Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis.
Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis.
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DOI：
10.1016/j.annepidem.2016.04.008
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发表时间：
2016-06
影响因子：
5.6
通讯作者：
Diez Roux AV
中科院分区：
文献类型：
--
作者：
Lê-Scherban F;Albrecht SS;Bertoni A;Kandula N;Mehta N;Diez Roux AV
尽管有横断面证据表明，在外国出生的美国(US)居民通常比在美国出生的类似种族/民族的居民健康状况更好，但我们对移民在美国的年龄增长过程中整体心血管风险的进展知之甚少。利用对6446名年龄在45-84岁的成年人进行的动脉粥样硬化多种族研究的纵向数据，我们研究了11年来美国人的出生地和居住时间与心血管健康和心血管事件发生率的变化之间的关系。使用美国心脏协会的心血管健康(CVH)测量(范围0-14；越高越好)来衡量心血管健康。移民，特别是那些在美国居住时间较短的人，比在美国出生的人有更好的心血管健康基线和更低的心血管事件发生率。在居住在美国10年的移民中，基线CVH得分从8.67(8.42-8.92)到在美国出生的移民中的7.86(7.76-7.97)。然而，随着时间的推移，最近的移民经历了最大的CVH降幅：10年的降幅从居住在美国的移民的−1.04(−1.27-−0.80)到在美国出生的移民的−0.47(−0.52-−0.42)。针对新移民的公共卫生预防工作可能有助于减缓心血管健康状况的恶化，降低未来的心血管风险。
Despite cross-sectional evidence that foreign-born United States (US) residents often have better health than US-born residents of similar race/ethnicity, we know little about overall cardiovascular risk progression over time among immigrants as they age in the US. Using longitudinal data from the Multi-Ethnic Study of Atherosclerosis on 6446 adults aged 45–84 years at baseline, we examined how nativity and length of US residence related to change in cardiovascular health and cardiovascular event incidence over 11-year follow-up. Cardiovascular health was measured using the American Heart Association's cardiovascular health (CVH) measure (range 0–14; higher is better). Immigrants, particularly those with shorter US residence, had better baseline cardiovascular health and lower cardiovascular event incidence than the US-born. Baseline CVH scores ranged from 8.67 (8.42–8.92) among immigrants living in the US < 10 years to 7.86 (7.76–7.97) among the US-born. However, recent immigrants experienced the largest CVH declines over time: 10-year declines ranged from −1.04 (−1.27–−0.80) among immigrants living in the US < 10 years at baseline to −0.47 (−0.52–−0.42) among the US-born. Public health prevention efforts targeting new immigrants may help slow the deterioration of cardiovascular health and reduce future cardiovascular risk.