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Increased prevalence of risk factors for morbidity and mortality in the US Hispanic CF population
Kimberly Danieli Watts1, Roopa Seshadri, Christine Sullivan
1Division of Pulmonary Medicine, Children's Memorial Hospital, Chicago, IL 60614, USA. kwatts@childrensmemorial.org
Insights
Hispanic ethnicity is linked to higher risks in cystic fibrosis (CF) patients. This study found more risk factors for morbidity and mortality in Hispanic CF individuals compared to non-Hispanic patients.
Area of Science:
- Pulmonology
- Genetics
- Epidemiology
Background:
- Hispanic ethnicity is an independent risk factor for increased morbidity and mortality in cystic fibrosis (CF) patients.
- Understanding the specific risk factors in the Hispanic CF population is crucial for targeted interventions.
Purpose of the Study:
- To compare the prevalence of risk factors for morbidity and mortality between Hispanic and non-Hispanic CF patients.
- To identify disparities in CF care and outcomes based on ethnicity.
Main Methods:
- Cross-sectional study utilizing the 2004 Cystic Fibrosis Foundation Patient Registry.
- Analysis of data from 22,714 CF patients, with 1,511 identified as ethnic Hispanic.
- Comparison of demographic, clinical, and socioeconomic factors between Hispanic and non-Hispanic CF cohorts.
Main Results:
- Hispanic CF patients were diagnosed earlier and acquired Pseudomonas aeruginosa at a younger age.
- Lower FEV(1) values were observed in Hispanic patients across different age groups.
- Hispanic patients showed higher rates of liver disease but lower rates of depression, bone/joint disease, and CF-related diabetes.
- Socioeconomic factors such as lower income, higher government insurance rates, and lower maternal education levels were more prevalent in the Hispanic CF group.
Conclusions:
- The Hispanic CF population exhibits an increased prevalence of significant risk factors for morbidity and mortality.
- Ethnic disparities in CF outcomes necessitate further investigation and tailored healthcare strategies.
- Addressing socioeconomic determinants of health is vital for improving outcomes in minority CF populations.
Abstract:
Hispanic ethnicity is an independent risk factor for increased morbidity and mortality in cystic fibrosis (CF) patients. In order to compare the prevalence of risk factors for morbidity and mortality between the Hispanic CF population and the non-Hispanic CF population, we performed a cross-sectional study of patients in the 2004 Cystic Fibrosis Foundation Patient Registry. Among 22,714 CF patients, 1,511 were identified as ethnic Hispanic. Hispanic patients were diagnosed earlier (2.8 vs. 3.3 years, P = 0.005) and acquired Pseudomonas aeruginosa at a younger age (6.6 years vs. 10 years, P < 0.001). FEV(1) was lower for Hispanic patients (81.5% vs. 87% predicted for those under 18 years old [P < 0.001] and 2.1 L vs. 2.3 L for those 18 years and older [P = 0.01]). Hispanic patients had similar or better nutritional status. Hispanic patients were more likely to be diagnosed with liver disease (OR 1.31 [1.1, 1.56]) but less likely to be diagnosed with depression (OR 0.53 [0.39, 0.68]), bone and joint disease (OR 0.55 [0.41, 0.71]), or CF-related diabetes (OR 0.53 [0.43, 0.62]). Hispanic patients had lower median income by zip code ($41,930 vs. $47,341; P < 0.001), a higher rate of government insurance (55.2% vs. 32.0%; P < 0.001), and greater percentage of mothers with less than a high school education (26.7% vs. 6.5%; P < 0.001). We conclude that there is an increased prevalence of important risk factors for morbidity and mortality in the Hispanic CF population.
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