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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Association between language and risk factor levels among Hispanic adults with hypertension, hypercholesterolemia, or diabetes
The American heart journal, v 157(1), pp 53-59
01 Jan 2009
PMID: 19081396
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background The association of acculturation and cardiovascular risk factor control among populations with high proportions of immigrants has not been well studied.
Methods We studied 1,492 Hispanic participants in the Multi-Ethnic Study of Atherosclerosis (MESA) with hypertension, hypercholesterolemia, and/or diabetes. We used linear regression to examine the cross-sectional relationships between acculturation measures and cardiovascular risk factor levels. Outcome measures included systolic blood pressure (mm Hg), fasting low-density lipoprotein (LDL) cholesterol (mg/dL), and fasting blood glucose (mg/dL). Covariates included education, income, health insurance, physical activity, dietary factors, risk factor-specific medication use, duration of medication use, smoking, and body mass index.
Results There were 580 Hispanics with hypertension, 539 with hypercholesterolemia, and 248 with diabetes. After adjustment for age and gender, Spanish-speaking Hispanics with cardiovascular risk factors had higher systolic blood pressure, fasting LDL cholesterol,: and fasting blood glucose compared to English-speaking Hispanics. Differences in systolic blood pressure were accounted for mainly by education, whereas differences in LDL cholesterol were almost entirely accounted for by cholesterol-lowering medication use. Differences in fasting glucose were partly accounted for by socioeconomic variables but were augmented after adjustment for dietary factors. Similar associations were observed between proportion of life in the United States and risk factor levels.
Conclusions Among those with cardiovascular risk factors, Hispanics who spoke Spanish at home and lived less time in the United States had worse control of cardiovascular risk factors. Treatment strategies that focus on Hispanics with low levels of acculturation may improve cardiovascular risk factor control. (Am Heart J 2009;157:53-9.)
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Details
- Title
- Association between language and risk factor levels among Hispanic adults with hypertension, hypercholesterolemia, or diabetes
- Creators
- Pracha P. Eamranond (Corresponding Author) - Beth Israel Deaconess Medical CenterAnna T. R. Legedza - Beth Israel Deaconess Medical CenterAna V. Diez-Roux - University of MichiganNamratha R. Kandula - Northwestern UniversityWalter Palmas - Columbia UniversityDavid S. Siscovick - University of WashingtonKenneth J. Mukamal - Beth Israel Deaconess Medical Center
- Publication Details
- The American heart journal, v 157(1), pp 53-59
- Publisher
- Elsevier
- Grant note
- T32 HP11001-18 / Institutional National Research Service N01HC095164 / DIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000261851700007
- Scopus ID
- 2-s2.0-57149085851
- Other Identifier
- 991020112262404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems