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Relationships of nativity and length of residence in the U.S. with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Prev Med. 2016 08; 89:84-89.PM

Abstract

Individuals with favorable levels of all readily measured major CVD risk factors (low CV risk) during middle age incur lower cardiovascular morbidity and mortality, lower all-cause mortality, and lower Medicare costs at older ages compared to adults with one or more unfavorable CVD risk factors. Studies on predictors of low CV risk in Hispanics/Latinos have focused solely on Mexican-Americans. The objective of this study was to use data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; enrolled 2008 to 2011) to assess relationships of nativity and length of residence in the US, a commonly used proxy for acculturation, with low CV risk (not currently smoking; no diabetes; untreated total cholesterol <200mg/dL; untreated blood pressure<120/<80; body mass index <25kg/m(2); and no major ECG abnormalities) in 15,047 Central American, South American, Cuban, Dominican, Mexican, Puerto Rican men and women, and Hispanic/Latino men and women identifying as other or >1 heritage. We also tested whether associations varied by Hispanic/Latino background. Women living in the US<10years were 1.96 (95% confidence interval: 1.37, 2.80) times more likely to be low CV risk than US-born women after adjusting for sociodemographic characteristics, diet, physical activity, and self-reported experiences of ethnic discrimination. Findings varied in men by Hispanic/Latino background, but length of residence was largely unrelated to low CV risk. These findings highlight the role acculturative processes play in shaping cardiovascular health in Hispanics/Latinos.

Authors+Show Affiliations

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. Electronic address: k-kershaw@northwestern.edu.Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States.Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, United States.Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, CA, United States.Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, CA, United States.Wayne State University, Institute of Gerontology, Detroit, MI, United States.Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, United States.Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, United States.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

27196144

Citation

Kershaw, Kiarri N., et al. "Relationships of Nativity and Length of Residence in the U.S. With Favorable Cardiovascular Health Among Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)." Preventive Medicine, vol. 89, 2016, pp. 84-89.
Kershaw KN, Giacinto RE, Gonzalez F, et al. Relationships of nativity and length of residence in the U.S. with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prev Med. 2016;89:84-89.
Kershaw, K. N., Giacinto, R. E., Gonzalez, F., Isasi, C. R., Salgado, H., Stamler, J., Talavera, G. A., Tarraf, W., Van Horn, L., Wu, D., & Daviglus, M. L. (2016). Relationships of nativity and length of residence in the U.S. with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Preventive Medicine, 89, 84-89. https://doi.org/10.1016/j.ypmed.2016.05.013
Kershaw KN, et al. Relationships of Nativity and Length of Residence in the U.S. With Favorable Cardiovascular Health Among Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prev Med. 2016;89:84-89. PubMed PMID: 27196144.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationships of nativity and length of residence in the U.S. with favorable cardiovascular health among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). AU - Kershaw,Kiarri N, AU - Giacinto,Rebeca Espinoza, AU - Gonzalez,Franklyn, AU - Isasi,Carmen R, AU - Salgado,Hugo, AU - Stamler,Jeremiah, AU - Talavera,Gregory A, AU - Tarraf,Wassim, AU - Van Horn,Linda, AU - Wu,Donghong, AU - Daviglus,Martha L, Y1 - 2016/05/16/ PY - 2016/01/22/received PY - 2016/05/11/revised PY - 2016/05/15/accepted PY - 2016/5/20/entrez PY - 2016/5/20/pubmed PY - 2017/11/1/medline KW - Acculturation KW - Cardiovascular health KW - Hispanics/Latinos SP - 84 EP - 89 JF - Preventive medicine JO - Prev Med VL - 89 N2 - Individuals with favorable levels of all readily measured major CVD risk factors (low CV risk) during middle age incur lower cardiovascular morbidity and mortality, lower all-cause mortality, and lower Medicare costs at older ages compared to adults with one or more unfavorable CVD risk factors. Studies on predictors of low CV risk in Hispanics/Latinos have focused solely on Mexican-Americans. The objective of this study was to use data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; enrolled 2008 to 2011) to assess relationships of nativity and length of residence in the US, a commonly used proxy for acculturation, with low CV risk (not currently smoking; no diabetes; untreated total cholesterol <200mg/dL; untreated blood pressure<120/<80; body mass index <25kg/m(2); and no major ECG abnormalities) in 15,047 Central American, South American, Cuban, Dominican, Mexican, Puerto Rican men and women, and Hispanic/Latino men and women identifying as other or >1 heritage. We also tested whether associations varied by Hispanic/Latino background. Women living in the US<10years were 1.96 (95% confidence interval: 1.37, 2.80) times more likely to be low CV risk than US-born women after adjusting for sociodemographic characteristics, diet, physical activity, and self-reported experiences of ethnic discrimination. Findings varied in men by Hispanic/Latino background, but length of residence was largely unrelated to low CV risk. These findings highlight the role acculturative processes play in shaping cardiovascular health in Hispanics/Latinos. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/27196144/Relationships_of_nativity_and_length_of_residence_in_the_U_S__with_favorable_cardiovascular_health_among_Hispanics/Latinos:_The_Hispanic_Community_Health_Study/Study_of_Latinos__HCHS/SOL__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(16)30090-1 DB - PRIME DP - Unbound Medicine ER -