Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos

Martha L. Daviglus, Amber Pirzada, Ramon Durazo-Arvizu, Jinsong Chen, Matthew Allison, Larissa Avilés-Santa, Jianwen Cai, Hector M. González, Robert C. Kaplan, Neil Schneiderman, Paul D. Sorlie, Gregory A. Talavera, Sylvia Wassertheil-Smoller, Jeremiah Stamler

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

BACKGROUND: Favorable levels of all readily measurable major cardiovascular disease risk factors (ie, low risk [LR]) are associated with lower risks of cardiovascular disease morbidity and mortality. Data are not available on LR prevalence among Hispanic/Latino adults of diverse ethnic backgrounds. This study aimed to describe the prevalence of a low cardiovascular disease risk profile among Hispanic/Latino adults in the United States and to examine cross-sectional associations of LR with measures of acculturation.

METHODS AND RESULTS: The multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008-2011) with diverse Hispanic/Latino backgrounds. Analyses involved 14 757 adults (mean age 41.3 years; 60.6% women). LR was defined using national guidelines for favorable levels of serum cholesterol, blood pressure, and body mass index and by not having diabetes mellitus and not currently smoking. Age-adjusted LR prevalence was low (8.4% overall; 5.1% for men, 11.2% for women) and varied by background (4.2% in men of Mexican heritage versus 15.0% in women of Cuban heritage). Lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a LR profile among women only: Age-adjusted odds ratios of having LR were 1.64 (95% CI 1.24-2.17) for foreign-born versus US-born women and 1.96 (95% CI 1.49-2.58) for women residing in the United States <10 versus ≥10 years.

CONCLUSIONS: Among diverse US Hispanic/Latino adults, the prevalence of a LR profile is low. Lower acculturation is associated with higher odds of a LR profile among women but not men. Comprehensive public health strategies are needed to improve the cardiovascular health of US Hispanic/Latino adults.

Original languageEnglish (US)
JournalJournal of the American Heart Association
Volume5
Issue number8
DOIs
StatePublished - Aug 20 2016

Fingerprint

Acculturation
Hispanic Americans
Health
Cardiovascular Diseases
Proxy
Diabetes Mellitus
Body Mass Index
Public Health

Keywords

  • cardiovascular disease prevention
  • cardiovascular disease risk factors
  • low risk

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation : The Hispanic Community Health Study/Study of Latinos. / Daviglus, Martha L.; Pirzada, Amber; Durazo-Arvizu, Ramon; Chen, Jinsong; Allison, Matthew; Avilés-Santa, Larissa; Cai, Jianwen; González, Hector M.; Kaplan, Robert C.; Schneiderman, Neil; Sorlie, Paul D.; Talavera, Gregory A.; Wassertheil-Smoller, Sylvia; Stamler, Jeremiah.

In: Journal of the American Heart Association, Vol. 5, No. 8, 20.08.2016.

Research output: Contribution to journalArticle

Daviglus, ML, Pirzada, A, Durazo-Arvizu, R, Chen, J, Allison, M, Avilés-Santa, L, Cai, J, González, HM, Kaplan, RC, Schneiderman, N, Sorlie, PD, Talavera, GA, Wassertheil-Smoller, S & Stamler, J 2016, 'Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos', Journal of the American Heart Association, vol. 5, no. 8. https://doi.org/10.1161/JAHA.116.003929
Daviglus, Martha L. ; Pirzada, Amber ; Durazo-Arvizu, Ramon ; Chen, Jinsong ; Allison, Matthew ; Avilés-Santa, Larissa ; Cai, Jianwen ; González, Hector M. ; Kaplan, Robert C. ; Schneiderman, Neil ; Sorlie, Paul D. ; Talavera, Gregory A. ; Wassertheil-Smoller, Sylvia ; Stamler, Jeremiah. / Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation : The Hispanic Community Health Study/Study of Latinos. In: Journal of the American Heart Association. 2016 ; Vol. 5, No. 8.
@article{aaeeae3b6cc54603917139af2252f457,
title = "Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos",
abstract = "BACKGROUND: Favorable levels of all readily measurable major cardiovascular disease risk factors (ie, low risk [LR]) are associated with lower risks of cardiovascular disease morbidity and mortality. Data are not available on LR prevalence among Hispanic/Latino adults of diverse ethnic backgrounds. This study aimed to describe the prevalence of a low cardiovascular disease risk profile among Hispanic/Latino adults in the United States and to examine cross-sectional associations of LR with measures of acculturation.METHODS AND RESULTS: The multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008-2011) with diverse Hispanic/Latino backgrounds. Analyses involved 14 757 adults (mean age 41.3 years; 60.6{\%} women). LR was defined using national guidelines for favorable levels of serum cholesterol, blood pressure, and body mass index and by not having diabetes mellitus and not currently smoking. Age-adjusted LR prevalence was low (8.4{\%} overall; 5.1{\%} for men, 11.2{\%} for women) and varied by background (4.2{\%} in men of Mexican heritage versus 15.0{\%} in women of Cuban heritage). Lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a LR profile among women only: Age-adjusted odds ratios of having LR were 1.64 (95{\%} CI 1.24-2.17) for foreign-born versus US-born women and 1.96 (95{\%} CI 1.49-2.58) for women residing in the United States <10 versus ≥10 years.CONCLUSIONS: Among diverse US Hispanic/Latino adults, the prevalence of a LR profile is low. Lower acculturation is associated with higher odds of a LR profile among women but not men. Comprehensive public health strategies are needed to improve the cardiovascular health of US Hispanic/Latino adults.",
keywords = "cardiovascular disease prevention, cardiovascular disease risk factors, low risk",
author = "Daviglus, {Martha L.} and Amber Pirzada and Ramon Durazo-Arvizu and Jinsong Chen and Matthew Allison and Larissa Avil{\'e}s-Santa and Jianwen Cai and Gonz{\'a}lez, {Hector M.} and Kaplan, {Robert C.} and Neil Schneiderman and Sorlie, {Paul D.} and Talavera, {Gregory A.} and Sylvia Wassertheil-Smoller and Jeremiah Stamler",
year = "2016",
month = "8",
day = "20",
doi = "10.1161/JAHA.116.003929",
language = "English (US)",
volume = "5",
journal = "Journal of the American Heart Association",
issn = "2047-9980",
publisher = "Wiley-Blackwell",
number = "8",

}

TY - JOUR

T1 - Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation

T2 - The Hispanic Community Health Study/Study of Latinos

AU - Daviglus, Martha L.

AU - Pirzada, Amber

AU - Durazo-Arvizu, Ramon

AU - Chen, Jinsong

AU - Allison, Matthew

AU - Avilés-Santa, Larissa

AU - Cai, Jianwen

AU - González, Hector M.

AU - Kaplan, Robert C.

AU - Schneiderman, Neil

AU - Sorlie, Paul D.

AU - Talavera, Gregory A.

AU - Wassertheil-Smoller, Sylvia

AU - Stamler, Jeremiah

PY - 2016/8/20

Y1 - 2016/8/20

N2 - BACKGROUND: Favorable levels of all readily measurable major cardiovascular disease risk factors (ie, low risk [LR]) are associated with lower risks of cardiovascular disease morbidity and mortality. Data are not available on LR prevalence among Hispanic/Latino adults of diverse ethnic backgrounds. This study aimed to describe the prevalence of a low cardiovascular disease risk profile among Hispanic/Latino adults in the United States and to examine cross-sectional associations of LR with measures of acculturation.METHODS AND RESULTS: The multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008-2011) with diverse Hispanic/Latino backgrounds. Analyses involved 14 757 adults (mean age 41.3 years; 60.6% women). LR was defined using national guidelines for favorable levels of serum cholesterol, blood pressure, and body mass index and by not having diabetes mellitus and not currently smoking. Age-adjusted LR prevalence was low (8.4% overall; 5.1% for men, 11.2% for women) and varied by background (4.2% in men of Mexican heritage versus 15.0% in women of Cuban heritage). Lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a LR profile among women only: Age-adjusted odds ratios of having LR were 1.64 (95% CI 1.24-2.17) for foreign-born versus US-born women and 1.96 (95% CI 1.49-2.58) for women residing in the United States <10 versus ≥10 years.CONCLUSIONS: Among diverse US Hispanic/Latino adults, the prevalence of a LR profile is low. Lower acculturation is associated with higher odds of a LR profile among women but not men. Comprehensive public health strategies are needed to improve the cardiovascular health of US Hispanic/Latino adults.

AB - BACKGROUND: Favorable levels of all readily measurable major cardiovascular disease risk factors (ie, low risk [LR]) are associated with lower risks of cardiovascular disease morbidity and mortality. Data are not available on LR prevalence among Hispanic/Latino adults of diverse ethnic backgrounds. This study aimed to describe the prevalence of a low cardiovascular disease risk profile among Hispanic/Latino adults in the United States and to examine cross-sectional associations of LR with measures of acculturation.METHODS AND RESULTS: The multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008-2011) with diverse Hispanic/Latino backgrounds. Analyses involved 14 757 adults (mean age 41.3 years; 60.6% women). LR was defined using national guidelines for favorable levels of serum cholesterol, blood pressure, and body mass index and by not having diabetes mellitus and not currently smoking. Age-adjusted LR prevalence was low (8.4% overall; 5.1% for men, 11.2% for women) and varied by background (4.2% in men of Mexican heritage versus 15.0% in women of Cuban heritage). Lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a LR profile among women only: Age-adjusted odds ratios of having LR were 1.64 (95% CI 1.24-2.17) for foreign-born versus US-born women and 1.96 (95% CI 1.49-2.58) for women residing in the United States <10 versus ≥10 years.CONCLUSIONS: Among diverse US Hispanic/Latino adults, the prevalence of a LR profile is low. Lower acculturation is associated with higher odds of a LR profile among women but not men. Comprehensive public health strategies are needed to improve the cardiovascular health of US Hispanic/Latino adults.

KW - cardiovascular disease prevention

KW - cardiovascular disease risk factors

KW - low risk

UR - http://www.scopus.com/inward/record.url?scp=85009860057&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009860057&partnerID=8YFLogxK

U2 - 10.1161/JAHA.116.003929

DO - 10.1161/JAHA.116.003929

M3 - Article

C2 - 27543802

AN - SCOPUS:85009860057

VL - 5

JO - Journal of the American Heart Association

JF - Journal of the American Heart Association

SN - 2047-9980

IS - 8

ER -