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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 6/2012

01-12-2012 | Original Paper

Immigration Disparities in Cardiovascular Disease Risk Factor Awareness

Authors: Brent A. Langellier, Jeremiah R. Garza, Deborah Glik, Michael L. Prelip, Ron Brookmeyer, Christian K. Roberts, Anne Peters, Alexander N. Ortega

Published in: Journal of Immigrant and Minority Health | Issue 6/2012

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Abstract

The association between immigration status and cardiovascular disease (CVD) risk factor awareness is unknown. Using physical examination-based data and participants’ self-report of prior diagnosis, we assessed immigration-based disparities in awareness of diabetes, hypertension, hypercholesterolemia, and overweight among 12,124 participants in the 2003–2008 National Health and Nutrition Examination Survey. Unawareness of CVD risk factors is high among all groups, but tends to be higher among foreign-born English and non-English speaking participants than among US-born participants. After adjusting for demographic factors and access to health care, foreign-born participants appear more likely to be unaware of their hypertension and overweight than US-born participants. Immigrants are more likely than those born in the US to be unaware of their CVD risk factors, and therefore may be less motivated to seek treatment and modify their behavior to prevent negative CVD outcomes.
Literature
1.
2.
Wilson PWF, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97(18):1837–47.PubMedCrossRef
3.
Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA. 2007;298(17):2028–37.PubMedCrossRef
4.
American Heart Association. Heart disease and stroke statistics: 2010 update. Dallas, TX: American Heart Association; 2010.
5.
Franz MJ, Bantle JP, Beebe CA, et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care. 2002;25(1):148–98.PubMedCrossRef
6.
Chobanian AV, Bakris GL, Black HR, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure—the JNC 7 report. JAMA. 2003;289(19):2560–72.PubMedCrossRef
7.
Grundy SM, Cleeman JI, Merz CNB, et al. Implications of recent clinical trials for the national cholesterol education program adult treatment panel III guidelines. Circulation. 2004;110(2):227–39.PubMedCrossRef
8.
Post RE, Mainous AG III, Gregorie SH, Knoll ME, Diaz VA, Saxena SK. The influence of physician acknowledgment of patients’ weight status on patient perceptions of overweight and obesity in the United States. Arch Intern Med. 2011;171(4):316–21.PubMedCrossRef
9.
Farquhar J, Wood P, Breitrose H, et al. Community education for cardiovascular health. Lancet. 1977;309(8023):1192–5.CrossRef
10.
11.
12.
13.
14.
Burt VL, Whelton P, Roccella EJ, et al. Prevalence of hypertension in the US adult population—results from the 3rd National Health and Nutrition Examination Survey, 1988–1991. Hypertension. 1995;25(3):305–13.PubMedCrossRef
15.
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
16.
Muntner P, DeSalvo KB, Wildman RP, Raggi P, He J, Whelton PK. Trends in the prevalence, awareness, treatment, and control of cardiovascular disease risk factors among noninstitutionalized patients with a history of myocardial infarction and stroke. Am J Epidemiol. 2006;163(10):913–20.PubMedCrossRef
17.
Hyre AD, Muntner P, Menke A, Raggi P, He J. Trends in ATP-III-defined high blood cholesterol prevalence, awareness, treatment and control among US adults. Ann Epidemiol. 2007;17(7):548–55.PubMedCrossRef
18.
Al Ghatrif M, Kuo Y-F, Al Snih S, Raji MA, Ray LA, Markides KS. Trends in hypertension prevalence, awareness, treatment and control in older Mexican Americans, 1993–2005. Ann Epidemiol. 2011;21(1):15–25.PubMedCrossRef
19.
Dark CK, Ezenkwele UA. Access to care as a predictor of patients’ knowledge of cardiovascular diseases. J Natl Med Assoc. 2007;99(12):1338–46.PubMed
20.
Hertz RP, Unger AN, Ferrario CM. Diabetes, hypertension, and dyslipidemia in Mexican Americans and non-hispanic whites. Am J Prev Med. 2006;30(2):103–10.PubMedCrossRef
21.
Cutler JA, Sorlie PD, Wolz M, Thom T, Fields LE, Roccella EJ. Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988–1994 and 1999–2004. Hypertension. 2008;52(5):818–27.PubMedCrossRef
22.
Bersamin A, Stafford RS, Winkleby MA. Predictors of hypertension awareness, treatment, and control among Mexican American women and men. J Gen Intern Med. 2009;24:521–7.PubMedCrossRef
23.
Okosun IS, Dever GEA. Abdominal obesity and ethnic differences in diabetes awareness, treatment, and glycemic control. Obes Res. 2002;10(12):1241–50.PubMedCrossRef
24.
Lasser KE, Himmelstein DU, Woolhandler S. Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey. Am J Public Health. 2006;96(7):1300–7.PubMedCrossRef
25.
Rodriguez MA, Bustamante AV, Ang A. Perceived quality of care, receipt of preventive care, and usual source of health care among undocumented and other Latinos. J Gen Intern Med. 2009;24:508–13.PubMedCrossRef
26.
Schenker Y, Karter AJ, Schillinger D, et al. The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study. Patient Educ Couns. 2010;81(2):222–8.PubMedCrossRef
27.
Traylor AH, Schmittdiel JA, Uratsu CS, Mangione CM, Subramanian U. Adherence to cardiovascular disease medications: does patient-provider race/ethnicity and language concordance matter? J Gen Intern Med. 2010;25(11):1172–7.PubMedCrossRef
28.
US Department of Health and Human Services Centers for Disease Control and Prevention and National Center for Health Statistics. National Health and Nutrition Examination Survey, 2007–2008: overview. Hyattsville, MD: US Department of Health and Human Services; 2007.
29.
American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2004;27(suppl 1):s5–10.
30.
National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III): final report. Circulation. 2002;106(25):3143–421.
31.
Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–41.PubMedCrossRef
32.
DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US hispanics. Am J Public Health. 2008;98(11):2021–8.PubMedCrossRef
33.
Wallace S, Gutierrez V, Castaneda X. Access to preventive services for adults of Mexican origin. J Immigr Minor Health. 2008;10(4):363–71.PubMedCrossRef
34.
American Diabetes Association. Standards of medical care in diabetes–2011. Diabetes Care. 2011;34(Suppl 1):S11–61.CrossRef
35.
Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors, and 12-year cardiovascular mortality for men screened in the multiple risk factor intervention trial. Diabetes Care. 1993;16(2):434–44.PubMedCrossRef
36.
Neaton JD, Wentworth D. Serum cholesterol, blood pressure, cigarette smoking and death from coronary heart disease-overall findings and differences by age for 316, 099 White men. Arch Intern Med. 1992;152(1):56–64.PubMedCrossRef
Metadata
Title
Immigration Disparities in Cardiovascular Disease Risk Factor Awareness
Authors
Brent A. Langellier
Jeremiah R. Garza
Deborah Glik
Michael L. Prelip
Ron Brookmeyer
Christian K. Roberts
Anne Peters
Alexander N. Ortega
Publication date
01-12-2012
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 6/2012
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-011-9566-2

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