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Journal article
Associations of Acculturation and Socioeconomic Status With Subclinical Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis
American journal of public health (1971), v 98(11), pp 1963-1970
01 Nov 2008
PMID: 18511718
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Abstract
Objectives. We assessed whether markers of acculturation (birthplace and number of US generations) and socioeconomic status (SES) are associated with markers of subclinical cardiovascular disease-carotid artery plaque, internal carotid intima-media thickness, and albuminuria-in 4 racial/ethnic groups.
Methods. With data from the Multi-Ethnic Study of Atherosclerosis (n =6716 participants aged 45-84years) and race-specific binomial regression models, we computed prevalence ratios adjusted for demographics and traditional cardiovascular risk factors.
Results. The adjusted US-to foreign-born prevalence ratio for carotid plaque was 1.20 (99% confidence interval [CI]=0.97, 1.39) among Whites, 1.91 (99% CI=0.94, 2.94) among Chinese, 1.62 (99% CI=1.28, 2.06) among Blacks, and 1.23 (99% CI=1.15, 1.31) among Hispanics. Greater carotid plaque prevalence was found among Whites, Blacks, and Hispanics with a greater number of generations with US residence (P<.001) and among Whites with less education and among Blacks with lower incomes. Similar associations were observed with intima-media thickness. There was also evidence of an inverse association between albuminuria and SES among Whites and Hispanics.
Conclusions. Greater US acculturation and lower SES were associated with a higher prevalence of carotid plaque and greater intima-media thickness but not with albuminuria. Maintenance of healthful habits among recent immigrants should be encouraged. (Am J Public Health. 2008;98:1963-1970. doi:10.2105/AJPH.2007.123844)
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Details
- Title
- Associations of Acculturation and Socioeconomic Status With Subclinical Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis
- Creators
- Pamela L. Lutsey - University of MinnesotaAna V. Diez Roux - University of MichiganDavid R. Jacobs - University of MinnesotaGregory L. Burke - Wake Forest UniversityJane Harman - National Heart Lung and Blood InstituteSteven Shea - Columbia UniversityAaron R. Folsom - University of Minnesota
- Publication Details
- American journal of public health (1971), v 98(11), pp 1963-1970
- Publisher
- American Public Health Association
- Number of pages
- 8
- Grant note
- N01-HC-95159; N01-HC-95165; N01-HC-95169 / National Heart Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R21HL095165 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) N01HC095169 / 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:000260622900016
- Scopus ID
- 2-s2.0-55249092466
- Other Identifier
- 991020112175404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health