Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 2/2011

01-04-2011 | Original Paper

A Comparison of Different Measures of Acculturation with Cardiovascular Risk Factors in Latinos with Hypertension

Authors: Ricardo Padilla, John F. Steiner, Edward P. Havranek, Brenda Beaty, Arthur J. Davidson, Sheana Bull

Published in: Journal of Immigrant and Minority Health | Issue 2/2011

Login to get access

Abstract

The effect of acculturation with cardiovascular disease (CVD) risk factors is poorly understood. We assessed the association of three acculturation measures (English language, US country of birth and a combination of the two) with CVD risk factors and co-morbid medical and behavioral conditions in a registry of 6,793 Latinos with hypertension. Greater acculturation was associated with higher adherence to medication (P < 0.05) and a higher prevalence of behavioral conditions (P < 0.01) but not with differences in prevalence of CVD risk factors, greater levels of CVD risk factor control or outcomes. Our study demonstrates that our proxies for acculturation were associated with behavioral risk factors, but not with the level of control of biomedical CVD risk factors. While more work is needed to develop proxies that can predict risk factor control and CVD outcomes, our simple measures can facilitate regular assessment of the cultural component of behavioral risk.
Literature
1.
go back to reference Hoyert DL, et al. Deaths: preliminary data for 2003. Natl Vital Stat Rep. 2005;53:1–48. Hoyert DL, et al. Deaths: preliminary data for 2003. Natl Vital Stat Rep. 2005;53:1–48.
2.
3.
go back to reference Pawson IG, et al. Prevalence of overweight and obesity in US Hispanic populations. Am J Clin Nutr. 1991;53(Suppl):1522S–8S.PubMed Pawson IG, et al. Prevalence of overweight and obesity in US Hispanic populations. Am J Clin Nutr. 1991;53(Suppl):1522S–8S.PubMed
4.
go back to reference Flegal KM, et al. Prevalence and trends in overweight in Mexican-American adults and children. Nurt Rev. 2004;62:S144–8.CrossRef Flegal KM, et al. Prevalence and trends in overweight in Mexican-American adults and children. Nurt Rev. 2004;62:S144–8.CrossRef
6.
go back to reference Cowie CC, et al. Prevalence of diabetes and impaired fasting glucose in adults in the US population: National Health and Nutrition Examination Survey 1999–2002. Diabetes Care. 2006;29:1263–8.PubMedCrossRef Cowie CC, et al. Prevalence of diabetes and impaired fasting glucose in adults in the US population: National Health and Nutrition Examination Survey 1999–2002. Diabetes Care. 2006;29:1263–8.PubMedCrossRef
7.
go back to reference Ong KL, et al. Prevalence, awareness, treatment and control of hypertension among United States adults 1999–2004. Hypertension. 2007;49:69–75.PubMedCrossRef Ong KL, et al. Prevalence, awareness, treatment and control of hypertension among United States adults 1999–2004. Hypertension. 2007;49:69–75.PubMedCrossRef
8.
go back to reference Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment and control of hypertension in the United States, 1988–2000. JAMA. 2003;290(2):199–206.PubMedCrossRef Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment and control of hypertension in the United States, 1988–2000. JAMA. 2003;290(2):199–206.PubMedCrossRef
10.
go back to reference Burnam AM, et al. Measurement of acculturation in a community of Mexican Americans. Hisp J Behav Sci. 1987;9:105–30.CrossRef Burnam AM, et al. Measurement of acculturation in a community of Mexican Americans. Hisp J Behav Sci. 1987;9:105–30.CrossRef
11.
go back to reference Kaplan MS, Marks G. Adverse effects of acculturation: psychosocial distress among Mexican American young adults. Soc Sci Med. 1990;31:1313–9.PubMedCrossRef Kaplan MS, Marks G. Adverse effects of acculturation: psychosocial distress among Mexican American young adults. Soc Sci Med. 1990;31:1313–9.PubMedCrossRef
12.
go back to reference Cuellar I, et al. The acculturation rating scale for Mexican-Americans-II: a revision of the original ARSMA scale. Hisp J Behav Sci. 1995;17:275–304.CrossRef Cuellar I, et al. The acculturation rating scale for Mexican-Americans-II: a revision of the original ARSMA scale. Hisp J Behav Sci. 1995;17:275–304.CrossRef
13.
go back to reference Deyo RA, et al. A simple language-based acculturation scale for Mexican Americans: validation and application to health care research. Am J Pub Health. 1985;75:51–5.CrossRef Deyo RA, et al. A simple language-based acculturation scale for Mexican Americans: validation and application to health care research. Am J Pub Health. 1985;75:51–5.CrossRef
14.
go back to reference Suinn RM, et al. The Suinn-Lew Asian self-identity acculturation scale: an initial report. Educ Psych Measurement. 1987;47:401–7.CrossRef Suinn RM, et al. The Suinn-Lew Asian self-identity acculturation scale: an initial report. Educ Psych Measurement. 1987;47:401–7.CrossRef
15.
go back to reference Miller MJ. A bilinear multidimensional measurement model of Asian American acculturation and enculturation: implications for counseling interventions. J Couns Psychol. 2007;54(2):118–31.CrossRef Miller MJ. A bilinear multidimensional measurement model of Asian American acculturation and enculturation: implications for counseling interventions. J Couns Psychol. 2007;54(2):118–31.CrossRef
16.
go back to reference Vaeth PA, Willett DL. Level of acculturation and hypertension among Dallas County Hispanics: findings from the Dallas Heart Study. Ann Epidemiol. 2005;15:373–80.PubMedCrossRef Vaeth PA, Willett DL. Level of acculturation and hypertension among Dallas County Hispanics: findings from the Dallas Heart Study. Ann Epidemiol. 2005;15:373–80.PubMedCrossRef
17.
go back to reference Goel MS, et al. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.PubMedCrossRef Goel MS, et al. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.PubMedCrossRef
18.
go back to reference Kaplan MS, et al. The association between length of residence and obesity among Hispanic immigrants. Am J Prev Med. 2004;27:323–6.PubMedCrossRef Kaplan MS, et al. The association between length of residence and obesity among Hispanic immigrants. Am J Prev Med. 2004;27:323–6.PubMedCrossRef
19.
go back to reference Cherpitel CJ, Borges G. Substance use among emergency room patients: an exploratory analysis by ethnicity and acculturation. Am J Drug Alcohol Abuse. 2002;28(2):287–305.PubMedCrossRef Cherpitel CJ, Borges G. Substance use among emergency room patients: an exploratory analysis by ethnicity and acculturation. Am J Drug Alcohol Abuse. 2002;28(2):287–305.PubMedCrossRef
20.
go back to reference Gfroerer JC, Tan LL. Substance use among foreign-born youths in the United States: does the length of residence matter? Am J Public Health. 2003;91(11):1892–5.CrossRef Gfroerer JC, Tan LL. Substance use among foreign-born youths in the United States: does the length of residence matter? Am J Public Health. 2003;91(11):1892–5.CrossRef
21.
go back to reference Ortega AN, et al. Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis. 2000;188(11):728–35.PubMedCrossRef Ortega AN, et al. Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis. 2000;188(11):728–35.PubMedCrossRef
22.
go back to reference Vega WA, et al. Co-occurring alcohol, drug and other psychiatric disorders among Mexican-origin people in the United States. Am J Public Health. 2003;93(7):1057–64.PubMedCrossRef Vega WA, et al. Co-occurring alcohol, drug and other psychiatric disorders among Mexican-origin people in the United States. Am J Public Health. 2003;93(7):1057–64.PubMedCrossRef
23.
go back to reference Bethel JW, Schenker MB. Acculturation and smoking patterns among Hispanics: a Review. Am J Prev Med. 2005;29(2):143–8.PubMedCrossRef Bethel JW, Schenker MB. Acculturation and smoking patterns among Hispanics: a Review. Am J Prev Med. 2005;29(2):143–8.PubMedCrossRef
24.
go back to reference Sonis J. Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents. Am J Public Health. 1998;88:964–6.PubMedCrossRef Sonis J. Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents. Am J Public Health. 1998;88:964–6.PubMedCrossRef
25.
go back to reference Goel MS, et al. Racial and ethnic disparities in cancer screening. The importance of foreign birth as a barrier to care. J Gen Intern Med. 2003;18:1028–35.PubMedCrossRef Goel MS, et al. Racial and ethnic disparities in cancer screening. The importance of foreign birth as a barrier to care. J Gen Intern Med. 2003;18:1028–35.PubMedCrossRef
26.
go back to reference Woloshin S, et al. Is language a barrier to the use of preventive services? J Gen Intern Med. 1997;12:472–7.PubMedCrossRef Woloshin S, et al. Is language a barrier to the use of preventive services? J Gen Intern Med. 1997;12:472–7.PubMedCrossRef
27.
go back to reference Ponce Na, et al. Linguistic disparities in health care access and health status among older adults. J Gen Intern Med. 2006;21:786–91.PubMedCrossRef Ponce Na, et al. Linguistic disparities in health care access and health status among older adults. J Gen Intern Med. 2006;21:786–91.PubMedCrossRef
28.
go back to reference Jurkowski JM, Johnson TP. Acculturation and cardiovascular disease screening practices among Mexican Americans living in Chicago. Ethn Dis. 2005;15:411–7.PubMed Jurkowski JM, Johnson TP. Acculturation and cardiovascular disease screening practices among Mexican Americans living in Chicago. Ethn Dis. 2005;15:411–7.PubMed
29.
go back to reference Eamranond PP, et al. Association between language and risk factor levels among Hispanic adults with hypertension, hypercholesterolemia or diabetes. Am Heart J. 2009;157(1):53–9.PubMedCrossRef Eamranond PP, et al. Association between language and risk factor levels among Hispanic adults with hypertension, hypercholesterolemia or diabetes. Am Heart J. 2009;157(1):53–9.PubMedCrossRef
30.
go back to reference Abraido-Lanza AF, et al. Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med. 2005;61:1243–55.PubMedCrossRef Abraido-Lanza AF, et al. Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med. 2005;61:1243–55.PubMedCrossRef
31.
go back to reference Wilkinson AV, et al. Effects of nativity, age at migration and acculturation on smoking among adult Houston residents of Mexican descent. Am J Pub Health. 2005;95:1043–9.CrossRef Wilkinson AV, et al. Effects of nativity, age at migration and acculturation on smoking among adult Houston residents of Mexican descent. Am J Pub Health. 2005;95:1043–9.CrossRef
32.
go back to reference Hanratty R, et al. Latinos using cardio health actions to reduce risk study investigators. Testing electronic algorithms to create disease registries in a safety net system. J Health Care Poor Underserved. 2008;19(2):452–65.PubMedCrossRef Hanratty R, et al. Latinos using cardio health actions to reduce risk study investigators. Testing electronic algorithms to create disease registries in a safety net system. J Health Care Poor Underserved. 2008;19(2):452–65.PubMedCrossRef
33.
go back to reference Steiner JF, Prochazka AV. The assessment of refill compliance using pharmacy records: methods, validity and applications. J Clin Epidemiol. 1997;50:105–16.PubMedCrossRef Steiner JF, Prochazka AV. The assessment of refill compliance using pharmacy records: methods, validity and applications. J Clin Epidemiol. 1997;50:105–16.PubMedCrossRef
34.
go back to reference Hess LM, et al. Measurement of adherence in pharmacy administrative databases: a proposal for standard definitions and preferred measures. Ann Pharmacother. 2006;40:1280–8.PubMedCrossRef Hess LM, et al. Measurement of adherence in pharmacy administrative databases: a proposal for standard definitions and preferred measures. Ann Pharmacother. 2006;40:1280–8.PubMedCrossRef
35.
go back to reference Coonrod DV, et al. Ethnicity, acculturation and obstetric outcomes: different risk factor profiles in low and high acculturation Hispanics and in white non-Hispanics. J Reprod Med. 2004;49(1):17–22.PubMed Coonrod DV, et al. Ethnicity, acculturation and obstetric outcomes: different risk factor profiles in low and high acculturation Hispanics and in white non-Hispanics. J Reprod Med. 2004;49(1):17–22.PubMed
36.
go back to reference Stern MP, et al. Genetic and environmental determinants of type II diabetes in Mexico City and San Antonio. Diabetes. 1992;41(4):484–92.PubMedCrossRef Stern MP, et al. Genetic and environmental determinants of type II diabetes in Mexico City and San Antonio. Diabetes. 1992;41(4):484–92.PubMedCrossRef
37.
go back to reference West SK, et al. Risk factors for type II diabetes and diabetic retinopathy in a Mexican-American population: proyecto VER. Am J Ophalmol. 2002;134(3):390–8.CrossRef West SK, et al. Risk factors for type II diabetes and diabetic retinopathy in a Mexican-American population: proyecto VER. Am J Ophalmol. 2002;134(3):390–8.CrossRef
38.
go back to reference Hovey JD. Acculturative stress, depression and suicidal ideation in Mexican immigrants. Cult Divers Ethn Minor Psychol. 2000;6(2):134–51.CrossRef Hovey JD. Acculturative stress, depression and suicidal ideation in Mexican immigrants. Cult Divers Ethn Minor Psychol. 2000;6(2):134–51.CrossRef
39.
go back to reference Moscicki EK, et al. Depressive symptoms among Mexican Americans: the Hispanic health and nutrition examination survey. Am J Epidemiol. 1989;130(2):348–60.PubMed Moscicki EK, et al. Depressive symptoms among Mexican Americans: the Hispanic health and nutrition examination survey. Am J Epidemiol. 1989;130(2):348–60.PubMed
40.
go back to reference Lewis-Fernandez R, et al. Significance of endorsement of psychotic symptoms by US Latinos. J Nerv Ment Dis. 2009;197(5):337–47.PubMedCrossRef Lewis-Fernandez R, et al. Significance of endorsement of psychotic symptoms by US Latinos. J Nerv Ment Dis. 2009;197(5):337–47.PubMedCrossRef
42.
go back to reference Berry JW. Conceptual approaches to acculturation. In: Chun KM, Organista PB, Marin G. Acculturation: advances in theory, measurement and applied research. Washington, DC: American Psychological Association.pp. 17–38. Berry JW. Conceptual approaches to acculturation. In: Chun KM, Organista PB, Marin G. Acculturation: advances in theory, measurement and applied research. Washington, DC: American Psychological Association.pp. 17–38.
43.
go back to reference Cuellar I, et al. An acculturation scale for Mexican American normal and clinical populations. Hisp J Behav Sci. 1980;2(3):199–217. Cuellar I, et al. An acculturation scale for Mexican American normal and clinical populations. Hisp J Behav Sci. 1980;2(3):199–217.
44.
go back to reference Rodriguez N, et al. Development of the multidimensional acculturative stress inventory for adults of Mexican origin. Psych Assess. 2002;14:451–61.CrossRef Rodriguez N, et al. Development of the multidimensional acculturative stress inventory for adults of Mexican origin. Psych Assess. 2002;14:451–61.CrossRef
45.
go back to reference Ramos BM. Acculturation and depression among Puerto Ricans in the mainland. Soc Work Res. 2005;29(2):95–105. Ramos BM. Acculturation and depression among Puerto Ricans in the mainland. Soc Work Res. 2005;29(2):95–105.
46.
go back to reference Stephenson M. Development and validation of the Stephenson multigroup acculturation scale (SMAS). Psychol Assess. 2000;12:77–88.PubMedCrossRef Stephenson M. Development and validation of the Stephenson multigroup acculturation scale (SMAS). Psychol Assess. 2000;12:77–88.PubMedCrossRef
47.
go back to reference Coronado GD, et al. A short acculturation scale for Mexican-American populations. Ethn Dis. 2005;15:53–62.PubMed Coronado GD, et al. A short acculturation scale for Mexican-American populations. Ethn Dis. 2005;15:53–62.PubMed
49.
go back to reference Gabow P, et al. Denver health: a model for the integration of a public hospital and community health centers. Ann Intern Med. 2003;138:143–9.PubMed Gabow P, et al. Denver health: a model for the integration of a public hospital and community health centers. Ann Intern Med. 2003;138:143–9.PubMed
50.
go back to reference Lasater LM, et al. Glycemic control in English vs. Spanish-speaking Hispanic patients with type 2 diabetes mellitus. Arch Intern Med. 2001;161:77–82.PubMedCrossRef Lasater LM, et al. Glycemic control in English vs. Spanish-speaking Hispanic patients with type 2 diabetes mellitus. Arch Intern Med. 2001;161:77–82.PubMedCrossRef
51.
go back to reference Batal HA, et al. Impact of prescription size on statin adherence and cholesterol levels. BMC Health Serv Res. 25 Oct 2007;7:175. Batal HA, et al. Impact of prescription size on statin adherence and cholesterol levels. BMC Health Serv Res. 25 Oct 2007;7:175.
Metadata
Title
A Comparison of Different Measures of Acculturation with Cardiovascular Risk Factors in Latinos with Hypertension
Authors
Ricardo Padilla
John F. Steiner
Edward P. Havranek
Brenda Beaty
Arthur J. Davidson
Sheana Bull
Publication date
01-04-2011
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2011
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-010-9434-5

Other articles of this Issue 2/2011

Journal of Immigrant and Minority Health 2/2011 Go to the issue