Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States

Martha L. Daviglus, Gregory A. Talavera, M. Larissa Avilés-Santa, Matthew Allison, Jianwen Cai, Michael H. Criqui, Marc Gellman, Aida L. Giachello, Natalia Gouskova, Robert C. Kaplan, Lisa LaVange, Frank Penedo, Krista Perreira, Amber Pirzada, Neil Schneiderman, Sylvia Wassertheil-Smoller, Paul D. Sorlie, Jeremiah Stamler

Research output: Contribution to journalArticle

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Abstract

Context: Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives: To describe prevalence of major CVD risk factors and CVD (coronary heart disease [CHD] and stroke) among US Hispanic/Latino individuals of different backgrounds, examine relationships of SES and acculturation with CVD risk profiles and CVD, and assess cross-sectional associations of CVD risk factors with CVD. Design, Setting, and Participants: Multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos including individuals of Cuban (n=2201), Dominican (n=1400), Mexican (n=6232), Puerto Rican (n=2590), Central American (n=1634), and South American backgrounds (n=1022) aged 18 to 74 years. Analyses involved 15 079 participants with complete data enrolled between March 2008 and June 2011. Main Outcome Measures: Adverse CVD risk factors defined using national guidelines for hypercholesterolemia, hypertension, obesity, diabetes, and smoking. Prevalence of CHD and stroke were ascertained from self-reported data. Results: Age-standardized prevalence of CVD risk factors varied by Hispanic/Latino background; obesity and current smoking rates were highest among Puerto Rican participants (for men, 40.9% and 34.7%; for women, 51.4% and 31.7%, respectively); hypercholesterolemia prevalence was highest among Central American men (54.9%) and Puerto Rican women (41.0%). Large proportions of participants (80% of men, 71% of women) had at least 1 risk factor. Age- and sex-adjusted prevalence of 3 or more risk factors was highest in Puerto Rican participants (25.0%) and significantly higher (P<.001) among participants with less education (16.1%), those who were US-born (18.5%), those who had lived in the United States 10 years or longer (15.7%), and those who preferred English (17.9%). Overall, self-reported CHD and stroke prevalence were low (4.2% and 2.0% in men; 2.4% and 1.2% in women, respectively). In multivariate- adjusted models, hypertension and smoking were directly associated with CHD in both sexes as were hypercholesterolemia and obesity in women and diabetes in men (odds ratios [ORs], 1.5-2.2). For stroke, associations were positive with hypertension in both sexes, diabetes in men, and smoking in women (ORs, 1.7-2.6). Conclusion: Among US Hispanic/Latino adults of diverse backgrounds, a sizeable proportion of men and women had adverse major risk factors; prevalence of adverse CVD risk profiles was higher among participants with Puerto Rican background, lower SES, and higher levels of acculturation.

Original languageEnglish
Pages (from-to)1775-1784
Number of pages10
JournalJAMA - Journal of the American Medical Association
Volume308
Issue number17
DOIs
StatePublished - Nov 7 2012

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Hispanic Americans
Cardiovascular Diseases
Acculturation
Coronary Disease
Hypercholesterolemia
Smoking
Stroke
Social Class
Obesity
Hypertension
Odds Ratio
Population
Outcome Assessment (Health Care)
Guidelines
Education

ASJC Scopus subject areas

  • Medicine(all)

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Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. / Daviglus, Martha L.; Talavera, Gregory A.; Avilés-Santa, M. Larissa; Allison, Matthew; Cai, Jianwen; Criqui, Michael H.; Gellman, Marc; Giachello, Aida L.; Gouskova, Natalia; Kaplan, Robert C.; LaVange, Lisa; Penedo, Frank; Perreira, Krista; Pirzada, Amber; Schneiderman, Neil; Wassertheil-Smoller, Sylvia; Sorlie, Paul D.; Stamler, Jeremiah.

In: JAMA - Journal of the American Medical Association, Vol. 308, No. 17, 07.11.2012, p. 1775-1784.

Research output: Contribution to journalArticle

Daviglus, ML, Talavera, GA, Avilés-Santa, ML, Allison, M, Cai, J, Criqui, MH, Gellman, M, Giachello, AL, Gouskova, N, Kaplan, RC, LaVange, L, Penedo, F, Perreira, K, Pirzada, A, Schneiderman, N, Wassertheil-Smoller, S, Sorlie, PD & Stamler, J 2012, 'Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States', JAMA - Journal of the American Medical Association, vol. 308, no. 17, pp. 1775-1784. https://doi.org/10.1001/jama.2012.14517
Daviglus, Martha L. ; Talavera, Gregory A. ; Avilés-Santa, M. Larissa ; Allison, Matthew ; Cai, Jianwen ; Criqui, Michael H. ; Gellman, Marc ; Giachello, Aida L. ; Gouskova, Natalia ; Kaplan, Robert C. ; LaVange, Lisa ; Penedo, Frank ; Perreira, Krista ; Pirzada, Amber ; Schneiderman, Neil ; Wassertheil-Smoller, Sylvia ; Sorlie, Paul D. ; Stamler, Jeremiah. / Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. In: JAMA - Journal of the American Medical Association. 2012 ; Vol. 308, No. 17. pp. 1775-1784.
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abstract = "Context: Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives: To describe prevalence of major CVD risk factors and CVD (coronary heart disease [CHD] and stroke) among US Hispanic/Latino individuals of different backgrounds, examine relationships of SES and acculturation with CVD risk profiles and CVD, and assess cross-sectional associations of CVD risk factors with CVD. Design, Setting, and Participants: Multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos including individuals of Cuban (n=2201), Dominican (n=1400), Mexican (n=6232), Puerto Rican (n=2590), Central American (n=1634), and South American backgrounds (n=1022) aged 18 to 74 years. Analyses involved 15 079 participants with complete data enrolled between March 2008 and June 2011. Main Outcome Measures: Adverse CVD risk factors defined using national guidelines for hypercholesterolemia, hypertension, obesity, diabetes, and smoking. Prevalence of CHD and stroke were ascertained from self-reported data. Results: Age-standardized prevalence of CVD risk factors varied by Hispanic/Latino background; obesity and current smoking rates were highest among Puerto Rican participants (for men, 40.9{\%} and 34.7{\%}; for women, 51.4{\%} and 31.7{\%}, respectively); hypercholesterolemia prevalence was highest among Central American men (54.9{\%}) and Puerto Rican women (41.0{\%}). Large proportions of participants (80{\%} of men, 71{\%} of women) had at least 1 risk factor. Age- and sex-adjusted prevalence of 3 or more risk factors was highest in Puerto Rican participants (25.0{\%}) and significantly higher (P<.001) among participants with less education (16.1{\%}), those who were US-born (18.5{\%}), those who had lived in the United States 10 years or longer (15.7{\%}), and those who preferred English (17.9{\%}). Overall, self-reported CHD and stroke prevalence were low (4.2{\%} and 2.0{\%} in men; 2.4{\%} and 1.2{\%} in women, respectively). In multivariate- adjusted models, hypertension and smoking were directly associated with CHD in both sexes as were hypercholesterolemia and obesity in women and diabetes in men (odds ratios [ORs], 1.5-2.2). For stroke, associations were positive with hypertension in both sexes, diabetes in men, and smoking in women (ORs, 1.7-2.6). Conclusion: Among US Hispanic/Latino adults of diverse backgrounds, a sizeable proportion of men and women had adverse major risk factors; prevalence of adverse CVD risk profiles was higher among participants with Puerto Rican background, lower SES, and higher levels of acculturation.",
author = "Daviglus, {Martha L.} and Talavera, {Gregory A.} and Avil{\'e}s-Santa, {M. Larissa} and Matthew Allison and Jianwen Cai and Criqui, {Michael H.} and Marc Gellman and Giachello, {Aida L.} and Natalia Gouskova and Kaplan, {Robert C.} and Lisa LaVange and Frank Penedo and Krista Perreira and Amber Pirzada and Neil Schneiderman and Sylvia Wassertheil-Smoller and Sorlie, {Paul D.} and Jeremiah Stamler",
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month = "11",
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TY - JOUR

T1 - Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States

AU - Daviglus, Martha L.

AU - Talavera, Gregory A.

AU - Avilés-Santa, M. Larissa

AU - Allison, Matthew

AU - Cai, Jianwen

AU - Criqui, Michael H.

AU - Gellman, Marc

AU - Giachello, Aida L.

AU - Gouskova, Natalia

AU - Kaplan, Robert C.

AU - LaVange, Lisa

AU - Penedo, Frank

AU - Perreira, Krista

AU - Pirzada, Amber

AU - Schneiderman, Neil

AU - Wassertheil-Smoller, Sylvia

AU - Sorlie, Paul D.

AU - Stamler, Jeremiah

PY - 2012/11/7

Y1 - 2012/11/7

N2 - Context: Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives: To describe prevalence of major CVD risk factors and CVD (coronary heart disease [CHD] and stroke) among US Hispanic/Latino individuals of different backgrounds, examine relationships of SES and acculturation with CVD risk profiles and CVD, and assess cross-sectional associations of CVD risk factors with CVD. Design, Setting, and Participants: Multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos including individuals of Cuban (n=2201), Dominican (n=1400), Mexican (n=6232), Puerto Rican (n=2590), Central American (n=1634), and South American backgrounds (n=1022) aged 18 to 74 years. Analyses involved 15 079 participants with complete data enrolled between March 2008 and June 2011. Main Outcome Measures: Adverse CVD risk factors defined using national guidelines for hypercholesterolemia, hypertension, obesity, diabetes, and smoking. Prevalence of CHD and stroke were ascertained from self-reported data. Results: Age-standardized prevalence of CVD risk factors varied by Hispanic/Latino background; obesity and current smoking rates were highest among Puerto Rican participants (for men, 40.9% and 34.7%; for women, 51.4% and 31.7%, respectively); hypercholesterolemia prevalence was highest among Central American men (54.9%) and Puerto Rican women (41.0%). Large proportions of participants (80% of men, 71% of women) had at least 1 risk factor. Age- and sex-adjusted prevalence of 3 or more risk factors was highest in Puerto Rican participants (25.0%) and significantly higher (P<.001) among participants with less education (16.1%), those who were US-born (18.5%), those who had lived in the United States 10 years or longer (15.7%), and those who preferred English (17.9%). Overall, self-reported CHD and stroke prevalence were low (4.2% and 2.0% in men; 2.4% and 1.2% in women, respectively). In multivariate- adjusted models, hypertension and smoking were directly associated with CHD in both sexes as were hypercholesterolemia and obesity in women and diabetes in men (odds ratios [ORs], 1.5-2.2). For stroke, associations were positive with hypertension in both sexes, diabetes in men, and smoking in women (ORs, 1.7-2.6). Conclusion: Among US Hispanic/Latino adults of diverse backgrounds, a sizeable proportion of men and women had adverse major risk factors; prevalence of adverse CVD risk profiles was higher among participants with Puerto Rican background, lower SES, and higher levels of acculturation.

AB - Context: Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives: To describe prevalence of major CVD risk factors and CVD (coronary heart disease [CHD] and stroke) among US Hispanic/Latino individuals of different backgrounds, examine relationships of SES and acculturation with CVD risk profiles and CVD, and assess cross-sectional associations of CVD risk factors with CVD. Design, Setting, and Participants: Multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos including individuals of Cuban (n=2201), Dominican (n=1400), Mexican (n=6232), Puerto Rican (n=2590), Central American (n=1634), and South American backgrounds (n=1022) aged 18 to 74 years. Analyses involved 15 079 participants with complete data enrolled between March 2008 and June 2011. Main Outcome Measures: Adverse CVD risk factors defined using national guidelines for hypercholesterolemia, hypertension, obesity, diabetes, and smoking. Prevalence of CHD and stroke were ascertained from self-reported data. Results: Age-standardized prevalence of CVD risk factors varied by Hispanic/Latino background; obesity and current smoking rates were highest among Puerto Rican participants (for men, 40.9% and 34.7%; for women, 51.4% and 31.7%, respectively); hypercholesterolemia prevalence was highest among Central American men (54.9%) and Puerto Rican women (41.0%). Large proportions of participants (80% of men, 71% of women) had at least 1 risk factor. Age- and sex-adjusted prevalence of 3 or more risk factors was highest in Puerto Rican participants (25.0%) and significantly higher (P<.001) among participants with less education (16.1%), those who were US-born (18.5%), those who had lived in the United States 10 years or longer (15.7%), and those who preferred English (17.9%). Overall, self-reported CHD and stroke prevalence were low (4.2% and 2.0% in men; 2.4% and 1.2% in women, respectively). In multivariate- adjusted models, hypertension and smoking were directly associated with CHD in both sexes as were hypercholesterolemia and obesity in women and diabetes in men (odds ratios [ORs], 1.5-2.2). For stroke, associations were positive with hypertension in both sexes, diabetes in men, and smoking in women (ORs, 1.7-2.6). Conclusion: Among US Hispanic/Latino adults of diverse backgrounds, a sizeable proportion of men and women had adverse major risk factors; prevalence of adverse CVD risk profiles was higher among participants with Puerto Rican background, lower SES, and higher levels of acculturation.

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