{"doi":"10.1093/ajh/hpae040","title":"Trends in the Prevalence of Multiple Chronic Conditions Among US Adults With Hypertension From 1999–2000 Through 2017–2020","abstract":"BACKGROUND: The prevalence of many chronic conditions has increased among US adults. Many adults with hypertension have other chronic conditions. METHODS: We estimated changes in the age-adjusted prevalence of multiple (≥3) chronic conditions, not including hypertension, using data from the National Health and Nutrition Examination Survey, from 1999-2000 to 2017-2020, among US adults with (n = 24,851) and without (n = 24,337 hypertension. Hypertension included systolic blood pressure (BP) ≥130 mm Hg, diastolic BP ≥80 mm Hg, or antihypertensive medication use. We studied 14 chronic conditions: arthritis, asthma, cancer, coronary heart disease, chronic kidney disease, depression, diabetes, dyslipidemia, hepatitis B, hepatitis C, heart failure, lung disease, obesity, and stroke. RESULTS: From 1999-2000 to 2017-2020, the age-adjusted mean number of chronic conditions increased more among US adults with vs. without hypertension (2.2 to 2.8 vs. 1.7 to 2.0; P-interaction <0.001). Also, the age-adjusted prevalence of multiple chronic conditions increased from 39.0% to 52.0% among US adults with hypertension and from 26.0% to 30.0% among US adults without hypertension (P-interaction = 0.022). In 2017-2020, after age, gender, and race/ethnicity adjustment, US adults with hypertension were 1.94 (95% confidence interval: 1.72-2.18) times as likely to have multiple chronic conditions compared to those without hypertension. In 2017-2020, dyslipidemia, obesity, and arthritis were the most common 3 co-occurring chronic conditions among US adults with and without hypertension (age-adjusted prevalence 16.5% and 3.1%, respectively). CONCLUSIONS: In 2017-2020, more than half of US adults with hypertension had ≥3 additional chronic conditions, a substantial increase from 20 years ago.","journal":"American Journal of Hypertension","year":2024,"id":432129,"datarank":0.42498200160843247,"base_score":2.833213344056216,"endowment":2.833213344056216,"self_citation_contribution":0.42498200160843247,"citation_network_contribution":0.0,"self_endowment_contribution":0.42498200160843247,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":16,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6189,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":277839,"name":"Lama Ghazi","orcid":"0000-0002-9930-3575","position":1,"is_corresponding":false},{"id":700654,"name":"Oluwasegun P. Akinyelure","orcid":"0000-0002-3066-3310","position":2,"is_corresponding":false},{"id":275211,"name":"Ying Wen","orcid":"0000-0003-0867-3958","position":3,"is_corresponding":false},{"id":1237187,"name":"Ashley Christenson","orcid":null,"position":4,"is_corresponding":false},{"id":787851,"name":"Bharat Poudel","orcid":"0000-0003-2958-2561","position":5,"is_corresponding":false},{"id":578484,"name":"Erin E. Dooley","orcid":"0000-0001-9881-5053","position":6,"is_corresponding":false},{"id":343544,"name":"Ligong Chen","orcid":null,"position":7,"is_corresponding":false},{"id":364189,"name":"Shakia T. Hardy","orcid":"0000-0001-9211-0474","position":8,"is_corresponding":false},{"id":390350,"name":"Kathryn Foti","orcid":"0000-0002-6380-2735","position":9,"is_corresponding":false},{"id":687514,"name":"C. Barrett Bowling","orcid":"0000-0001-6265-8623","position":10,"is_corresponding":false},{"id":305896,"name":"Michelle T. Long","orcid":"0000-0001-6131-3981","position":11,"is_corresponding":false},{"id":469613,"name":"Lisandro D. Colantonio","orcid":"0000-0001-8742-1788","position":12,"is_corresponding":false},{"id":74980,"name":"Paul Muntner","orcid":"0000-0002-4711-5492","position":13,"is_corresponding":false},{"id":934150,"name":"Chibuike J Alanaeme","orcid":"0000-0003-2792-1259","position":0,"is_corresponding":true}],"reference_count":39,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T01:59:35.267142Z","pmid":"38576398","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}