Pulmonary disease and age at immigration among hispanics: Results from the hispanic community health study/study of latinos

R. Graham Barr, Larissa Avilés-Santa, Sonia M. Davis, Tom K. Aldrich, Franklyn Gonzalez, Ashley G. Henderson, Robert C. Kaplan, Lisa La Vange, Kiang Liu, Jose S. Loredo, Eliana Mendes, Ai Ni, Andrew Ries, Matthias A Salathe, Lewis J. Smith

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Rationale: Asthma has been reported to be more prevalent among Hispanics of Puerto Rican heritage than among other Hispanics and among Hispanics born in the United States or who immigrated as children than among those who came as adults; however, direct comparisons across Hispanic groups are lacking. Objectives: To test whether asthma is more prevalent among Hispanics of Puerto Rican heritage than among other Hispanic groups, whether asthma is associated with age of immigration, and whether chronic obstructive pulmonary disease varies by heritage in a large, population-based cohort of Hispanics in the United States. Methods: The Hispanic Community Health Study/Study of Latinos researchers recruited a population-based probability sample of 16,415 Hispanics/Latinos, 18-74 years of age, in New York City, Chicago, Miami, and San Diego. Participants self-reported Puerto Rican, Cuban, Dominican, Mexican, Central American, or South American heritage; birthplace; and, if relevant, age at immigration. A respiratory questionnaire and standardized spirometry were performed with postbronchodilator measures for those with airflow limitation. Measurements and Main Results: The prevalence of physiciandiagnosed asthma among Puerto Ricans (36.5%; 95% confidence interval, 33.6-39.5%)washigher thanamongotherHispanics (odds ratio, 3.9; 95% confidence interval, 3.3-4.6). Hispanics who were born in the mainland United States or had immigrated as children had a higher asthma prevalence than those who had immigrated as adults (19.6, 19.4, and 14.1%, respectively; P<0.001). Current asthma, bronchodilator responsiveness, and wheeze followed similar patterns. Chronic obstructive pulmonary disease prevalence was higher among Puerto Ricans (14.1%) andCubans (9.8%) thanamongother Hispanics (<6.0%), but it did not vary acrossHispanic heritages after adjustment for smoking and prior asthma (P = 0.22), by country of birth, or by age at immigration. Conclusions: Asthma was more prevalent among Puerto Ricans, other Hispanics born in the United States, and those who had immigrated as children than among other Hispanics. In contrast, the higher prevalence of chronic obstructive pulmonary disease among Puerto Ricans and Cubans was largely reflective of differential smoking patterns and asthma.

Original languageEnglish (US)
Pages (from-to)386-395
Number of pages10
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume193
Issue number4
DOIs
StatePublished - Feb 15 2016

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Emigration and Immigration
Hispanic Americans
Lung Diseases
Health
Asthma
Chronic Obstructive Pulmonary Disease
Smoking
Confidence Intervals
Sampling Studies
Bronchodilator Agents
Spirometry

Keywords

  • Asthma
  • Chronic obstructive pulmonary disease
  • Race/ethnicity
  • Social determinants of health

ASJC Scopus subject areas

  • Medicine(all)
  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Pulmonary disease and age at immigration among hispanics : Results from the hispanic community health study/study of latinos. / Barr, R. Graham; Avilés-Santa, Larissa; Davis, Sonia M.; Aldrich, Tom K.; Gonzalez, Franklyn; Henderson, Ashley G.; Kaplan, Robert C.; La Vange, Lisa; Liu, Kiang; Loredo, Jose S.; Mendes, Eliana; Ni, Ai; Ries, Andrew; Salathe, Matthias A; Smith, Lewis J.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 193, No. 4, 15.02.2016, p. 386-395.

Research output: Contribution to journalArticle

Barr, RG, Avilés-Santa, L, Davis, SM, Aldrich, TK, Gonzalez, F, Henderson, AG, Kaplan, RC, La Vange, L, Liu, K, Loredo, JS, Mendes, E, Ni, A, Ries, A, Salathe, MA & Smith, LJ 2016, 'Pulmonary disease and age at immigration among hispanics: Results from the hispanic community health study/study of latinos', American Journal of Respiratory and Critical Care Medicine, vol. 193, no. 4, pp. 386-395. https://doi.org/10.1164/rccm.201506-1211OC
Barr, R. Graham ; Avilés-Santa, Larissa ; Davis, Sonia M. ; Aldrich, Tom K. ; Gonzalez, Franklyn ; Henderson, Ashley G. ; Kaplan, Robert C. ; La Vange, Lisa ; Liu, Kiang ; Loredo, Jose S. ; Mendes, Eliana ; Ni, Ai ; Ries, Andrew ; Salathe, Matthias A ; Smith, Lewis J. / Pulmonary disease and age at immigration among hispanics : Results from the hispanic community health study/study of latinos. In: American Journal of Respiratory and Critical Care Medicine. 2016 ; Vol. 193, No. 4. pp. 386-395.
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abstract = "Rationale: Asthma has been reported to be more prevalent among Hispanics of Puerto Rican heritage than among other Hispanics and among Hispanics born in the United States or who immigrated as children than among those who came as adults; however, direct comparisons across Hispanic groups are lacking. Objectives: To test whether asthma is more prevalent among Hispanics of Puerto Rican heritage than among other Hispanic groups, whether asthma is associated with age of immigration, and whether chronic obstructive pulmonary disease varies by heritage in a large, population-based cohort of Hispanics in the United States. Methods: The Hispanic Community Health Study/Study of Latinos researchers recruited a population-based probability sample of 16,415 Hispanics/Latinos, 18-74 years of age, in New York City, Chicago, Miami, and San Diego. Participants self-reported Puerto Rican, Cuban, Dominican, Mexican, Central American, or South American heritage; birthplace; and, if relevant, age at immigration. A respiratory questionnaire and standardized spirometry were performed with postbronchodilator measures for those with airflow limitation. Measurements and Main Results: The prevalence of physiciandiagnosed asthma among Puerto Ricans (36.5{\%}; 95{\%} confidence interval, 33.6-39.5{\%})washigher thanamongotherHispanics (odds ratio, 3.9; 95{\%} confidence interval, 3.3-4.6). Hispanics who were born in the mainland United States or had immigrated as children had a higher asthma prevalence than those who had immigrated as adults (19.6, 19.4, and 14.1{\%}, respectively; P<0.001). Current asthma, bronchodilator responsiveness, and wheeze followed similar patterns. Chronic obstructive pulmonary disease prevalence was higher among Puerto Ricans (14.1{\%}) andCubans (9.8{\%}) thanamongother Hispanics (<6.0{\%}), but it did not vary acrossHispanic heritages after adjustment for smoking and prior asthma (P = 0.22), by country of birth, or by age at immigration. Conclusions: Asthma was more prevalent among Puerto Ricans, other Hispanics born in the United States, and those who had immigrated as children than among other Hispanics. In contrast, the higher prevalence of chronic obstructive pulmonary disease among Puerto Ricans and Cubans was largely reflective of differential smoking patterns and asthma.",
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T2 - Results from the hispanic community health study/study of latinos

AU - Barr, R. Graham

AU - Avilés-Santa, Larissa

AU - Davis, Sonia M.

AU - Aldrich, Tom K.

AU - Gonzalez, Franklyn

AU - Henderson, Ashley G.

AU - Kaplan, Robert C.

AU - La Vange, Lisa

AU - Liu, Kiang

AU - Loredo, Jose S.

AU - Mendes, Eliana

AU - Ni, Ai

AU - Ries, Andrew

AU - Salathe, Matthias A

AU - Smith, Lewis J.

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N2 - Rationale: Asthma has been reported to be more prevalent among Hispanics of Puerto Rican heritage than among other Hispanics and among Hispanics born in the United States or who immigrated as children than among those who came as adults; however, direct comparisons across Hispanic groups are lacking. Objectives: To test whether asthma is more prevalent among Hispanics of Puerto Rican heritage than among other Hispanic groups, whether asthma is associated with age of immigration, and whether chronic obstructive pulmonary disease varies by heritage in a large, population-based cohort of Hispanics in the United States. Methods: The Hispanic Community Health Study/Study of Latinos researchers recruited a population-based probability sample of 16,415 Hispanics/Latinos, 18-74 years of age, in New York City, Chicago, Miami, and San Diego. Participants self-reported Puerto Rican, Cuban, Dominican, Mexican, Central American, or South American heritage; birthplace; and, if relevant, age at immigration. A respiratory questionnaire and standardized spirometry were performed with postbronchodilator measures for those with airflow limitation. Measurements and Main Results: The prevalence of physiciandiagnosed asthma among Puerto Ricans (36.5%; 95% confidence interval, 33.6-39.5%)washigher thanamongotherHispanics (odds ratio, 3.9; 95% confidence interval, 3.3-4.6). Hispanics who were born in the mainland United States or had immigrated as children had a higher asthma prevalence than those who had immigrated as adults (19.6, 19.4, and 14.1%, respectively; P<0.001). Current asthma, bronchodilator responsiveness, and wheeze followed similar patterns. Chronic obstructive pulmonary disease prevalence was higher among Puerto Ricans (14.1%) andCubans (9.8%) thanamongother Hispanics (<6.0%), but it did not vary acrossHispanic heritages after adjustment for smoking and prior asthma (P = 0.22), by country of birth, or by age at immigration. Conclusions: Asthma was more prevalent among Puerto Ricans, other Hispanics born in the United States, and those who had immigrated as children than among other Hispanics. In contrast, the higher prevalence of chronic obstructive pulmonary disease among Puerto Ricans and Cubans was largely reflective of differential smoking patterns and asthma.

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KW - Chronic obstructive pulmonary disease

KW - Race/ethnicity

KW - Social determinants of health

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