Special Patient Groups Special attention is needed for specific patient subgroups. 10.1. Race and Ethnicity In the United States, at any decade of life, blacks have a higher prevalence of hypertension than that of Hispanic Americans, whites, Native Americans, and other subgroups defined by race and ethnicity (see Section 3.3). Hypertension control rates are lower for blacks, Hispanic Americans, and Asian Americans than for whites.S10.1-1 Among men with hyperten- sion, non-Hispanic white (53.8%) adults had a higher preva- lence of controlled high blood pressure than did non-Hispanic black (43.8%), non-Hispanic Asian (39.9%), and Hispanic (43.5%) adults. For women with hypertension, the percentage Whelton et al 2017 High Blood Pressure Clinical Practice Guideline e61 of non-Hispanic white (59.1%) adults with controlled high blood pressure was higher than among non-Hispanic black In Hispanic Americans, the lower control rates result primar- ily from lack of awareness and treatment,S10.1-2,S10.1-3 whereas in blacks, awareness and treatment are at least as high as in whites, but hypertension is more severe and some agents are less effective at BP control.S10.1-4 Morbidity and mortality attributed to hypertension are also more common in blacks and Hispanic Americans than in whites. Blacks have a 1.3- times greater risk of nonfatal stroke, 1.8-times greater risk of fatal strokes, 1.5-times greater risk of HF, and 4.2-times greater risk of ESRD.S10.1-4 Hispanic Americans have lower rates of hypertension awareness and treatment than those of whites and blacks, as well as a high prevalence of comorbid CVD risk factors (eg, obesity, DM). 