 and 2.