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Acculturation and Hypertension Diagnoses Among Hispanics in California

Russell K McIntire1, Lia Scalzo2, Cierrah Doran2

  • 1Jefferson College of Population Health, Thomas Jefferson University, 901 Walnut Street; 10th Floor, Philadelphia, PA, 19107, USA. russell.mcintire@jefferson.edu.

Journal of Racial and Ethnic Health Disparities
|April 7, 2021
PubMed

Insights

Acculturation in the USA is linked to higher hypertension diagnoses in Mexican Americans and other Hispanic groups. This finding aids in developing culturally sensitive health strategies for Hispanic immigrants.

Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • Heart disease is the leading cause of death for U.S. Hispanic immigrants and other Hispanics.
  • Hypertension prevalence is increasing among Mexican Americans, a significant U.S. Hispanic subgroup.
  • Understanding hypertension risk factors within Hispanic populations is crucial for public health initiatives.

Purpose of the Study:

  • To estimate the prevalence of hypertension diagnoses among Mexican Americans and Other Hispanics in California.
  • To determine the association between acculturation and hypertension in these populations.

Main Methods:

  • Utilized data from the 2014 California Health Interview Survey (CHIS).
  • Employed multivariable logistic regression analysis.
  • Measured acculturation by self-reported duration of U.S. residence, controlling for sociodemographic factors, BMI, insurance, and smoking.

Main Results:

  • The study included 3793 Hispanic participants (81.8% Mexican American, 18.2% Other Hispanic).
  • Overall hypertension prevalence was 24.0%, lower than in African Americans and Whites.
  • Acculturation showed a positive association with hypertension for both Mexican Americans (aOR=1.71) and Other Hispanics (aOR=2.77).

Conclusions:

  • A positive association exists between U.S. acculturation and hypertension diagnoses in Mexican Americans and Other Hispanics.
  • Findings can inform public health practitioners and policymakers about acculturation's health impacts.
  • Results support the development of culturally sensitive health promotion materials for Hispanic immigrants.
Abstract

Keywords:
AcculturationBlood pressureHispanic immigrantsHypertensionImmigrant healthMexican American immigrants

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