Date of Award


Document Type


Degree Name

Doctor of Health Administration


College of Health Professions

First Advisor

James S Zoller

Second Advisor

Walter Jones

Third Advisor

Jan Probst


The purpose of this study was to determine whether the racial differences hypertension claim rates for Medicaid patients has changed since 1991. Age-specific and age-adjusted prevalence rates of hypertension in 2015, and the first 2015 claim rates by race and gender were calculated and compared to age-specific and age-adjusted prevalence rates of hypertension in 1991 and the first 1991 claim rates by race and gender. Gender-specific black-to-white risk ratios were also calculated. The comparison reveled that in both study groups, African-American females were more likely than African-American males, or whites of either sex to have hypertension diagnoses. Using Medicaid data from 12 unknown states for the 2015 calculations represented a significant limitations due to the possibility that any, most, or all of the 12 states could be excluded from the stroke belt, as well as the early 20th century phenomena such as the Great Migration, which may have caused underestimation of comparison in the prevalence and incidence of hypertension among Medicaid recipients in 2015; however, significant racial differences in the "occurrence" of hypertension still existed among them.


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