Relationships of nativity and length of residence in the US with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

PREVENTIVE MEDICINE

卷:89

Article

Kershaw, Kiarri N.¹  Giacinto, Rebeca Espinoza²  Gonzalez, Franklyn³  Isasi, Carmen R.⁴  Salgado, Hugo⁵  Stamler, Jeremiah¹  Talavera, Gregory A.⁵  Tarraf, Wassim⁶  Van Horn, Linda¹  Wu, Donghong⁷  Daviglus, Martha L.⁷ 

[1] Northwestern Univ, Dept Prevent Med, Feinberg Sch Med, Chicago, IL 60611 USA

[2] San Diego State Univ, Grad Sch Publ Hlth, Inst Behav & Community Hlth, San Diego, CA 92182 USA

[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Biostat, Chapel Hill, NC USA

[4] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA

[5] San Diego State Univ, Grad Sch Publ Hlth, Div Hlth Promot & Behav Sci, San Diego, CA 92182 USA

[6] Wayne State Univ, Inst Gerontol, Detroit, MI 48202 USA

[7] Univ Illinois, Inst Minor Hlth Res, Chicago, IL USA

关键词: Hispanics/Latinos;    Acculturation;    Cardiovascular health;   

DOI  :  10.1016/j.ypmed.2016.05.013

来源: Elsevier

【 摘 要 】

Individuals with favorable levels of all readily measured major CVD risk factors (low CV risk) during middle age incur lower cardiovascular morbidity and mortality, lower all-cause mortality, and lower Medicare costs at older ages compared to adults with one or more unfavorable CVD risk factors. Studies on predictors of low CV risk in Hispanics/Latinos have focused solely on Mexican-Americans. The objective of this study was to use data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; enrolled 2008 to 2011) to assess relationships of nativity and length of residence in the US, a commonly used proxy for acculturation, with low CV risk (not currently smoking; no diabetes; untreated total cholesterol <2000 mg/dL; untreated blood pressure < 120/<80; bodymass index <25 kg/m(2); and no major ECG abnormalities) in 15,047 Central American, South American, Cuban, Dominican, Mexican, Puerto Rican men and women, and Hispanic/Latinomen and women identifying as other or >1 heritage. We also tested whether associations varied by Hispanic/Latino background. Women living in the US < 10 years were 1.96 (95% confidence interval: 1.37, 2.80) timesmore likely to be low CV risk than US-born women after adjusting for sociodemographic characteristics, diet, physical activity, and self-reported experiences of ethnic discrimination. Findings varied in men by Hispanic/Latino background, but length of residence was largely unrelated to lowCV risk. These findings highlight the role acculturative processes play in shaping cardiovascular health in Hispanics/Latinos. (C) 2016 Elsevier Inc. All rights reserved.

【 授权许可】

Free