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Association of birthplace and self-reported hypertension by racial/ethnic groups among US adults--National Health Interview Survey, 2006-2010.
J Hypertens. 2012 Dec; 30(12):2285-92.JH

Abstract

BACKGROUND

Over the past few decades, the proportion of US adults who were foreign-born has been increasing, as has the overall prevalence of hypertension. Here, we compared the prevalence of self-reported hypertension among native-born adults with that among foreign-born adults, classified by racial/ethnic group.

METHODS

Using 2006-2010 data from the National Health Interview Survey (NHIS), we compared the age-adjusted prevalence of hypertension among native-born adults to foreign-born adults, specified by continent of birthplace and race/ethnicity. Results are expressed as unadjusted odds ratios (ORs) and three sets of adjusted odds ratios (AORs) adjusted for selected sociodemographic, behavioral and health-related characteristics. All results accounted for NHIS sampling design variables.

RESULTS

The analytic sample was 124,260 with 16.3% foreign-born adults. Among the foreign-born adults, 56% were from Central or South America, 22% from Asia, 13% from Europe, and 4% from Africa. Overall and after adjustment, hypertension prevalence was significantly higher among US-born adults than among foreign-born adults (AOR: 1.28, 95% CI: 1.21-1.36). By race/ethnicity, hypertension prevalence was higher among US-born non-Hispanic blacks than either foreign-born non-Hispanic blacks (AOR: 1.24, 95%CI: 1.02-1.50) or all Africa-born immigrants of any race/ethnicity [AOR: 1.45, 95% confidence interval (CI): 1.07-1.97]. Among foreign-born adults, duration of US residence was positively associated with the likelihood of hypertension.

CONCLUSION

Hypertension prevalence was higher among US-born adults than among foreign-born adults and higher among US-born non-Hispanic blacks than in any other group. Among foreign-born adults, hypertension risk increased with the number of years they had lived in the United States.

Authors+Show Affiliations

Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. jfang@cdc.govNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23032143

Citation

Fang, Jing, et al. "Association of Birthplace and Self-reported Hypertension By Racial/ethnic Groups Among US adults--National Health Interview Survey, 2006-2010." Journal of Hypertension, vol. 30, no. 12, 2012, pp. 2285-92.
Fang J, Ayala C, Loustalot F. Association of birthplace and self-reported hypertension by racial/ethnic groups among US adults--National Health Interview Survey, 2006-2010. J Hypertens. 2012;30(12):2285-92.
Fang, J., Ayala, C., & Loustalot, F. (2012). Association of birthplace and self-reported hypertension by racial/ethnic groups among US adults--National Health Interview Survey, 2006-2010. Journal of Hypertension, 30(12), 2285-92. https://doi.org/10.1097/HJH.0b013e3283599b9a
Fang J, Ayala C, Loustalot F. Association of Birthplace and Self-reported Hypertension By Racial/ethnic Groups Among US adults--National Health Interview Survey, 2006-2010. J Hypertens. 2012;30(12):2285-92. PubMed PMID: 23032143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of birthplace and self-reported hypertension by racial/ethnic groups among US adults--National Health Interview Survey, 2006-2010. AU - Fang,Jing, AU - Ayala,Carma, AU - Loustalot,Fleetwood, PY - 2012/10/4/entrez PY - 2012/10/4/pubmed PY - 2013/7/3/medline SP - 2285 EP - 92 JF - Journal of hypertension JO - J Hypertens VL - 30 IS - 12 N2 - BACKGROUND: Over the past few decades, the proportion of US adults who were foreign-born has been increasing, as has the overall prevalence of hypertension. Here, we compared the prevalence of self-reported hypertension among native-born adults with that among foreign-born adults, classified by racial/ethnic group. METHODS: Using 2006-2010 data from the National Health Interview Survey (NHIS), we compared the age-adjusted prevalence of hypertension among native-born adults to foreign-born adults, specified by continent of birthplace and race/ethnicity. Results are expressed as unadjusted odds ratios (ORs) and three sets of adjusted odds ratios (AORs) adjusted for selected sociodemographic, behavioral and health-related characteristics. All results accounted for NHIS sampling design variables. RESULTS: The analytic sample was 124,260 with 16.3% foreign-born adults. Among the foreign-born adults, 56% were from Central or South America, 22% from Asia, 13% from Europe, and 4% from Africa. Overall and after adjustment, hypertension prevalence was significantly higher among US-born adults than among foreign-born adults (AOR: 1.28, 95% CI: 1.21-1.36). By race/ethnicity, hypertension prevalence was higher among US-born non-Hispanic blacks than either foreign-born non-Hispanic blacks (AOR: 1.24, 95%CI: 1.02-1.50) or all Africa-born immigrants of any race/ethnicity [AOR: 1.45, 95% confidence interval (CI): 1.07-1.97]. Among foreign-born adults, duration of US residence was positively associated with the likelihood of hypertension. CONCLUSION: Hypertension prevalence was higher among US-born adults than among foreign-born adults and higher among US-born non-Hispanic blacks than in any other group. Among foreign-born adults, hypertension risk increased with the number of years they had lived in the United States. SN - 1473-5598 UR - https://www.unboundmedicine.com/medline/citation/23032143/Association_of_birthplace_and_self_reported_hypertension_by_racial/ethnic_groups_among_US_adults__National_Health_Interview_Survey_2006_2010_ L2 - https://doi.org/10.1097/HJH.0b013e3283599b9a DB - PRIME DP - Unbound Medicine ER -