Journal of the American Heart Association
Volume 5, Issue 11, 2016

Length of residence in the united states is associated with a higher prevalence of cardiometabolic risk factors in immigrants: A contemporary analysis of the national health interview survey (Article) (Open Access)

Commodore-Mensah Y.* , Ukonu N. , Obisesan O. , Aboagye J.K. , Agyemang C. , Reilly C.M. , Dunbar S.B. , Okosun I.S.
  • a Department of Community and Public Health, Johns Hopkins School of Nursing, Baltimore, MD, United States
  • b Counseling Psychology, Department of Psychology, University of Florida, Gainesville, FL, United States
  • c Emory University Rollins School of Public Health, Atlanta, GA, United States
  • d Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, United States
  • e Department of Public Health, Academic Medical Center, University of Amsterdam, Netherlands
  • f Nell Hodgson Woodruff, School of Nursing Emory University, Atlanta, GA, United States
  • g Nell Hodgson Woodruff, School of Nursing Emory University, Atlanta, GA, United States
  • h Department of Epidemiology and Biostatistics, School of Public Health Georgia State University, Atlanta, GA, United States

Abstract

Background--Cardiometabolic risk (CMR) factors including hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia are high among United States ethnic minorities, and the immigrant population continues to burgeon. Methods and Results--Hypothesizing that acculturation (length of residence) would be associated with a higher prevalence of CMR factors, the authors analyzed data on 54, 984 US immigrants in the 2010-2014 National Health Interview Surveys. The main predictor was length of residence. The outcomes were hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia. The authors used multivariable logistic regression to examine the association between length of US residence and these CMR factors.The mean (SE) age of the patients was 43 (0.12) years and half were women. Participants residing in the United States for ≥10 years were more likely to have health insurance than those with <10 years of residence (70% versus 54%, P<0.001). After adjusting for region of birth, poverty income ratio, age, and sex, immigrants residing in the United States for ≥10 years were more likely to be overweight/obese (odds ratio [OR], 1.19; 95% CI, 1.10-1.29), diabetic (OR, 1.43; 95% CI, 1.17-1.73), and hypertensive (OR, 1.18; 95% CI, 1.05-1.32) than those residing in the United States for <10 years. Conclusions-In an ethnically diverse sample of US immigrants, acculturation was associated with CMR factors. Culturally tailored public health strategies should be developed in US immigrant populations to reduce CMR. © 2016 The Authors.

Author Keywords

Migration Obesity Hypertension Ethnicity Cardiovascular research

Index Keywords

immigrant length of residence India demography Europe poverty Cardiovascular Diseases health insurance human middle aged Asia Middle East Odds Ratio diabetes mellitus Overweight birthplace time factor priority journal hypertension obesity statistics and numerical data Logistic Models Time Factors Health Surveys Aged ethnology Mexico cardiometabolic risk controlled study Cross-Sectional Studies United States Young Adult cross-sectional study migrant Humans cardiovascular disease ethnic group male Emigrants and Immigrants Southeast Asia Acculturation South America female risk factor Risk Factors Multivariate Analysis Africa cultural factor prevalence Article hyperlipidemia gender adult age statistical model risk reduction Hyperlipidemias Asia, Southeastern health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012980725&doi=10.1161%2fJAHA.116.004059&partnerID=40&md5=8c41f3e7d11d01549632e836e2e3d62a
DOI: 10.1161/JAHA.116.004059
ISSN: 20479980
Cited by: 27
Original Language: English