Table 3

Percentage of U.S. Adults Meeting the Definition for Hypertension and Recommended Antihypertensive Medication According to the 2017 ACC/AHA Guideline and the JNC7 Guideline Based on the 2011–2014 NHANES

2017 ACC/AHA GuidelineJNC7 GuidelinesDifference (2017 ACC/AHA, But Not JNC7)
HypertensionRecommended Antihypertensive MedicationHypertensionRecommended Antihypertensive MedicationHypertensionRecommended Antihypertensive Medication
Overall45.6 (43.6–47.6)36.2 (34.2–38.2)31.9 (30.1–33.7)34.3 (32.5–36.2)13.7 (12.7–14.9)1.9 (1.5–2.3)
Age group, yrs
 20–4424.0 (21.8–26.2)12.5 (11.2–13.9)10.5 (9.4–11.7)12.2 (10.9–13.6)13.4 (12.0–15.0)0.3 (0.1–0.5)
 45–5447.1 (44.4–49.8)33.4 (30.8–36.1)29.5 (27.0–32.2)32.7 (30.1–35.4)17.6 (15.1–20.4)0.7 (0.4–1.2)
 55–6466.6 (63.6–69.5)58.2 (54.9–61.4)52.4 (49.1–55.7)55.0 (62.0–58.0)14.2 (12.1–16.6)3.2 (2.1–4.7)
 65–7475.6 (73.4–77.6)74.1 (71.4–76.6)63.6 (60.2–66.9)66.9 (63.7– 69.9)12.0 (9.4–15.2)7.2 (5.2–10.0)
 ≥7582.3 (79.2–85.0)82.3 (79.2–85.0)75.1 (71.9–78.1)78.5 (74.7–81.8)7.1 (5.6–9.0)3.8 (2.5–5.6)
Men48.6 (45.9–51.3)37.3 (34.9–39.8)32.0 (29.8–34.3)34.8 (32.4–37.3)16.6 (15.0–18.3)2.5 (2.0–3.1)
Women42.9 (40.7–45.1)35.1 (33.1–37.3)31.8 (29.8–33.8)33.8 (31.8–35.9)11.1 (9.8–12.5)1.3 (0.9–1.9)
Race/ethnicity
 Non-Hispanic white47.3 (44.5–50.0)37.9 (35.3–40.6)33.4 (31.1–35.8)35.7 (33.3–38.2)13.8 (12.4–15.4)2.2 (1.6–2.8)
 Non-Hispanic black54.9 (52.5–57.3)44.8 (42.5–47.0)41.0 (39.0–43.1)43.6 (41.4–45.8)13.9 (12.2–15.7)1.2 (0.8–1.8)
 Non-Hispanic Asian36.7 (32.6–40.9)27.9 (24.2–32.0)24.4 (21.1–28.2)26.8 (23.1–30.8)12.2 (10.4–14.3)1.1 (0.6–2.0)
 Hispanic34.4 (31.8–37.1)25.5 (23.0–28.1)21.1 (18.7–23.8)24.3 (21.8–26.9)13.3 (11.7–15.1)1.2 (0.9–1.6)
Risk categories
 <5%27.4 (25.6–29.3)14.6 (13.3–16.0)13.2 (12.0–14.5)14.6 (13.3–16.0)14.2 (13.1–15.4)0.0 (0.0–0.0)
 5% to <10%61.4 (57.2–65.3)48.4 (44.5–52.3)42.7 (38.5–47.1)46.6 (42.7–50.5)18.6 (15.2–22.6)1.8 (0.9–3.6)
 10% to <20%78.2 (74.7–81.4)78.2 (74.7–81.4)63.6 (58.4–68.5)68.3 (63.5–72.7)14.6 (11.5–18.4)9.9 (7.7–12.7)
 ≥20%85.7 (82.7–88.2)85.7 (82.7–88.2)77.3 (74.0–80.3)81.4 (77.7–84.6)8.4 (7.1–9.8)4.3 (3.1–5.8)
History of CVD79.3 (75.6–82.6)79.3 (75.6–82.6)72.1 (68.8–75.3)75.7 (72.7–78.4)7.2 (5.0–10.3)3.7 (2.1–6.2)

Values are % of U.S. adults (95% confidence interval). See Table 1 for the definitions of hypertension and antihypertensive medication treatment recommendations.

Abbreviations as in Tables 1 and 2.