Heterogeneity in Cardiovascular Disease Risk Factors Among Latino Immigrant Subgroups: Evidence From the 2010 to 2018 National Health Interview Survey.
Heterogeneity in Cardiovascular Disease Risk Factors Among Latino Immigrant Subgroups: Evidence From the 2010 to 2018 National Health Interview Survey.
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DOI：
10.1161/jaha.122.027433
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发表时间：
2023-05-16
影响因子：
5.4
通讯作者：
Commodore-Mensah, Yvonne
中科院分区：
文献类型：
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作者：
Elias, Sabrina;Turkson-Ocran, Ruth-Alma;Koirala, Binu;Byiringiro, Samuel;Baptiste, Diana;Himmelfarb, Cheryl R.;Commodore-Mensah, Yvonne
拉丁裔人口在美国人口中所占的比例越来越大，越来越多样化。以前的研究将拉丁裔移民作为一个同质群体进行了研究。作者假设，与非拉丁裔白色成人相比，拉丁裔移民亚组（来自墨西哥、波多黎各、古巴、多米尼加共和国、中美洲或南美洲）的心血管疾病风险因素存在异质性。对2010年至2018年全国健康访谈调查（NHIS）的548739人进行了横断面分析。拟合泊松分布的广义线性模型，以比较自我报告的高血压、超重/肥胖、糖尿病、高胆固醇、身体活动不足和当前吸烟的患病率，并对已知混杂因素进行调整。作者包括474968名非拉丁裔白色成年人和73771名拉丁裔移民，他们来自墨西哥（59%）、波多黎各（7%）、古巴（6%）、多米尼加共和国（5%）、中美洲（15%）和南美洲（9%）。与白色成年人相比，墨西哥移民的超重/肥胖患病率最高（患病率[PR]，1.17 [95% CI，1.15-1.19]）;波多黎各人的糖尿病患病率最高（PR，1.63 [95% CI，1.45-1.83]）;中美洲个体的高胆固醇患病率最高（PR，1.16 [95%CI，1.04-1.28]）;多米尼加共和国的个体缺乏身体活动的患病率最高（PR，1.25 [95%CI，1.18-1.32]）。所有拉丁裔移民亚组都比白色成年人吸烟的可能性小。作者观察到拉丁美洲移民在心血管疾病危险因素方面的优势和差异。汇总拉丁裔个体的数据可能会掩盖心血管疾病风险的差异，并阻碍减少该人群健康差异的努力。研究结果提供了拉丁美洲群体特定的可操作信息和改善心血管健康的目标。
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. 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. The authors observed advantages and disparities in cardiovascular disease risk factors among Latino immigrants. 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.