Journal of Hypertension
Volume 35, Issue 12, 2017, Pages 2380-2387

Hypertension among US-born and foreign-born non-Hispanic Blacks: National Health and Nutrition Examination Survey 2003-2014 data (Article)

Brown A.G.M.* , Houser R.F. , Mattei J. , Mozaffarian D. , Lichtenstein A.H. , Folta S.C.
  • a Friedman School of Nutrition Science and Policy, Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111, United States
  • b Friedman School of Nutrition Science and Policy, Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111, United States
  • c Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States
  • d Friedman School of Nutrition Science and Policy, Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111, United States
  • e Friedman School of Nutrition Science and Policy, Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111, United States, JM USDA Human Nutrition Research Center, Tuffs University, Italy
  • f Friedman School of Nutrition Science and Policy, Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111, United States

Abstract

Objectives: Non-Hispanic Blacks in the United States have the highest reported prevalence of hypertension (44%) worldwide. However, this does not consider the heterogeneity of Blacks within the United States, particularly comparing US-born to long-standing or recent (foreign-born) immigrants. The objective of this study is to compare odds of hypertension between US-born and foreign-born Blacks in the United States. Methods: We assessed the prevalence of hypertension among US-born (n=4511) vs. foreign-born (n=522) non-Hispanic Black adults aged 22-79 years, based on pooled nationally representative data (2003-2014); as well by length of US residency among immigrants. Multivariable-adjusted logistic regression was used to investigate the association between nativity and hypertension odds. Results: Nearly half (42.8%) of US-born Blacks but only 27.4% of foreign-born Blacks had hypertension. After adjusting for major covariates, foreign-born Blacks were 39.0% less likely (odds ratio 0.61 95% confidence interval 0.49, 0.77) to have hypertension than their US-born counterparts. Among foreign-born Blacks, length of US residency was not significantly associated with odds of hypertension. Conclusion: Foreign-born vs. US-born non-Hispanic Blacks have substantially lower prevalence of hypertension. Considering nativity among US Blacks in clinical research and public health efforts may improve accuracy of characterizing health disparities and facilitate development of targeted interventions to reduce hypertension in this diverse population. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

Author Keywords

Blacks/African Americans immigrants health disparities Hypertension National Health and Nutrition Examination Survey Length of residency place of birth/nativity

Index Keywords

clinical research health disparity human middle aged statistics and numerical data controlled study priority journal Aged hypertension Health Surveys African American United States Young Adult Humans migrant Hispanic Black person African Continental Ancestry Group male Emigrants and Immigrants female prevalence Article major clinical study adult African Americans health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033784628&doi=10.1097%2fHJH.0000000000001489&partnerID=40&md5=6c4fba440701a04436b40e8f6037969e
DOI: 10.1097/HJH.0000000000001489
ISSN: 02636352
Cited by: 7
Original Language: English