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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

Neighborhood Context and Hypertension Outcomes Among Latinos in Chicago

Authors: Edna A. Viruell-Fuentes, Ninez A. Ponce, Margarita Alegría

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

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Abstract

Although a health advantage in hypertension has been documented among Latinos, this advantage appears to be eroding. Of particular concern is the observation that Latinos are less likely to be screened and treated for hypertension and to having it controlled. Scholars have suggested that, above and beyond individual-level factors, neighborhood characteristics may be important predictors of health and health care. We analyzed 2001–2003 data from the Chicago Community Adult Health Study to examine (a) the relationship between the Latino and immigrant composition of neighborhoods in Chicago and several outcomes among Latinos: having hypertension, utilizing hypertension-related health care, and being treated for hypertension; and (b) whether there was a differential effect of neighborhood Latino/immigrant concentration by language of interview and nativity status. We controlled for additional neighborhood characteristics relevant to hypertension and to the availability and accessibility of health care resources. Neighborhoods with higher concentrations of immigrants and Latinos were associated with Latinos having lower odds of hypertension (OR = 0.60, p = 0.03). However, among those with hypertension, our results point to deleterious effects on hypertension care (OR = 0.55, p = 0.06) and treatment (OR = 0.54, p = 0.04) associated with living in neighborhoods with higher concentrations of immigrants and Latinos. We detected no significant interaction effects between immigrant/Latino neighborhood composition and language of interview or being an immigrant in this sample. These results suggest that improving access to care for Latinos with hypertension requires enhanced placement of community clinics and other safety-net health centers in neighborhoods with higher proportions of immigrants and Latinos.
Literature
1.
Centers for Disease Control and Prevention. Health disparities experienced by Hispanics—United States. MMWR. 2004;53(40):935–7.
2.
Escarce JJ, Morales LS, Rumbaut RG. The health status and health behaviors of Hispanics. In: Tienda M, Mitchell F, editors. Hispanics and the future of America. Washington, DC: The National Academies Press; 2006. p. 362–409.
3.
Vega WA, Amaro H. Latino outlook: good health, uncertain prognosis. Annu Rev Public Health. 1994;15:39–67.PubMedCrossRef
4.
Vega WA, Rodriguez MA, Gruskin E. Health disparities in the Latino population. Epidemiol Rev. 2009;31(1):99–112.PubMedCrossRef
5.
Perez-Stable EJ, Salazar R. Issues in achieving compliance with antihypertensive treatment in the Latino population. Clin Cornerstone. 2004;6(3):49–64.PubMedCrossRef
6.
Ong KL, Cheung BMY, Man YB, Lau CP, Lam KSL. Prevalence, awareness, treatment, and control of hypertension among United States adults 1999–2004. Hypertension. 2007;49(1):69–75.PubMedCrossRef
7.
Keenan NL, Rosendorf KA. Prevalence of hypertension and controlled hypertension—United states, 2005–2008. MMWR. 2011;60(Suppl):94–7.PubMed
8.
Winkleby M, Kraemer HC, Ahn D, Varady AN. Ethnic and socioeconomic differences in cardiovascular disease risk factors: findings for women from the third National Health and Nutrition Examination Survey, 1988–1994. JAMA. 1998;280:356–62.PubMedCrossRef
9.
Bersamin A, Stafford R, Winkleby M. Predictors of hypertension awareness, treatment, and control among Mexican American women and men. J Gen Intern Med. 2009;24:521–7.PubMedCrossRef
10.
Egan BM. US trends in prevalence, awareness, treatment, and control of hypertension, 1988–2008. JAMA. 2010;303(20):2043–50.PubMedCrossRef
11.
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
12.
Alegría M, Zhun C, McGuire TG, Ojeda VD, Sribney B, Woo M, et al. Health insurance coverage for vulnerable populations: contrasting Asian Americans and Latinos in the United States. Inq J Health Care. 2006;43(3):231–54.
13.
Weinick RM, Zuvekas SH, Cohen JW. Racial and ethnic differences in access to and use of health care services, 1977 to 1996. Med Care Res Rev. 2000;57(3):36–54.PubMed
14.
U.S. Department of Health and Human Services. National healthcare disparities report 2008. Rockville, MD: Agency for Healthcare Research and Quality; 2009.
15.
Livingston G, Minushkin S, Cohn D. Hispanics and health care in the United States: access, information and knowledge. Washington, DC: Pew Hispanic Center and Robert Wood Johnson Foundation Research Report; 2008.
16.
Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55(2):111–22.PubMedCrossRef
17.
Macintyre S, Ellaway A, Cummins S. Place effects on health: how can we conceptualise, operationalise and measure them? Soc Sci Med. 2002;55(1):125–39.PubMedCrossRef
18.
Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2001;116(5):404–17.PubMed
19.
Echeverria S, Diez Roux AV, Shea S, Borrell LN, Jackson S. Association of neighborhood problems and social cohesion with health-related behaviors and depression in the Multiethnic Study of Atherosclerosis (MESA). Health. 2008;14:853–65.
20.
Mair C, Roux AV, Galea S. Are neighborhood characteristics associated with depressive symptoms? A review of evidence. J Epidemiol Community Health. 2008;62:940–6.PubMed
21.
Acevedo-García D, Lochner KA, Osypuk TL, Subramanian SV. Future directions in residential segregation and health research: a multilevel approach. Am J Public Health. 2003;93(2):215–21.PubMedCrossRef
22.
Acevedo-Garcia D. Residential segregation and the epidemiology of infectious diseases. Soc Sci Med. 2000;51:1143–61.PubMedCrossRef
23.
Winkleby M, Sundquist K, Cubbin C. Inequities in CHD incidence and case fatality by neighborhood deprivation. Am J Prev Med. 2007;32(2):97–106.PubMedCrossRef
24.
Gaskin DJ, Price A, Brandon DT, LaVeist TA. Segregation and disparities in health services use. Med Care Res Rev. 2009;66(5):578–89.PubMedCrossRef
25.
Gresenz CR, Rogowski J, Escarce JJ. Community demographics and access to health care among U.S. Hispanics. Health Serv Res. 2009;44(5):1542–62.PubMedCrossRef
26.
Prentice JC. Neighborhood effects on primary care access in Los Angeles. Soc Sci Med. 2006;62(5):1291–303.PubMedCrossRef
27.
Kirby JB, Taliaferro G, Zuvekas SH. Explaining racial and ethnic disparities in health care. Med Care. 2006;44(5):164–72.
28.
Kirby JB, Kaneda T. Neighborhood socioeconomic disadvantage and access to health care. J Health Soc Behav. 2005;46(1):15–31.PubMedCrossRef
29.
30.
Portes A. Social capital: its origins and applications in modern sociology. Annu Rev Sociol. 1998;24(1):1–25.CrossRef
31.
LeClere FB, Jensen L, Biddlecom AE. Health care utilization, family context, and adaptation among immigrants to the United States. J Health Soc Behav. 1994;35:350–84.CrossRef
32.
Ponce NA. Wealthier but not healthier: Latino enclave effects on cancer screening. American Public Health Association Annual Meeting; October 28, 2008; San Diego, California; 2008.
33.
Alegría M, Canino G, Shrout PE, Woo M, Duan N, Vila D, et al. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165(3):356–69.CrossRef
34.
Park Y, Neckerman KM, Quinn J, Weiss C, Rundle A. Place of birth, duration of residence, neighborhood immigrant composition and body mass index in New York City. Int J Behav Nutr Phys Act. 2008;5(19):19.PubMedCrossRef
35.
Osypuk TL, Roux AVD, Hadley C, Kandula NR. Are immigrant enclaves healthy places to live? The multi-ethnic study of atherosclerosis. Soc Sci Med. 2009;69(1):110–20.PubMedCrossRef
36.
Haas JS, Phillips KA, Sonneborn D, McCulloch CE, Baker LC, Kaplan CP, et al. Variation in access to health care for different racial/ethnic groups by the racial/ethnic composition of an individuals’ county of residence. Med Care. 2004;42(7):707–14.PubMedCrossRef
37.
Lee M. Neighborhood residential segregation and mental health: a multilevel analysis on Hispanic Americans in Chicago. Soc Sci Med. 2009;68(11):1975–84.PubMedCrossRef
38.
Portes A, Rumbaut RG. Legacies: the story of the immigrant second generation. Berkeley: University of California Press; 2001.
39.
Osypuk TL, Bates LM, Acevedo-Garcia D. Another Mexican birthweight paradox? The role of residential enclaves and neighborhood poverty in the birthweight of Mexican-origin infants. Soc Sci Med. 2010;70(4):550–60.PubMedCrossRef
40.
Brown ER, Levan R, Ojeda VD, Wyn R. Racial and ethnic disparities in access to health insurance and health care. Los Angeles: UCLA Center for Health Policy Research and The Henry J. Kaiser Family Foundation; 2000.
41.
Fiscella K, Franks P, Doescher MP, Saver BG. Disparities in health care by race, ethnicity, and language among the insured. Med Care. 2002;40(1):52–9.PubMedCrossRef
42.
Pippins JR, Alegría M, Haas JS. Association between language proficiency and the quality of primary care among a national sample of insured Latinos. Med Care. 2007;45(11):1020–5.PubMedCrossRef
43.
Eschbach K, Ostir GV, Patel KV, Markides KS, Goodwin JS. Neighborhood context and mortality among older Mexican Americans: is there a barrio advantage? Am J Public Health. 2004;94(10):1807–12.PubMedCrossRef
44.
Morenoff JD, House JS, Hansen BB, Williams DR, Kaplan GA, Hunte HE. Understanding social disparities in hypertension prevalence, awareness, treatment, and control: the role of neighborhood context. Soc Sci Med. 2007;65(9):1853–66.PubMedCrossRef
45.
Balfour JL, Kaplan GA. Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County Study. Am J Epidemiol. 2002;6(507):515.
46.
Brown ER, Davidson PL, Yu H, Wyn R, Anderson RM, Becerra L, et al. Effects of community factors on access to ambulatory care for lower-income adults in large urban communities. Inq J Health Care. 2004;41(1):39–56.
47.
Cunningham PJ, Ginsburg PB. What accounts for differences in uninsurance rates across communities? Inq J Health Care. 2001;38(1):6–21.
48.
Cunningham PJ, Kemper P. Ability to obtain medical care for the uninsured: how much does it vary across communities? JAMA. 1998;280(10):921–7.PubMedCrossRef
49.
Fossett JW, Perloff JD, Kletke PR, Peterson JA. Medicaid and access to child health care in Chicago. J Health Polit Policy Law. 1992;17(2):273–98.PubMedCrossRef
50.
Jiang HJ, Begun JW. Dynamics of change in local physician supply: an ecological perspective. Soc Sci Med. 2002;54:1525–41.PubMedCrossRef
51.
Wen M, Maloney TN. Latino residential isolation and the risk of obesity in Utah: the role of neighborhood socioeconomic, built-environmental, and subcultural context. J Immigr Minor Health. 2011;13(6):1134–41.PubMedCrossRef
52.
Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997;277(5328):918–25.PubMedCrossRef
53.
Gee GC, Walsemann KM, Takeuchi DT. English proficiency and language preference: testing the equivalence of two measures. Am J Public Health. 2010;100(3):563–9.PubMedCrossRef
54.
Ponce NA, Chawla N, Babey SH, Gatchell MS, Etzioni DA, Spencer BA, et al. Is there a language divide in pap test use? Med Care. 2006;44(11):998–1004.PubMedCrossRef
55.
He J, Muntner P, Chen J, Roccella EJ, Streiffer RH, Whelton PK. Factors associated with hypertension control in the general population of the United States. Arch Intern Med. 2002;162(9):1051–8.PubMedCrossRef
56.
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
57.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo J, Joseph L, 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):1–12.CrossRef
58.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.PubMedCrossRef
59.
Perez D, Sribney W, Rodriguez M. Perceived discrimination and self-reported quality of care among Latinos in the United States. J Gen Intern Med. 2009;24(3):548–54.PubMedCrossRef
Metadata
Title
Neighborhood Context and Hypertension Outcomes Among Latinos in Chicago
Authors
Edna A. Viruell-Fuentes
Ninez A. Ponce
Margarita Alegría
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/s10903-012-9608-4

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