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Acculturation is associated with hypertension in a multiethnic sample.
Andrew Moran1, Ana V Diez Roux, Sharon A Jackson
1Department of Medicine, University of California at San Francisco, San Francisco, California, USA.
American Journal of Hypertension
|March 28, 2007
Summary
Acculturation, like language and birthplace, influences hypertension risk across diverse US populations. Non-US born individuals and non-English speakers showed lower hypertension prevalence, but longer US residency increased risk.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Hypertension prevalence differs across US race/ethnic groups.
- Acculturation's impact on hypertension within ethnic groups is understudied.
- The Multiethnic Study of Atherosclerosis (MESA) investigated acculturation and hypertension.
Purpose of the Study:
- To examine the association between acculturation measures and hypertension prevalence.
- To assess how language, birthplace, and duration of US residency relate to hypertension.
- To analyze these associations across diverse racial and ethnic groups.
Main Methods:
- Utilized multivariate Poisson regression analysis.
- Examined three acculturation variables: language spoken at home, place of birth, and years in the US.
- Analyzed data from a multiethnic sample including White, African American, Hispanic, and Chinese participants.
Main Results:
- Non-US born individuals and non-English speakers had lower hypertension prevalence (PR 0.82 and 0.80, respectively).
- Increased years living in the US correlated with higher hypertension prevalence among non-US born participants (P < .01).
- Associations were attenuated after adjusting for race/ethnicity and hypertension risk factors; regional birthplace differences noted in Hispanics.
Conclusions:
- Acculturation and birthplace are significantly associated with hypertension.
- These factors contribute to understanding hypertension disparities in multiethnic populations.
- Further research is needed to explore the mechanisms linking acculturation to hypertension.
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