Hypertension in African-American males.

Hypertension is more prevalent in African-Americans than in Caucasians, and African-Americans experience more rapid progression of end-organ damage from this often "silent" disease than do whites. African-American males are particularly at risk because they often are unaware of the disease, do not receive treatment, and/or do not adhere to a treatment regimen if one is prescribed. Management of hypertension in African-American men is complex and requires consideration of the unique aspects of this special-need population. This article outlines some of the special concerns related to hypertension management in African-American men, including differences in pathophysiology, lifestyle, education, and socioeconomic status. Advanced practice nurses, with their additional knowledge and their strong emphasis on patient education and holistic care, possess the skills to competently, caringly, and creatively manage hypertension with African-American clients.