Length of Residence in the United States is Associated With a Higher Prevalence of Cardiometabolic Risk Factors in Immigrants: A Contemporary Analysis of the National Health Interview Survey
Length of Residence in the United States is Associated With a Higher Prevalence of Cardiometabolic Risk Factors in Immigrants: A Contemporary Analysis of the National Health Interview Survey
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DOI：
10.1161/jaha.116.004059
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发表时间：
2016-11-01
影响因子：
5.4
通讯作者：
Okosun, Ike S.
中科院分区：
文献类型：
--
作者：
Commodore-Mensah, Yvonne;Ukonu, Nwakaego;Okosun, Ike S.
背景-心脏代谢风险（CMR）因素，包括高血压，超重/肥胖，糖尿病和高脂血症在美国少数民族中很高，移民人口继续激增。（居住时间）与CMR因素的患病率较高相关，作者分析了54，2010- 2014年全国健康访谈调查中的984名美国移民。主要预测因素是居住时间。结局为高血压、超重/肥胖、糖尿病和高脂血症。作者使用多变量逻辑回归来检验美国居住时间与这些CMR因素之间的关联。患者的平均（SE）年龄为43（0.12）岁，一半为女性。在美国居住≥ 10年的参与者比居住< 10年的参与者更有可能拥有健康保险（70%对54%，P< 0.001）。在对出生地区、贫困收入比、年龄和性别进行调整后，在美国居住超过10年的移民更有可能超重/肥胖。（比值比[ OR]，1.19; 95% CI，1.10-1.29），糖尿病（OR，1.43; 95%CI，1.17-1.73），高血压（OR，1.18; 95%CI，1.05-1.32）比那些居住在美国< 10年的人。结论--在美国移民的种族多样性样本中，文化适应与CMR因素相关。应在美国移民人群中制定文化定制的公共卫生策略，以减少CMR。
Background- Cardiometabolic risk (CMR) factors including hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia are high among United States ethnic minorities, and the immigrant population continues to burgeon.Methods and Results- Hypothesizing that acculturation (length of residence) would be associated with a higher prevalence of CMR factors, the authors analyzed data on 54, 984 US immigrants in the 2010- 2014 National Health Interview Surveys. The main predictor was length of residence. The outcomes were hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia. The authors used multivariable logistic regression to examine the association between length of US residence and these CMR factors. The mean (SE) age of the patients was 43 (0.12) years and half were women. Participants residing in the United States for >= 10 years were more likely to have health insurance than those with < 10 years of residence (70% versus 54%, P< 0.001). After adjusting for region of birth, poverty income ratio, age, and sex, immigrants residing in the United States for >= 10 years were more likely to be overweight/obese (odds ratio [ OR], 1.19; 95% CI, 1.10-1.29), diabetic (OR, 1.43; 95% CI, 1.17-1.73), and hypertensive (OR, 1.18; 95% CI, 1.05-1.32) than those residing in the United States for < 10 years.Conclusions-- In an ethnically diverse sample of US immigrants, acculturation was associated with CMR factors. Culturally tailored public health strategies should be developed in US immigrant populations to reduce CMR.