TY - JOUR
T1 - Is there a link between wealth and cardiovascular disease risk factors among Hispanic/Latinos? Results from the HCHS/SOL sociocultural ancillary study
AU - López-Cevallos, Daniel F.
AU - Gonzalez, Patricia
AU - Bethel, Jeffrey W.
AU - Castañeda, Sheila F.
AU - Isasi, Carmen R.
AU - Penedo, Frank J.
AU - Ojeda, Lizette
AU - Davis, Sonia M.
AU - Chirinos, Diana A.
AU - Molina, Kristine M.
AU - Teng, Yanping
AU - Bekteshi, Venera
AU - Gallo, Linda C.
N1 - Funding Information:
Daniel López-Cevallos, Patricia Gonzalez, and Jeffrey W. Bethel were partially supported by a suba-ward from the Stanford Center for Poverty and Inequality’s Poverty, Inequality and Mobility among Hispanics Program. The Office of Planning, Research and Evaluation with the Administration for Children and Families, U.S. Department of Health and Human Services, provided funding for this program [grant number 1H79AE000101-02S1]. Sheila Castañeda was supported in part by the American Heart Association [grant number 16SFRN27940007]. The HCHS/SOL Sociocultural Ancillary Study was supported by [grant number 1 RC2 HL101649] (Gallo/ Penedo) from the National Institutes of Health (NIH)/National Heart, Lung, and Blood Institute (NHLBI). The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from NIH/NHLBI to the University of North Carolina [grant number N01-HC65233], University of Miami [grant number N01-HC65234], Albert Einstein College of Medicine [grant number N01-HC65235], Northwestern University [grant number N01-HC65236], and San Diego State University [grant number N01-HC65237].
Funding Information:
Daniel L?pez-Cevallos, Patricia Gonzalez, and Jeffrey W. Bethel were partially supported by a subaward from the Stanford Center for Poverty and Inequality?s Poverty, Inequality and Mobility among Hispanics Program. The Office of Planning, Research and Evaluation with the Administration for Children and Families, U.S. Department of Health and Human Services, provided funding for this program [grant number 1H79AE000101-02S1]. Sheila Casta?eda was supported in part by the American Heart Association [grant number 16SFRN27940007]. The HCHS/SOL Sociocultural Ancillary Study was supported by [grant number 1 RC2 HL101649] (Gallo/Penedo) from the National Institutes of Health (NIH)/National Heart, Lung, and Blood Institute (NHLBI). The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from NIH/NHLBI to the University of North Carolina [grant number N01-HC65233], University of Miami [grant number N01-HC65234], Albert Einstein College of Medicine [grant number N01-HC65235], Northwestern University [grant number N01-HC65236], and San Diego State University [grant number N01-HC65237]. The authors thank the staff and participants of HCHS/SOL and the HCHS/SOL Sociocultural Ancillary Study for their important contributions. The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, NIH Institution-Office of Dietary Supplements. The views expressed do not necessarily reflect the official policies of the U.S. Department of Health and Human Services.
PY - 2018/11/17
Y1 - 2018/11/17
N2 - Objective: To examine the relationship between wealth and cardiovascular disease risk factors among Hispanic/Latinos of diverse backgrounds. Design: This cross-sectional study used data from 4971 Hispanic/Latinos, 18–74 years, who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) baseline exam and the HCHS/SOL Sociocultural Ancillary Study. Three objectively measured cardiovascular disease risk factors (hypertension, hypercholesterolemia, and obesity) were included. Wealth was measured using an adapted version of the Home Affluence Scale, which included questions regarding the ownership of a home, cars, computers, and recent vacations. Results: After adjusting for traditional socioeconomic indicators (income, employment, education), and other covariates, we found that wealth was not associated with hypertension, hypercholesterolemia or obesity. Analyses by sex showed that middle-wealth women were less likely to have hypercholesterolemia or obesity. Analyses by Hispanic/Latino background groups showed that while wealthier Central Americans were less likely to have obesity, wealthier Puerto Ricans were more likely to have obesity. Conclusion: This is the first study to explore the relationship between wealth and health among Hispanic/Latinos of diverse backgrounds, finding only partial evidence of this association. Future studies should utilize more robust measures of wealth, and address mechanisms by which wealth may impact health status among Hispanic/Latinos of diverse backgrounds in longitudinal designs.
AB - Objective: To examine the relationship between wealth and cardiovascular disease risk factors among Hispanic/Latinos of diverse backgrounds. Design: This cross-sectional study used data from 4971 Hispanic/Latinos, 18–74 years, who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) baseline exam and the HCHS/SOL Sociocultural Ancillary Study. Three objectively measured cardiovascular disease risk factors (hypertension, hypercholesterolemia, and obesity) were included. Wealth was measured using an adapted version of the Home Affluence Scale, which included questions regarding the ownership of a home, cars, computers, and recent vacations. Results: After adjusting for traditional socioeconomic indicators (income, employment, education), and other covariates, we found that wealth was not associated with hypertension, hypercholesterolemia or obesity. Analyses by sex showed that middle-wealth women were less likely to have hypercholesterolemia or obesity. Analyses by Hispanic/Latino background groups showed that while wealthier Central Americans were less likely to have obesity, wealthier Puerto Ricans were more likely to have obesity. Conclusion: This is the first study to explore the relationship between wealth and health among Hispanic/Latinos of diverse backgrounds, finding only partial evidence of this association. Future studies should utilize more robust measures of wealth, and address mechanisms by which wealth may impact health status among Hispanic/Latinos of diverse backgrounds in longitudinal designs.
KW - Hispanic/Latinos
KW - Wealth
KW - cardiovascular disease risk factors
KW - hypercholesterolemia
KW - hypertension
KW - obesity
UR - http://www.scopus.com/inward/record.url?scp=85017099868&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85017099868&partnerID=8YFLogxK
U2 - 10.1080/13557858.2017.1315370
DO - 10.1080/13557858.2017.1315370
M3 - Article
C2 - 28385069
AN - SCOPUS:85017099868
VL - 23
SP - 902
EP - 913
JO - Ethnicity and Health
JF - Ethnicity and Health
SN - 1355-7858
IS - 8
ER -