Hypertension and Diabetes Prevalence Among U.S. Hispanics by Country of Origin: The National Health Interview Survey 2000-2005

Pabon-Nau, Lina; Cohen, Amy; Meigs, James B.; Grant, Richard W.

doi:10.1007/s11606-010-1335-8

Cited by 93 publications

(75 citation statements)

References 35 publications

(44 reference statements)

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“…As expected, prevalence of both diabetes and pre-diabetes increased significantly with age, finding that is consistent with previous studies in Puerto Rico [15,16]. The findings of this study support the notion that the burden of DM and prediabetes in Puerto Rico is significant [2,3,17]. Our findings are consistent with other studies showing that the prevalence of hypertension is higher in the Hispanic population in the US [18][19][20].…”

Section: Resultssupporting

confidence: 93%

“…Prevalence of hypertension and prehypertension increased with age in both genders and pre-hypertension was more prevalent among males in all age groups. In the 2000-2005 National Health Survey Interview Survey, it was found that Puerto Ricans had a higher prevalence of diabetes and hypertension compared to other Hispanic sub-groups [2]. Participants in our study with both diabetes and hypertension were older, had a lower income and less formal education, findings in accordance with previous reports [2,[15][16][17].…”

Section: Resultssupporting

confidence: 92%

“…In the 2000-2005 National Health Survey Interview Survey, it was found that Puerto Ricans had a higher prevalence of diabetes and hypertension compared to other Hispanic sub-groups [2]. Participants in our study with both diabetes and hypertension were older, had a lower income and less formal education, findings in accordance with previous reports [2,[15][16][17]. Similar to other studies, participants with diabetes and obesity had a significantly higher prevalence of hypertension than those without diabetes.…”

Section: Resultsmentioning

confidence: 99%

“…Puerto Ricans show an even higher prevalence of both conditions among Hispanic subgroups living in the US [2,3]. Since both type 2 DM and hypertension are important contributing risk factors for end-organ damage and cardiovascular diseases, management of these conditions is therefore essential for the reduction of associated morbidity and mortality [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Unequal Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico

Allende-Vigo¹

2013

J Diabetes Metab

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Objective: The study describes critical information gaps regarding diabetes, hypertension, prediabetes, prehypertension and its comorbidities in a representative sample of the Hispanic adult population living in Puerto Rico. Research design and methods:A representative sample of non-institutionalized Puerto Ricans adults aged 18-79 years residing in the San Juan metropolitan area participated in a face-to-face interview, anthropometric measurements and blood draws. Prevalence of diabetes, hypertension, prediabetes, and prehypertension were estimated using logistic regression. Levels of awareness, treatment, adherence to medications, and control of these conditions were assessed.Results: Of 452 participants, 15.2% had diabetes, 35.3% had pre-diabetes, 39.9% had hypertension and 44.9% had pre-hypertension. Females were more likely to have diabetes, except those aged 18-64 years. Prevalence of diabetes, pre-diabetes, hypertension and pre-hypertension increased significantly with age in both sexes. Prehypertension was more prevalent among males in all age groups. Only 35% of those diagnosed with diabetes and 52.5% of those diagnosed with hypertension were controlled on pharmacotherapy. Conclusions:There is an unequal burden of diabetes, pre-diabetes, hypertension and pre-hypertension in Puerto Rico. The prevalence is high, increased significantly with age, and although the vast majority of participants with diabetes and hypertension were under treatment, control rates are suboptimal. These findings underscore the need for continued physician's efforts to improve control rates in our population.

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Section: Resultssupporting

confidence: 93%

Section: Resultssupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unequal Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico

Allende-Vigo¹

2013

J Diabetes Metab

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“…1,5,8 Even fewer have used population-based samples or examined differences between Asian or Hispanic subgroups. [11][12][13][14] This paucity of evidence has led to a lack of specific recommendations of HTN guidelines for specific minority subgroups and potential oversight of subgroups with elevated HTN rates dissimilar to the ethnic group average.…”

Section: Introductionmentioning

confidence: 99%

Hypertension Prevalence in New York City Adults: Unmasking Undetected Racial/Ethnic Variation, NYC HANES 2004

et al. 2016

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Main Outcome Measures: Logistic regression was performed to identify differences in HTN prevalence between ethnic subgroups controlling for age, sex, education and BMI. Results Conclusion:When analyzing racial/ethnic subgroups, NH Black and Hispanic adults from Dominican Republic had the highest HTN prevalence followed by South Asian and Puerto Rican adults. Mexican adults had the lowest prevalence of all groups. These findings highlight that ethnic subgroup differences go undetected when stratified by broader racial/ ethnic categories. To our knowledge, this is the first population-based study using objective measures to highlight these differences. Ethn

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Prevalence of Major Cardiovascular Risk Factors and Cardiovascular Diseases Among Hispanic/Latino Individuals of Diverse Backgrounds in the United States

Daviglus¹,

Talavera²,

Avilés-Santa³

et al. 2012

JAMA

774

756

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Context Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives To describe prevalence of major CVD risk factors and CVD (coronary heart disease [CHD] and stroke) among US Hispanic/Latino individuals of different backgrounds, examine relationships of SES and acculturation with CVD risk profiles and CVD, and assess cross-sectional associations of CVD risk factors with CVD. Design, Setting, and Participants Multicenter, prospective, population-based Hispanic Community Health Study/Study of Latinos including individuals of Cuban (n =2201), Dominican (n = 1400), Mexican (n=6232), Puerto Rican (n=2590), Central American (n=1634), and South American backgrounds (n = 1022) aged 18 to 74 years. Analyses involved 15 079 participants with complete data enrolled between March 2008 and June 2011. Main Outcome Measures Adverse CVD risk factors defined using national guidelines for hypercholesterolemia, hypertension, obesity, diabetes, and smoking. Prevalence of CHD and stroke were ascertained from self-reported data. Results Age-standardized prevalence of CVD risk factors varied by Hispanic/Latino background; obesity and current smoking rates were highest among Puerto Rican participants (for men, 40.9% and 34.7%; for women, 51.4% and 31.7%, respectively); hypercholesterolemia prevalence was highest among Central American men (54.9%) and Puerto Rican women (41.0%). Large proportions of participants (80% of men, 71% of women) had at least 1 risk factor. Age- and sex-adjusted prevalence of 3 or more risk factors was highest in Puerto Rican participants (25.0%) and significantly higher (P<.001) among participants with less education (16.1%), those who were US-born (18.5%), those who had lived in the United States 10 years or longer (15.7%), and those who preferred English (17.9%). Overall, self-reported CHD and stroke prevalence were low (4.2% and 2.0% in men; 2.4% and 1.2% in women, respectively). In multivariate-adjusted models, hypertension and smoking were directly associated with CHD in both sexes as were hypercholesterolemia and obesity in women and diabetes in men (odds ratios [ORs], 1.5–2.2). For stroke, associations were positive with hypertension in both sexes, diabetes in men, and smoking in women (ORs, 1.7–2.6). Conclusion Among US Hispanic/Latino adults of diverse backgrounds, a sizeable proportion of men and women had adverse major risk factors; prevalence of adverse CVD risk profiles was higher among participants with Puerto Rican background, lower SES, and higher levels of acculturation.

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Hypertension and Diabetes Prevalence Among U.S. Hispanics by Country of Origin: The National Health Interview Survey 2000-2005

Cited by 93 publications

References 35 publications

Unequal Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico

Unequal Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico

Hypertension Prevalence in New York City Adults: Unmasking Undetected Racial/Ethnic Variation, NYC HANES 2004

Prevalence of Major Cardiovascular Risk Factors and Cardiovascular Diseases Among Hispanic/Latino Individuals of Diverse Backgrounds in the United States

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