adults in the United States for non-Hispanic white men is 9.4 percent, for non-Hispanic black men it is 7.8 percent, and for Mexican American men it is 5.3 percent. The prevalence rate for non-Hispanic white women is 6.9 percent, for non-Hispanic black women it is 8.8 percent, and for Mexican American women it is 6.6 percent (Lloyd-Jones et al., 2010). American Indians/Alaska Natives and multiracial persons have a substantially higher rate of coronary heart disease, myocardial infarction, and angina when compared with non-Hispanic whites (HHS, 2006c).

Coronary heart disease is the leading cause of death in the United States today and is responsible for one of every six deaths. The American Heart Association estimates that one American will die every minute from a coronary event (American Heart Association, 2010). The coronary death rate per 100,000 men in 2006 was highest for black men (206.4), followed by white men (176.3), Hispanic/Latino men (132.8), American Indian or Alaska Native men (122.4), and Asian or Pacific Islander men (101.3). Black women had the highest coronary death rate per 100,000 women at 130.0, followed by white women (101.5), Hispanic/Latina women (85.4), American Indian or Alaska Native (76.4), and Asian or Pacific Islander (58.9) (Lloyd-Jones et al., 2010).

HDS 5: Reduce the Proportion of Persons in the Population with Hypertension

An estimated 74,500,000 people in the United States have hypertension (that is, systolic pressure ≥ 140 mm Hg and/or diastolic pressure ≥ 90 mm Hg (American Heart Association, 2010). Yet according to an analysis by Lloyd-Jones and colleagues, only 78 percent of people with hypertension are aware of their condition, and less than 64 percent of those receiving treatment for hypertension had their condition controlled (Lloyd-Jones et al., 2010). Hypertension is not only a health outcome, it is also a risk factor for cardiovascular disease. Table 5 provides information about the prevalence of hypertension by race/ethnicity and gender.

The death rate from hypertension increased 19.5 percent between 1996 and 2006. Life expectancy for those with hypertension is reduced by 5.1 years for men and 4.9 years for women when compared to life expectancy of those without hypertension. Hypertension also increases mortality from ischemic heart disease and stroke; for every increase of 20 mm Hg systolic and 10 mm Hg diastolic, there is a doubling of mortality from these conditions (Lloyd-Jones et al., 2010).

HIV 17: Increase the Proportion of Sexually Active Persons Who Use Condoms

Using condoms consistently and correctly reduces the risk of sexually transmitted diseases and human immunodeficiency virus (HIV) transmis-



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