Acculturation and Hypertension Diagnoses Among Hispanics in California

McIntire, Russell K.; Scalzo, L; Doran, Cierrah; Bucher, Katie; Juon, Hee‐Soon

doi:10.1007/s40615-021-01033-4

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…Utilizing a population-based study of US adults (8) , higher acculturation was associated with increased odds of MetS, high blood pressure and central obesity in Hispanic adults. These findings are consistent with previous evidence, indicating positive associations between greater acculturation and MetS (3,4,6) , high blood pressure (12) and central obesity (3) . Through mediation analyses, we further found that total fruits intake partially mediated the associations of acculturation with MetS and central obesity, and fully mediated the association between acculturation and high blood pressure among Hispanic adults.…”

Section: Discussionsupporting

confidence: 93%

“…Due to the nature of all cross-sectional studies, the temporal sequence for the associations is not clear. However, the positive associations between acculturation and risk of MetS, high blood pressure and central obesity are consistent with previous studies (3,12) . Finally, due to limited acculturation information available in NHANES, we only used country of birth, length of stay in the USA and language spoken at home to measure the extent of acculturation.…”

Section: Discussionsupporting

confidence: 92%

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Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake

Fulda

Tao

2021

Public Health Nutr.

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Objectives: Hispanic adults in the U.S. tend to have a disproportionate prevalence of metabolic syndrome (MetS) as compared to other races. Design: We examined whether the association between acculturation and MetS and its components are mediated by the intake of fruit in Hispanics. Setting: Data from the National Health and Nutrition Examination Surveys (NHANES) 2009-2016 were used in this study. Participants: A total of 2,078 Hispanics aged ≥ 20 years were included in this analysis. Results: The mediating role of total fruit intake was assessed using multivariable-adjusted logistic structural equation models with the bootstrapping method by estimating indirect (IE) and direct (DE) effects from acculturation to MetS. High acculturation was associated with increased odds of MetS (adjusted odds ratio (OR) =1.20, 95% CI, 1.04, 1.39), central obesity (OR= 1.24, 95% CI, 1.07, 1.44) and high blood pressure (OR=1.16, 95% CI, 1.02, 1.32) among Hispanic adults. Total fruits intake partially mediated the associations of acculturation with MetS (ORIE = 1.02, 95% CI = 1.00, 1.03) and central obesity (ORIE = 1.02, 95% CI, 1.00, 1.03), whereas fully mediated the association between acculturation and high blood pressure (ORIE = 1.03, 95% CI, 1.01, 1.06). Moreover, intake of total fruits fully mediated the acculturation-MetS association among Mexican Americans (ORIE = 1.02, 95% CI, 1.00, 1.05). Conclusions: Our findings suggested that increasing fruit consumption may reduce the impact of high acculturation on MetS development in Hispanic adults. Further studies are needed to confirm these findings.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake

Fulda

Tao

2021

Public Health Nutr.

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“…analyzed 2014 data from 3793 Hispanic participants in the California Health Interview Survey and reported acculturation status was associated with increased odds of hypertension among MA adults (adjusted OR, 1.71 [95% CI, 1.24–2.36]). 19 In a 2019 analysis of the 2011 to 2016 NHANES, Divney et al. reported Latino adults with high acculturation were 25% more likely to have hypertension, compared with low acculturation groups.…”

Section: Discussionmentioning

confidence: 99%

“…Acculturation, the process where people adopt behaviors and practices from the culture in which they live (most often, the more dominant or majority group), can affect health status in both positive and negative ways. 17 , 18 , 19 , 20 Highly acculturated MA adults are more likely to have obesity, hypertension, type 2 diabetes, and ultimately cardiovascular disease. 15 , 20 , 21 However, measuring acculturation is debated with some experts promoting a comprehensive and nuanced approach that takes into account multiple domains including friendship and social interactions, entertainment choices (eg, do you prefer to watch Spanish‐language movies?…”

Section: Defining and Measuring Acculturation As A Hypertension Risk ...mentioning

confidence: 99%

Hypertension Prevalence and Related Risk Factors Among Mexican American Adults Are Increasing: National Health and Nutrition Examination Survey 1999 to 2018

Briggs Early,

Valencia,

Stendell‐Hollis

et al. 2024

JAHA

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Background Acculturation affects hypertension prevalence among Hispanic people, but there have been no recent analyses specifically focused on Mexican American (MA) people. We sought to determine age‐adjusted hypertension prevalence, abdominal obesity, and acculturation trends among MA adults and non‐Hispanic White adults. Methods and Results Data from the NHANES (National Health and Nutrition Examination Survey) were analyzed in 2‐year increments to observe trends in hypertension and risk factors (age, sex, body mass index, smoking status, abdominal obesity, waist‐to‐height ratio (WHtR), education, and income). Acculturation was based on three commonly used measures. The sample included 30 920 adults. Age‐adjusted hypertension prevalence is higher in MA adults (52.7%) than White adults (48.3%). Hypertension risk factors—age, obesity prevalence, WHtR, acculturation—all significantly increased among MA adults, while smoking declined. Higher acculturation scores increased hypertension likelihood (odds ratio [OR], 1.44 [95% CI, 0.91–1.97]) for MA adults compared with those with lower acculturation scores. White adults with elevated WHtR >0.5 had a 40% higher risk of hypertension than those with WHtR <0.5, but among MA adults, elevated WHtR did not increase risk for hypertension. There was a significant increase in hypertension prevalence among MA adults from 2003 to 2018 at an average biennial rate of 2.23%. There was no change in hypertension prevalence among White adults from 1999 to 2018. Conclusions Over 20 years of NHANES, more highly acculturated MA adults were at greater risk for hypertension, despite declines in smoking and controlling for age, sex, obesity status, education, and income. Finding ways to promote more traditional lifestyle and eating habits for MA adults could be a beneficial approach to reducing hypertension risk factors in this population.

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Genotype-by-Environment Interactions in Nonalcoholic Fatty Liver Disease and Chronic Illness among Mexican Americans: The Role of Acculturation Stress

Manusov,

Diego,

Almeida

et al. 2024

Genes

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This study examines the complex interplay of genetic and environmental interactions that shape chronic illness risk. Evidence is mounting for the role of genetic expression and the immune response in the pathogenesis of chronic disease. In the Rio Grande Valley of south Texas, where 90% of the population is Mexican American, chronic illnesses (including obesity, diabetes, nonalcoholic liver disease, and depression) are reaching epidemic proportions. This study leverages an ongoing family study of the genetic determinants of risk for obesity, diabetes, hypertension, hyperlipidemia, and depression in a Mexican American population. Data collected included blood pressure, BMI, hepatic transaminases, HbA1c, depression (BDI-II), acculturation/marginalization (ARSMA-II), and liver health as assessed by elastography. Heritability and genotype-by-environment (G×E) interactions were analyzed, focusing on the marginalization/separation measure of the ARSMA-II. Significant heritabilities were found for traits such as HbA1c (h2 = 0.52), marginalization (h2 = 0.30), AST (h2 = 0.25), ALT (h2 = 0.41), and BMI (h2 = 0.55). Genotype-by-environment interactions were significant for HbA1c, AST/ALT ratio, BDI-II, and CAP, indicating that genetic factors interact with marginalization to influence these traits. This study found that acculturation stress exacerbates the genetic response to chronic illness. These findings underscore the importance of considering G×E interactions in understanding disease susceptibility and may inform targeted interventions for at-risk populations. Further research is warranted to elucidate the underlying molecular pathways and replicate these findings in diverse populations.

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Acculturation and Hypertension Diagnoses Among Hispanics in California

Cited by 3 publications

References 15 publications

Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake

Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake

Hypertension Prevalence and Related Risk Factors Among Mexican American Adults Are Increasing: National Health and Nutrition Examination Survey 1999 to 2018

Genotype-by-Environment Interactions in Nonalcoholic Fatty Liver Disease and Chronic Illness among Mexican Americans: The Role of Acculturation Stress

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