1. Relationships of nativity and length of residence in the U.S. with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
- Author
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Kershaw, Kiarri N., Giacinto, Rebeca Espinoza, Gonzalez, Franklyn, Isasi, Carmen R., Salgado, Hugo, Stamler, Jeremiah, Talavera, Gregory A., Tarraf, Wassim, Van Horn, Linda, Wu, Donghong, and Daviglus, Martha L.
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CARDIOVASCULAR diseases risk factors , *MEDICAL care costs , *BODY mass index , *BLOOD pressure , *CARDIOVASCULAR disease prevention , *STATISTICS on Hispanic Americans , *ACCULTURATION , *CARDIOVASCULAR diseases , *CHOLESTEROL , *RESEARCH funding , *DISEASE prevalence - Abstract
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 <200mg/dL; untreated blood pressure<120/<80; body mass index <25kg/m(2); and no major ECG abnormalities) in 15,047 Central American, South American, Cuban, Dominican, Mexican, Puerto Rican men and women, and Hispanic/Latino men and women identifying as other or >1 heritage. We also tested whether associations varied by Hispanic/Latino background. Women living in the US<10years were 1.96 (95% confidence interval: 1.37, 2.80) times more 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 low CV risk. These findings highlight the role acculturative processes play in shaping cardiovascular health in Hispanics/Latinos. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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