Greater Acculturation is Associated With Poorer Cardiovascular Health in the Multi-Ethnic Study of Atherosclerosis.
Greater Acculturation is Associated With Poorer Cardiovascular Health in the Multi-Ethnic Study of Atherosclerosis.
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DOI：
10.1161/jaha.120.019828
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发表时间：
2021-04-20
影响因子：
5.4
通讯作者：
Michos ED
中科院分区：
文献类型：
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作者：
Osibogun O;Ogunmoroti O;Mathews L;Okunrintemi V;Tibuakuu M;Michos ED
文化适应程度越高，心血管疾病的风险就会增加。然而，人们对文化适应与美国心脏协会的 7 个 CVH 指标所衡量的理想心血管健康 (CVH) 之间的关系知之甚少。我们在基线时没有临床心血管疾病的多种族美国成年人队列中调查了文化适应与理想 CVH 之间的关联。这是对 4 个种族/民族的 6506 名年龄在 45 岁至 84 岁之间的男性和女性进行的横断面分析。我们通过 CVH 评分检查了文化适应措施（出生地、在家使用的语言以及在美国居住的年数[外国出生的参与者]）。 0 至 8 分表示不充分，9 至 10 分表示平均，11 至 14 分表示最佳 CVH。我们使用多变量回归来检查文化适应和 CVH 之间的关联，并调整年龄、性别、种族/民族、教育、收入和健康保险。平均 (SD) 年龄为 62 (10) 岁，53% 为女性，39% 非西班牙裔白人，26% 非西班牙裔黑人，12% 华裔，22% 西班牙裔美国人。与外国出生的参与者相比，美国出生的参与者获得最佳 CVH 的几率较低（优势比 [OR]：0.63 [0.50–0.79]，P<0.001）。与说英语的参与者相比，在家说中文和其他外语的参与者获得最佳 CVH 的几率更大（分别为 1.91 [1.08–3.36]，P=0.03；和 1.65 [1.04–2.63]，P=0.03）。在美国寿命最长的外国出生的参与者获得最佳 CVH 的几率较低（0.62 [0.43–0.91]，P=0.02）。美国文化适应程度越高，CVH 越差。这一发现表明，应鼓励移民人群推广理想的 CVH，因为在美国居住的时间越长，CVH 越差。
Greater acculturation is associated with increased risk of cardiovascular disease. However, little is known about the association between acculturation and ideal cardiovascular health (CVH) as measured by the American Heart Association's 7 CVH metrics. We investigated the association between acculturation and ideal CVH among a multi‐ethnic cohort of US adults free of clinical cardiovascular disease at baseline. This was a cross‐sectional analysis of 6506 men and women aged 45 to 84 years of 4 races/ethnicities. We examined measures of acculturation(birthplace, language spoken at home, and years lived in the United States [foreign‐born participants]) by CVH score. Scores of 0 to 8 indicate inadequate, 9 to 10 average and 11 to 14 optimal CVH. We used multivariable regression to examine associations between acculturation and CVH, adjusting for age, sex, race/ethnicity, education, income and health insurance. The mean (SD) age was 62 (10) years, 53% were women, 39% non‐Hispanic White‐, 26% non‐Hispanic Black‐, 12% Chinese‐ and 22% Hispanic‐Americans. US‐born participants had lower odds of optimal CVH (odds ratio [OR]: 0.63 [0.50–0.79], P<0.001) compared with foreign‐born participants. Participants who spoke Chinese and other foreign languages at home had greater odds of optimal CVH compared with those who spoke English (1.91 [1.08–3.36], P=0.03; and 1.65 [1.04–2.63], P=0.03, respectively). Foreign‐born participants who lived the longest in the United States had lower odds of optimal CVH (0.62 [0.43–0.91], P=0.02). Greater US acculturation was associated with poorer CVH. This finding suggests that the promotion of ideal CVH should be encouraged among immigrant populations since more years lived in the United States was associated with poorer CVH.