TY - JOUR
T1 - Heterogeneity in Cardiovascular Disease Risk Factors Among Latino Immigrant Subgroups
T2 - Evidence From the 2010 to 2018 National Health Interview Survey
AU - Elias, Sabrina
AU - Turkson-Ocran, Ruth Alma
AU - Koirala, Binu
AU - Byiringiro, Samuel
AU - Baptiste, Diana
AU - Himmelfarb, Cheryl R.
AU - Commodore-Mensah, Yvonne
N1 - Funding Information:
S. Elias is supported by the National Institute of Nursing Research of the NIH under award number FNR019523A. R.-A. Turkson-Ocran is supported by an award from the NIH/National Heart, Lung, and Blood Institute (NHLBI): 3R01HL158622-01S1. S. Byiringiro was supported by the Joan Conway Scholarship, the Johns Hopkins University School of Nursing Discovery and Innovation Fund, and Johns Hopkins Provosts’ COVID-Relief Fund. Y. Commodore-Mensah is supported by the American Heart Association Health Equity Research Network (HERN) project: Prevention of Hypertension (882415) and the NIMHD (5P50MD017348-02).
Publisher Copyright:
© 2023 The Authors.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: The Latino population is a growing and diverse share of the US population. Previous studies have examined Latino immigrants as a homogenous group. The authors hypothesized that there would be heterogeneity in cardiovascular disease risk factors among Latino immigrant subgroups (from Mexico, Puerto Rico, Cuba, Dominican Republic, Central America, or South America) compared with non-Latino White adults. METHODS AND RESULTS: A cross-sectional analysis of the 2010 to 2018 National Health Interview Survey (NHIS) among 548 739 individuals was performed. Generalized linear models with Poisson distribution were fitted to compare the prevalence of self-reported hypertension, overweight/obesity, diabetes, high cholesterol, physical inactivity, and current smoking, adjusting for known confounders. The authors included 474 968 non-Latino White adults and 73 771 Latino immigrants from Mexico (59%), Puerto Rico (7%), Cuba (6%), Dominican Republic (5%), Central America (15%), and South America (9%). Compared with White adults, Mexican immigrants had the highest prevalence of overweight/obesity (prevalence ratio [PR], 1.17 [95% CI, 1.15– 1.19]); Puerto Rican individuals had the highest prevalence of diabetes (PR, 1.63 [95% CI, 1.45–1.83]); individuals from Central America had the highest prevalence of high cholesterol (PR, 1.16 [95% CI, 1.04–1.28]); and individuals from the Dominican Republic had the highest prevalence of physical inactivity (PR, 1.25 [95% CI, 1.18–1.32]). All Latino immigrant subgroups were less likely to be smokers than White adults. CONCLUSIONS: The authors observed advantages and disparities in cardiovascular disease risk factors among Latino im-migrants. Aggregating data on Latino individuals may mask differences in cardiovascular disease risk and hinder efforts to reduce health disparities in this population. Study findings provide Latino group– specific actionable information and targets for improving cardiovascular health.
AB - BACKGROUND: The Latino population is a growing and diverse share of the US population. Previous studies have examined Latino immigrants as a homogenous group. The authors hypothesized that there would be heterogeneity in cardiovascular disease risk factors among Latino immigrant subgroups (from Mexico, Puerto Rico, Cuba, Dominican Republic, Central America, or South America) compared with non-Latino White adults. METHODS AND RESULTS: A cross-sectional analysis of the 2010 to 2018 National Health Interview Survey (NHIS) among 548 739 individuals was performed. Generalized linear models with Poisson distribution were fitted to compare the prevalence of self-reported hypertension, overweight/obesity, diabetes, high cholesterol, physical inactivity, and current smoking, adjusting for known confounders. The authors included 474 968 non-Latino White adults and 73 771 Latino immigrants from Mexico (59%), Puerto Rico (7%), Cuba (6%), Dominican Republic (5%), Central America (15%), and South America (9%). Compared with White adults, Mexican immigrants had the highest prevalence of overweight/obesity (prevalence ratio [PR], 1.17 [95% CI, 1.15– 1.19]); Puerto Rican individuals had the highest prevalence of diabetes (PR, 1.63 [95% CI, 1.45–1.83]); individuals from Central America had the highest prevalence of high cholesterol (PR, 1.16 [95% CI, 1.04–1.28]); and individuals from the Dominican Republic had the highest prevalence of physical inactivity (PR, 1.25 [95% CI, 1.18–1.32]). All Latino immigrant subgroups were less likely to be smokers than White adults. CONCLUSIONS: The authors observed advantages and disparities in cardiovascular disease risk factors among Latino im-migrants. Aggregating data on Latino individuals may mask differences in cardiovascular disease risk and hinder efforts to reduce health disparities in this population. Study findings provide Latino group– specific actionable information and targets for improving cardiovascular health.
KW - Latino immigrants
KW - NHIS
KW - cardiovascular disease
KW - disparities
KW - risk factors
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U2 - 10.1161/JAHA.122.027433
DO - 10.1161/JAHA.122.027433
M3 - Article
C2 - 37158060
AN - SCOPUS:85159738496
SN - 2047-9980
VL - 12
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 10
M1 - e027433
ER -