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Published in: Social Psychiatry and Psychiatric Epidemiology 7/2017

01-07-2017 | Original Paper

Cardiovascular disease and psychiatric disorders among Latinos in the United States

Authors: Leopoldo J. Cabassa, Roberto Lewis-Fernández, Shuai Wang, Carlos Blanco

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2017

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Abstract

Purpose

Cardiovascular disease (CVD) is the leading cause of death among Latinos and disproportionately impacts people with psychiatric disorders. The aim of this study was to examine the relationships between CVD and psychiatric disorders among different Latino subgroups using a nationally representative sample.

Methods

Latinos participants (N = 6359) were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. A structured diagnostic interview was used to determine psychiatric diagnoses for any past-year mood, anxiety, and substance use disorders. A self-reported measure of physician-confirmed CVD was used. The relationships between CVD and psychiatric disorders among Latino subgroups were examined with logistic regression models adjusting for sociodemographics, CVD-risk factors, and acculturation.

Results

CVD were highest among Puerto Ricans (12%) and Cubans (11%), followed by Other Latinos (7%) and Mexicans (5%). The relationship between psychiatric disorders and CVD differed by Latino subgroups. Significantly increased odds of CVD were found among Mexicans with any past-year mood and anxiety disorders, Puerto Ricans with any past-year psychiatric disorders, Cubans with any past-year mood and substance abuse disorders, and Other Latinos with any past-year mood, anxiety, and lifetime schizophrenia/psychotic disorders.

Conclusions

The associations between CVD and psychiatric disorders are not uniform among Latinos. Efforts to address the need for health and mental health services must carefully consider this heterogeneity.
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Metadata
Title
Cardiovascular disease and psychiatric disorders among Latinos in the United States
Authors
Leopoldo J. Cabassa
Roberto Lewis-Fernández
Shuai Wang
Carlos Blanco
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2017
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1325-1

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