Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis

Félice Lê-Scherban; Sandra S Albrecht; Alain Bertoni; Namratha Kandula; Neil Mehta; Ana V Diez Roux

doi:10.1016/j.annepidem.2016.04.008

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Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis

Journal article

Open access

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Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis

Félice Lê-Scherban, Sandra S Albrecht, Alain Bertoni, Namratha Kandula, Neil Mehta and Ana V Diez Roux

Annals of epidemiology, v 26(6), pp 429-435.e1

Jun 2016

DOI: https://doi.org/10.1016/j.annepidem.2016.04.008

PMID: 27221804

Featured in Collection : UN Sustainable Development Goals @ Drexel

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Abstract

Acculturation

Age Distribution

Aged

Aged, 80 and over

Attitude to Health - ethnology

Body Mass Index

Cardiovascular Diseases - epidemiology

Cardiovascular Diseases - ethnology

Cardiovascular Diseases - physiopathology

Cross-Sectional Studies

Emigrants and Immigrants - statistics & numerical data

Ethnic Groups - statistics & numerical data

Female

Humans

Incidence

Life Style - ethnology

Male

Middle Aged

Risk Assessment

Sex Distribution

Survival Analysis

Time Factors

United States

Despite cross-sectional evidence that foreign-born United States (US) residents often have better health than US-born residents of similar race and/or ethnicity, we know little about overall cardiovascular risk progression over time among immigrants as they age in the US. Using longitudinal data from the Multiethnic Study of Atherosclerosis on 6446 adults aged 45-84 years at baseline, we examined how nativity and length of US residence related to change in cardiovascular health (CVH) and cardiovascular event incidence over 11-year follow-up. CVH was measured using the American Heart Association's CVH measure (range, 0-14; higher is better). Immigrants, particularly those with shorter US residence, had better baseline CVH and lower cardiovascular event incidence than the US born. Baseline CVH scores ranged from 8.67 (8.42-8.92) among immigrants living in the US less than 10 years to 7.86 (7.76-7.97) among the US born. However, recent immigrants experienced the largest CVH declines over time: 10-year declines ranged from -1.04 (-1.27 to -0.80) among immigrants living in the US less than 10 years at baseline to -0.47 (-0.52 to -0.42) among the US born. Public health prevention efforts targeting new immigrants may help slow the deterioration of CVH and reduce future cardiovascular risk.

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27 citations in Web of Science

30 citations in Scopus

Details

Title: Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis
Creators: Félice Lê-Scherban - Drexel University
Sandra S Albrecht - University of North Carolina at Chapel Hill
Alain Bertoni - Wake Forest University
Namratha Kandula - ¶Department of Medicine, Northwestern University, Chicago, IL
Neil Mehta - Emory University
Ana V Diez Roux - Drexel University
Publication Details: Annals of epidemiology, v 26(6), pp 429-435.e1
Publisher: Elsevier
Grant note: R01 HL071759 / NHLBI NIH HHS N01HC95169 / NHLBI NIH HHS P2C HD050924 / NICHD NIH HHS N01HC95161 / NHLBI NIH HHS N01 HC095168 / NHLBI NIH HHS L60 MD009078 / NIMHD NIH HHS N01HC95164 / NHLBI NIH HHS N01HC95160 / NHLBI NIH HHS N01HC95167 / NHLBI NIH HHS N01HC95159 / NHLBI NIH HHS N01HC95163 / NHLBI NIH HHS N01HC95166 / NHLBI NIH HHS P60 MD002249 / NIMHD NIH HHS N01HC95165 / NHLBI NIH HHS N01HC95162 / NHLBI NIH HHS
Resource Type: Journal article
Language: English
Academic Unit: Urban Health Collaborative; Epidemiology and Biostatistics
Web of Science ID: WOS:000378302000008
Scopus ID: 2-s2.0-84969542769
Other Identifier: 991019168837504721

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Collaboration types: Domestic collaboration
Web of Science research areas: Public, Environmental & Occupational Health