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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Non-communicable diseases and preventive health behaviors: a comparison of Hispanics nationally and those living along the US-Mexico border

Authors: Belinda M. Reininger, Jing Wang, Susan P. Fisher-Hoch, Alycia Boutte, Kristina Vatcheva, Joseph B. McCormick

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Non-communicable diseases (NCDs) are rising among US Hispanics, but few studies have examined the preventive health behaviors for these NCDs among Hispanics. This study compared the preventive health behaviors of smoke-free living, physical activity, fruit and vegetable consumption, and avoidance of heavy alcohol use in Hispanics in the United States and Hispanics living along the US-Mexico border.

Methods

Two weighted data sets with information on Hispanic populations were analyzed: 1) the national Behavioral Risk Factor Surveillance Survey (n = 29,942) from 2009; and 2) the Cameron County Hispanic Cohort (n = 1,439) recruited from the US-Mexico border between 2008–2011. To compare the preventive health behaviors of the samples, within a generalized estimating equation framework, weighted univariate and multivariate logistic regression analyses were conducted controlling for age, educational attainment, employment, language, and insurance status. Statistical tests were two-sided with a significance level set at 0.05.

Results

Both samples reported low engagement in preventive behaviors. However, Hispanic males and females from the US-Mexico border were significantly less likely than the national sample to meet physical activity and fruit and vegetable consumption guidelines. Also, Hispanic males from the US-Mexico border were more likely to engage in heavy alcohol use.

Conclusion

The lack of preventive health behaviors among Hispanics living along the US-Mexico border presents a dire prospect for NCD control in the region. Multipronged approaches to address multiple behaviors should be considered.
Literature
2.
go back to reference Bloom DE, Cafiero ET, Jane-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011. Bloom DE, Cafiero ET, Jane-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011.
5.
go back to reference Kung HC. Deaths: Final Data for 2005. Hovert DL, Xu J, Murphy SL, Deaths: final data for 2005, Natl Vital Stat Rep. 2008; 56(10):1–120. Kung HC. Deaths: Final Data for 2005. Hovert DL, Xu J, Murphy SL, Deaths: final data for 2005, Natl Vital Stat Rep. 2008; 56(10):1–120.
6.
go back to reference Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics - 2009 Update A Report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:E21–E181.CrossRefPubMed Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics - 2009 Update A Report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:E21–E181.CrossRefPubMed
8.
go back to reference Fisher-Hoch SP, Vatcheva KP, Laing ST, Hossain MM, Rahbar MH, Hanis CL, et al. Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008. Preventing Chronic Disease 2012;9:110298 Fisher-Hoch SP, Vatcheva KP, Laing ST, Hossain MM, Rahbar MH, Hanis CL, et al. Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008. Preventing Chronic Disease 2012;9:110298
10.
go back to reference Li C, Balluz LS, Okoro CA, Strine TW, Lin JM, Town M, et al. Centers for Disease Control and Prevention (CDC). Surveillance of certain health behaviors and conditions among states and selected local areas --- Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ. 2011;60(9):1-250. Li C, Balluz LS, Okoro CA, Strine TW, Lin JM, Town M, et al. Centers for Disease Control and Prevention (CDC). Surveillance of certain health behaviors and conditions among states and selected local areas --- Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ. 2011;60(9):1-250.
11.
go back to reference Fisher-Hoch SP, Rentfro AR, Salinas JJ, Perez A, Brown HS, Reininger BM, et al. Socioeconomic status and prevalence of obesity and diabetes in a Mexican American community, Cameron County, Texas, 2004–2007. Prev Chronic Dis. 2010;7(3):A53. Fisher-Hoch SP, Rentfro AR, Salinas JJ, Perez A, Brown HS, Reininger BM, et al. Socioeconomic status and prevalence of obesity and diabetes in a Mexican American community, Cameron County, Texas, 2004–2007. Prev Chronic Dis. 2010;7(3):A53.
14.
go back to reference Center for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey Data: prevalence and trends data. 2009. Center for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey Data: prevalence and trends data. 2009.
16.
go back to reference Godin G, Shephard RJ, Craig CL, Marshall AL, Sjostrom M, Bauman AE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395. Godin G, Shephard RJ, Craig CL, Marshall AL, Sjostrom M, Bauman AE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395.
17.
go back to reference Godin G, Shephard RJ. Godin leisuretime exercise questionnaire. Med Sci Sports Exerc. 1997;29:S36–8. Godin G, Shephard RJ. Godin leisuretime exercise questionnaire. Med Sci Sports Exerc. 1997;29:S36–8.
18.
go back to reference Cappuccio FP, Rink E, Perkins-Porras L, Mckay C, Hilton S, Steptoe A. Estimation of fruit and vegetable intake using a two-item dietary questionnaire: a potential tool for primary health care workers. Nutr Metab Cardiovasc Dis. 2003;13:12–19. Cappuccio FP, Rink E, Perkins-Porras L, Mckay C, Hilton S, Steptoe A. Estimation of fruit and vegetable intake using a two-item dietary questionnaire: a potential tool for primary health care workers. Nutr Metab Cardiovasc Dis. 2003;13:12–19.
21.
go back to reference SAS [ Version SAS 9.1.3. Cary, NC: SAS Institute, Inc.; 2000. SAS [ Version SAS 9.1.3. Cary, NC: SAS Institute, Inc.; 2000.
22.
go back to reference Mier N, Medina AA, Ory MG. Mexican Americans with type 2 diabetes: perspectives on definitions, motivators, and programs of physical activity. Prevent Chronic Dis. 2007;4(2). Mier N, Medina AA, Ory MG. Mexican Americans with type 2 diabetes: perspectives on definitions, motivators, and programs of physical activity. Prevent Chronic Dis. 2007;4(2).
23.
go back to reference Mier N, Smith ML, Irizarry D, Carrillo-Zuniga G, Lee C, Trevino L, Ory MG. Bridging research and policy to address childhood obesity among border Hispanics a pilot study. Am J Prev Med. 2013;44:S208–S214. Mier N, Smith ML, Irizarry D, Carrillo-Zuniga G, Lee C, Trevino L, Ory MG. Bridging research and policy to address childhood obesity among border Hispanics a pilot study. Am J Prev Med. 2013;44:S208–S214.
24.
go back to reference Nielsen AL. Examining drinking patterns and problems among Hispanic groups: Results from a national survey. J Stud Alcohol. 2000;61:301–10.CrossRefPubMed Nielsen AL. Examining drinking patterns and problems among Hispanic groups: Results from a national survey. J Stud Alcohol. 2000;61:301–10.CrossRefPubMed
25.
go back to reference Ramisetty-Mikler S, Caetano R, Rodriguez LA. The Hispanic Americans baseline alcohol survey (HABLAS): alcohol consumption and sociodemographic predictors across hispanic national groups. J Substance Use. 2010;15:402–16. Ramisetty-Mikler S, Caetano R, Rodriguez LA. The Hispanic Americans baseline alcohol survey (HABLAS): alcohol consumption and sociodemographic predictors across hispanic national groups. J Substance Use. 2010;15:402–16.
26.
go back to reference Randolph WM, Stroup-Benham C, Black SA, Markides KS. Alcohol use among Cuban-Americans, Mexican-Americans, and Puerto Ricans. Alcohol Health Res World. 1998;22:265–9. Randolph WM, Stroup-Benham C, Black SA, Markides KS. Alcohol use among Cuban-Americans, Mexican-Americans, and Puerto Ricans. Alcohol Health Res World. 1998;22:265–9.
27.
go back to reference Caraballo RS, Yee SL, Gfroerer J, Mirza SA. Adult Tobacco Use Among Racial and Ethnic Groups Living in the United States, 2002–2005. Preventing Chronic Disease 2008;5(3):A78. Caraballo RS, Yee SL, Gfroerer J, Mirza SA. Adult Tobacco Use Among Racial and Ethnic Groups Living in the United States, 2002–2005. Preventing Chronic Disease 2008;5(3):A78.
28.
go back to reference Kaplan RC, Bangdiwala SI, Barnhart JM, Castaneda SF, Gellman MD, Lee DJ, Perez-Stable MD, Talavera GA, Youngblood ME, Giachello AL. Smoking among US Hispanic/Latino adults the hispanic community health study/study of latinos. Am J Prev Med. 2014;46:496–506. Kaplan RC, Bangdiwala SI, Barnhart JM, Castaneda SF, Gellman MD, Lee DJ, Perez-Stable MD, Talavera GA, Youngblood ME, Giachello AL. Smoking among US Hispanic/Latino adults the hispanic community health study/study of latinos. Am J Prev Med. 2014;46:496–506.
29.
go back to reference Morales LS, Lara M, Kington RS, Valdez RO, Escarce JJ. Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. J Health Care Poor Underserved. 2002;13(4):477–503. Morales LS, Lara M, Kington RS, Valdez RO, Escarce JJ. Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. J Health Care Poor Underserved. 2002;13(4):477–503.
30.
go back to reference Perez-Stable EJ, Ramirez A, Villareal R, Talavera GA, Trapido E, Suarez L, Marti J, McAlister A. Cigarette smoking behavior among US Latino men and women from different countries of Origin. Am J Public Health. 2001;91(9):1424–30. Perez-Stable EJ, Ramirez A, Villareal R, Talavera GA, Trapido E, Suarez L, Marti J, McAlister A. Cigarette smoking behavior among US Latino men and women from different countries of Origin. Am J Public Health. 2001;91(9):1424–30.
31.
go back to reference Neighbors CJ, Marquez DX, Marcus BH. Leisure-time physical activity disparities among Hispanic subgroups in the United States. Am J Public Health. 2008;98:(8)1460–4. Neighbors CJ, Marquez DX, Marcus BH. Leisure-time physical activity disparities among Hispanic subgroups in the United States. Am J Public Health. 2008;98:(8)1460–4.
32.
go back to reference Marquez DX, Neighbors CJ, Bustamante EE. Leisure time and occupational physical activity among racial or ethnic minorities. Med Sci Sports Exerc. 2010;42(6):1086–93. Marquez DX, Neighbors CJ, Bustamante EE. Leisure time and occupational physical activity among racial or ethnic minorities. Med Sci Sports Exerc. 2010;42(6):1086–93.
33.
go back to reference Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63. Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63.
34.
go back to reference Dawson DA. Beyond black, white and hispanic: race, ethnic origin and drinking patterns in the united states. J Subst Abus. 1998;10(4):321–39. Dawson DA. Beyond black, white and hispanic: race, ethnic origin and drinking patterns in the united states. J Subst Abus. 1998;10(4):321–39.
35.
go back to reference Caetano R, Baruah J, Ramisetty-Mikler S, Ebama MS. Sociodemographic predictors of pattern and volume of alcohol consumption across Hispanics, Blacks, and Whites: 10-year trend (1992–2002). Alcohol Clin Exp Res. 2010;34(10):1782–92. Caetano R, Baruah J, Ramisetty-Mikler S, Ebama MS. Sociodemographic predictors of pattern and volume of alcohol consumption across Hispanics, Blacks, and Whites: 10-year trend (1992–2002). Alcohol Clin Exp Res. 2010;34(10):1782–92.
36.
go back to reference Giovino GA, Schooley MW, Zhu BP, Chrisomn JH, Tomar SL, Peddicord JP, et al. Surveillance for selected tobacco-use behaviors – United States, 1900–1994. MMWR CDC Surveill Summ. 1994; 43(3). Giovino GA, Schooley MW, Zhu BP, Chrisomn JH, Tomar SL, Peddicord JP, et al. Surveillance for selected tobacco-use behaviors – United States, 1900–1994. MMWR CDC Surveill Summ. 1994; 43(3).
37.
go back to reference Caetano R, Clark CL. Trends in alcohol consumption patterns among whites, blacks and Hispanics: 1984 and 1995. J Stud Alcohol. 1998;59(6):659–68. Caetano R, Clark CL. Trends in alcohol consumption patterns among whites, blacks and Hispanics: 1984 and 1995. J Stud Alcohol. 1998;59(6):659–68.
38.
go back to reference World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. WHO technical report series 916. Geneva: World Health Organizations; Food and Agriculture Organization; 2002. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. WHO technical report series 916. Geneva: World Health Organizations; Food and Agriculture Organization; 2002.
39.
go back to reference McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Behav. 1988;15(4):351–77. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Behav. 1988;15(4):351–77.
40.
go back to reference Center for Disease Control and Prevention. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses --- United States, 2000--2004. MMWR 2008 57(45), 1226–1228. Center for Disease Control and Prevention Center for Disease Control and Prevention. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses --- United States, 2000--2004. MMWR 2008 57(45), 1226–1228. Center for Disease Control and Prevention
41.
go back to reference Center for Disease Control and Prevention. Tobacco use among adults --- United States, 2005. MMWR 2006 55[42], 1145–1148. Center for Disease Control and Prevention. Center for Disease Control and Prevention. Tobacco use among adults --- United States, 2005. MMWR 2006 55[42], 1145–1148. Center for Disease Control and Prevention.
42.
go back to reference Carlson SA, Fulton JE, Galuska DA, Kruger J, Lobelo F, Loustalot FV. Prevalence of self-reported physically active adults-United States, 2007 (reprinted from MMWR, vol 57, pg 1297–1300, 2008). Jama-J Am Med Assoc. 2009;301:926–7. Carlson SA, Fulton JE, Galuska DA, Kruger J, Lobelo F, Loustalot FV. Prevalence of self-reported physically active adults-United States, 2007 (reprinted from MMWR, vol 57, pg 1297–1300, 2008). Jama-J Am Med Assoc. 2009;301:926–7.
44.
go back to reference Center for Disease Control and Prevention. State-specific trends in fruit and vegetable consumption among adults --- united states, 2000–2009. Morbidity Mortality Report. 2010;59:1125–30. Center for Disease Control and Prevention. State-specific trends in fruit and vegetable consumption among adults --- united states, 2000–2009. Morbidity Mortality Report. 2010;59:1125–30.
45.
go back to reference Ghaddar S, Brown CJ, Pagan JA, Diaz V. Acculturation and healthy lifestyle habits among hispanics in united states-mexico border communities. Revista Panamericana Salud Publica-Pan Am J Public Health. 2010;28:190–7. Ghaddar S, Brown CJ, Pagan JA, Diaz V. Acculturation and healthy lifestyle habits among hispanics in united states-mexico border communities. Revista Panamericana Salud Publica-Pan Am J Public Health. 2010;28:190–7.
46.
go back to reference Ford PB, Dzewaltowski DA. Disparities in obesity prevalence due to variation in the retail food environment: three testable hypotheses. Nutr Rev. 2008;66:216–28.CrossRefPubMed Ford PB, Dzewaltowski DA. Disparities in obesity prevalence due to variation in the retail food environment: three testable hypotheses. Nutr Rev. 2008;66:216–28.CrossRefPubMed
47.
go back to reference Larson NI, Story MT, Nelson MC. Neighborhood environments disparities in access to healthy foods in the US. Am J Prev Med. 2009;36(1):74–81.CrossRefPubMed Larson NI, Story MT, Nelson MC. Neighborhood environments disparities in access to healthy foods in the US. Am J Prev Med. 2009;36(1):74–81.CrossRefPubMed
48.
go back to reference U.S.Department of Health and Human Services. Dietary guidelines for americans, 2010. Edited by U.S.Department of agruiculture and U.S.Department of health and human services. Washington, D.C., U.S: Government Printing Office; 2010. U.S.Department of Health and Human Services. Dietary guidelines for americans, 2010. Edited by U.S.Department of agruiculture and U.S.Department of health and human services. Washington, D.C., U.S: Government Printing Office; 2010.
50.
go back to reference Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS. Binge drinking among US adults. Jama-J Am Med Assoc. 2003;289(1):70–5.CrossRef Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS. Binge drinking among US adults. Jama-J Am Med Assoc. 2003;289(1):70–5.CrossRef
51.
go back to reference Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F, Bouvard V, et al. Carcinogenicity of alcoholic beverages. Lancet Oncol. 2007;8(4):292–3.CrossRefPubMed Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F, Bouvard V, et al. Carcinogenicity of alcoholic beverages. Lancet Oncol. 2007;8(4):292–3.CrossRefPubMed
52.
go back to reference Kloner RA, Rezkalla SH. To drink or not to drink? That is the question. Circulation. 2007;116(11):1306–17.CrossRefPubMed Kloner RA, Rezkalla SH. To drink or not to drink? That is the question. Circulation. 2007;116(11):1306–17.CrossRefPubMed
53.
go back to reference Caetano R, Cunradi C. Alcohol dependence: a public health perspective. Addiction. 2002;97(6):633–45.CrossRefPubMed Caetano R, Cunradi C. Alcohol dependence: a public health perspective. Addiction. 2002;97(6):633–45.CrossRefPubMed
54.
go back to reference Chartier K, Caetano R. Ethnicity and health disparities in alcohol research. Alcohol Res Health. 2010;33(1-2):152–60.PubMedPubMedCentral Chartier K, Caetano R. Ethnicity and health disparities in alcohol research. Alcohol Res Health. 2010;33(1-2):152–60.PubMedPubMedCentral
Metadata
Title
Non-communicable diseases and preventive health behaviors: a comparison of Hispanics nationally and those living along the US-Mexico border
Authors
Belinda M. Reininger
Jing Wang
Susan P. Fisher-Hoch
Alycia Boutte
Kristina Vatcheva
Joseph B. McCormick
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1850-y

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