American Journal of Preventive Medicine
Volume 52, Issue 5, 2017, Pages 579-588

Effect of Relocation to the U.S. on Asthma Risk Among Hispanics (Article)

Jerschow E.* , Strizich G. , Xue X. , Hudes G. , Spivack S. , Persky V. , Ayala G.X. , Delamater A. , Kim Y. , Etzel E. , Cai J. , Kaplan R.C.
  • a Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, United States
  • b Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States
  • c Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States
  • d Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, United States
  • e Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, United States, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States
  • f Department of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, United States
  • g College of Health and Human Services and the Institute for Behavioral and Community Health, San Diego State University, San Diego, California, United States
  • h Department of Pediatrics, University of Miami, Miami, Florida, United States
  • i Department of Psychology, University of Miami, Coral Gables, Florida, United States
  • j Department of Psychology, University of Miami, Coral Gables, Florida, United States
  • k Collaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina, Chapel Hill, North Carolina, United States
  • l Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States

Abstract

Introduction Asthma prevalence is reportedly higher among U.S.-born relative to foreign-born Hispanics/Latinos. Little is known about rates of asthma onset before and after relocation to the U.S. in Latinos. Asthma rates were examined by U.S. residence and country/territory of origin. Methods In 2015–2016, age at first onset of asthma symptoms was analyzed, defined retrospectively from a cross-sectional survey in 2008–2011, in relation to birthplace and U.S. residence among 15,573 U.S.-dwelling participants (aged 18–76 years) in the Hispanic Community Health Study/Study of Latinos. Results Cumulative incidence of asthma through age 30 years ranged from 7.9% among Mexican background individuals to 29.4% among those of Puerto Rican background. Among those born outside the U.S. mainland, the adjusted hazard for asthma was 1.52-fold higher (95% CI=1.25, 1.85) after relocation versus before relocation to the U.S. mainland, with heterogeneity in this association by Hispanic/Latino background (p-interaction<0.0001). Among foreign-born Dominicans and Mexicans, rates of asthma were greater after relocation versus before relocation (adjusted hazard ratio [AHR] for after versus before relocation, 2.42, 95% CI=1.44, 4.05 among Dominicans; AHR=2.90, 95% CI=2.02, 4.16 among Mexicans). Puerto Ricans had modestly increased asthma onset associated with U.S. mainland residence (AHR=1.52, 95% CI=1.06, 2.17). No similar increase associated with U.S. residence was observed among Central/South American immigrants (AHR=0.94, 95% CI=0.53, 1.67). Asthma rates among Cuban immigrants were lower after relocation (AHR=0.45, 95% CI=0.24, 0.82). Conclusions The effect of relocation to the U.S. on asthma risk among Hispanics is not uniform across Hispanic/Latino groups. © 2017 American Journal of Preventive Medicine

Author Keywords

[No Keywords available]

Index Keywords

immigrant proportional hazards model Proportional Hazards Models sex ratio human South American risk assessment middle aged birthplace clinical assessment statistics and numerical data controlled study Aged Logistic Models Health Surveys Environment Central American ethnology prognosis Hispanic Americans Cuban Cross-Sectional Studies United States Young Adult cross-sectional study migrant Humans Hispanic Adolescent male Emigrants and Immigrants asthma female Mexican Multivariate Analysis prevalence Mexican American Incidence Article Retrospective Studies major clinical study adult migration Puerto Rican Sex Distribution age distribution Emigration and Immigration statistical model retrospective study Mexican Americans health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011256400&doi=10.1016%2fj.amepre.2016.12.018&partnerID=40&md5=3f0cee52ffeb3ef715db0c316a6727cc
DOI: 10.1016/j.amepre.2016.12.018
ISSN: 07493797
Cited by: 4
Original Language: English