Association of acculturation and country of origin with self-reported hypertension and diabetes in a heterogeneous Hispanic population
نویسندگان
چکیده
BACKGROUND Hispanics are the fasting growing population in the U.S. and disproportionately suffer from chronic diseases such as hypertension and diabetes. Little is known about the complex interplay between acculturation and chronic disease prevalence in the growing and increasingly diverse Hispanic population. We explored the association between diabetes and hypertension prevalence among distinct U.S. Hispanic subgroups by country of origin and by degree of acculturation. METHODS We examined the adult participants in the 2001, 2003, 2005, and 2007 California Health Interview Survey (CHIS). Using weighted logistic regression stratified by nativity, we measured the association between country of origin and self-reported hypertension and diabetes adjusting for participants' demographics, insurance status, socio-economic status and degree of acculturation measured by citizenship, English language proficiency and the number of years of residence in the U.S. RESULTS There were 33,633 self-identified Hispanics (foreign-born: 19,988; U.S.-born: 13,645). After multivariable adjustment, we found significant heterogeneity in self-reported hypertension and diabetes prevalence among Hispanic subgroups. Increasing years of U.S. residence was associated with increased disease prevalence. Among all foreign-born subgroups, only Mexicans reported lower odds of hypertension after adjustment for socioeconomic and acculturation factors. Both U.S.-born and foreign-born Mexicans had higher rates of diabetes as compared to non-Hispanic whites. CONCLUSIONS We found significant heterogeneity among Hispanics in self-reported rates of hypertension and diabetes by acculturation and country of origin. Our findings highlight the importance of disaggregation of Hispanics by country of origin and acculturation factors whenever possible.
منابع مشابه
Author's response to reviews Title: Association of Acculturation and Country of Origin with Self-Reported Hypertension and Diabetes in a Heterogeneous Hispanic Population Authors:
متن کامل
Self-reported diabetes and hypertension among Arab Americans in the United States.
OBJECTIVE The prevalence of diabetes and hypertension is increasing in the United States. Estimates for Blacks and Hispanics are higher compared to non-Hispanic Whites. When comparing estimates among racial and ethnic groups, Whites are used as the reference category. Whites are a very heterogeneous group, comprising persons having origins in Europe, North America, or the Middle East. The objec...
متن کاملCardiovascular risk factor variation within a Hispanic cohort: SWAN, the Study of Women's Health Across the Nation.
OBJECTIVES Hispanics have less favorable cardiovascular risk profiles relative to other groups, although little is known regarding variability in risk profiles according to country of origin. Our goal was to examine the association of cardiovascular risk factors with country of origin and acculturation in a cohort of middle-aged Hispanic women. SETTING Baseline data for participants at the Ne...
متن کاملDiscrepancies in Race and Ethnicity Documentation: a Potential Barrier in Identifying Racial and Ethnic Disparities
BACKGROUND Data collection on race and ethnicity is critical in the assessment of racial disparities related to health. Studies comparing clinical and administrative data show discrepancies in race documentation and attribution. METHODS Self-reported data from two studies were compared to demographics in the electronic health record (EHR) extracted from the Biomedical Translational Research I...
متن کاملAssociation of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)
OBJECTIVE The prevalence of type 2 diabetes among Hispanic and Asian Americans is increasing. These groups are largely comprised of immigrants who may be undergoing behavioral and lifestyle changes associated with development of diabetes. We studied the association between acculturation and diabetes in a population sample of 708 Mexican-origin Hispanics, 547 non-Mexican-origin Hispanics, and 73...
متن کامل